Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › PLAINSBORO › PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION

PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION

NPI: 1689714255 · PLAINSBORO, NJ 08536 · General Acute Care Hospital · NPI assigned 02/06/2007

$33.55M
Total Medicaid Paid
547,036
Total Claims
395,737
Beneficiaries
214
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVALLADARES, GUILLHERME (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date02/06/2007

Related Entities

Other providers sharing the same authorized official: VALLADARES, GUILLHERME

ProviderCityStateTotal Paid
PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION PRINCETON NJ $74K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67,489 $6.04M
2019 64,965 $6.15M
2020 53,747 $3.80M
2021 69,677 $3.92M
2022 101,780 $4.90M
2023 110,992 $5.08M
2024 78,386 $3.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,360 14,599 $8.26M
99284 Emergency department visit for the evaluation and management, high severity 16,776 15,209 $6.69M
99283 Emergency department visit for the evaluation and management, moderate severity 16,629 15,450 $4.03M
G0378 Hospital observation service, per hour 5,141 3,872 $2.95M
G0410 Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes 11,534 986 $2.30M
G0177 Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) 7,904 862 $1.57M
74177 Computed tomography, abdomen and pelvis; with contrast material 2,553 2,338 $1.25M
G0176 Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) 2,930 507 $908K
70450 Computed tomography, head or brain; without contrast material 4,150 3,738 $522K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 16,478 14,138 $285K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,170 6,489 $219K
71046 Radiologic examination, chest; 2 views 7,532 6,924 $210K
OP370 1,328 1,124 $206K
96361 Intravenous infusion, hydration; each additional hour 5,186 4,640 $203K
OP710 2,114 1,501 $201K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,529 2,380 $194K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 6,544 1,851 $163K
76830 Ultrasound, transvaginal 1,248 1,171 $153K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 22,817 19,079 $136K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,779 1,697 $131K
99282 Emergency department visit for the evaluation and management, low to moderate severity 789 767 $130K
80053 Comprehensive metabolic panel 24,307 20,814 $121K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 6,235 4,999 $121K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,809 6,051 $116K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,757 2,534 $104K
74176 Computed tomography, abdomen and pelvis; without contrast material 530 486 $103K
76801 734 619 $100K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 336 301 $96K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 6,262 1,985 $82K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,991 1,604 $81K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,324 1,231 $78K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,279 1,192 $69K
77067 Screening mammography, bilateral, including computer-aided detection 820 804 $66K
72125 Computed tomography, cervical spine; without contrast material 615 516 $65K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 5,182 4,509 $64K
OP250 74,928 28,236 $62K
36415 Collection of venous blood by venipuncture 36,436 26,616 $59K
71045 Radiologic examination, chest; single view 3,677 3,311 $59K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,987 2,734 $58K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 11,388 3,000 $57K
80320 2,230 2,060 $57K
96375 Therapeutic injection; each additional sequential IV push 3,987 3,596 $54K
71275 Computed tomographic angiography, chest, with contrast material 267 236 $49K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,710 3,330 $46K
93975 1,007 941 $44K
80048 Basic metabolic panel (calcium, ionized) 9,778 7,226 $36K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,259 1,134 $36K
84484 7,126 5,827 $34K
90837 Psychotherapy, 53 minutes with patient 52 26 $30K
OP270 993 747 $29K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,156 1,144 $26K
77063 Screening digital breast tomosynthesis, bilateral 736 721 $26K
85027 11,589 8,703 $24K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 692 448 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 556 476 $23K
59025 Fetal non-stress test 101 68 $23K
74018 1,085 1,010 $21K
88142 384 382 $21K
81001 8,282 7,164 $20K
81025 9,031 8,208 $19K
86769 2,171 2,024 $19K
81003 8,793 7,853 $19K
59050 63 54 $19K
93971 227 204 $17K
82948 4,067 2,569 $17K
97162 707 610 $17K
73030 574 512 $17K
86850 2,381 2,096 $16K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,283 1,231 $15K
87581 1,297 1,245 $15K
87486 1,297 1,245 $15K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 733 718 $15K
OP229 288 274 $15K
83690 6,258 5,600 $14K
73564 455 423 $14K
85610 7,468 6,147 $14K
85730 6,620 5,714 $14K
97161 447 404 $14K
73610 568 520 $13K
84443 Thyroid stimulating hormone (TSH) 2,967 2,710 $13K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 800 665 $13K
73630 643 589 $13K
87086 Culture, bacterial; quantitative colony count, urine 4,961 4,518 $12K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 93 92 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,127 946 $10K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 869 696 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination 261 222 $9K
83735 3,556 2,301 $9K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 433 428 $9K
76857 137 131 $9K
OP272 422 366 $8K
84702 1,186 979 $8K
87040 1,771 1,495 $8K
83605 1,482 1,250 $8K
72100 216 206 $7K
73130 278 264 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,645 1,613 $7K
93976 63 62 $7K
80061 Lipid panel 2,198 2,066 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 52 50 $6K
84703 1,792 1,670 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 681 635 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 737 687 $6K
86900 2,588 2,354 $5K
87507 77 70 $5K
85007 3,151 2,778 $5K
87081 1,823 1,766 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 437 417 $5K
94664 410 388 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 116 91 $5K
83880 522 446 $4K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 14 14 $4K
90792 Psychiatric diagnostic evaluation with medical services 196 142 $4K
83036 Hemoglobin; glycosylated (A1C) 2,530 2,337 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 317 311 $4K
87186 884 808 $4K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,484 1,254 $3K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 4,677 3,915 $3K
87077 1,084 992 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,177 3,169 $3K
76770 27 27 $3K
87631 132 130 $3K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 79 25 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 5,731 4,535 $3K
93970 15 12 $2K
OP258 441 313 $2K
90647 120 120 $2K
G0239 Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring) 371 158 $2K
OP279 172 169 $2K
86140 2,002 1,787 $2K
85379 965 892 $2K
76700 Ultrasound, abdominal, real time with image documentation; complete 24 24 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 66 49 $2K
82962 1,887 1,161 $2K
82550 709 624 $2K
73110 101 92 $2K
90715 295 266 $2K
J1650 Injection, enoxaparin sodium, 10 mg 781 365 $1K
J2060 Injection, lorazepam, 2 mg 767 506 $1K
J2704 Injection, propofol, 10 mg 1,026 716 $1K
80076 521 421 $1K
J2270 Injection, morphine sulfate, up to 10 mg 1,370 1,024 $1K
OP259 1,556 822 $1K
94799 109 50 $943.26
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 25 24 $845.70
73502 25 24 $826.57
86901 869 735 $821.75
97535 Self-care/home management training, each 15 minutes 60 42 $606.44
84100 752 577 $599.00
82607 368 314 $598.39
85651 766 673 $516.10
87563 35 34 $510.11
82728 200 161 $473.00
86803 106 93 $448.60
73090 15 14 $428.18
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 275 275 $396.40
80164 39 37 $371.19
J3490 Unclassified drugs 455 357 $364.61
83550 244 210 $297.50
83540 332 281 $288.23
J3010 Injection, fentanyl citrate, 0.1 mg 849 594 $281.05
85652 363 318 $267.28
96376 17 13 $244.98
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 150 150 $238.80
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 631 461 $218.19
84439 166 145 $213.59
J1100 Injection, dexamethasone sodium phosphate, 1 mg 352 310 $211.44
J1200 Injection, diphenhydramine hcl, up to 50 mg 667 537 $204.05
87070 127 105 $182.95
97116 38 12 $180.00
J2765 Injection, metoclopramide hcl, up to 10 mg 570 495 $179.43
OP762 73 66 $170.49
OP255 38 36 $161.60
J0696 Injection, ceftriaxone sodium, per 250 mg 873 468 $159.12
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 150 139 $158.79
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 873 486 $149.41
A9575 Injection, gadoterate meglumine, 0.1 ml 34 27 $138.09
82553 12 12 $115.60
J1170 Injection, hydromorphone, up to 4 mg 209 128 $115.36
C9113 Injection, pantoprazole sodium, per vial 159 80 $108.28
J2250 Injection, midazolam hydrochloride, per 1 mg 409 327 $102.31
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 13 13 $101.41
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 499 401 $97.76
87807 34 34 $96.52
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 375 257 $87.47
73080 16 13 $73.30
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 364 254 $71.76
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 63 51 $56.58
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 124 77 $51.32
J1630 Injection, haloperidol, up to 5 mg 116 79 $46.16
82746 16 14 $46.12
J1815 Injection, insulin, per 5 units 126 39 $45.64
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 104 104 $38.97
92551 39 39 $36.04
82570 118 106 $35.50
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 81 44 $29.86
84550 39 38 $28.33
82248 19 18 $27.00
87205 39 27 $26.83
S0028 Injection, famotidine, 20 mg 273 208 $25.92
87147 40 38 $24.15
J1644 Injection, heparin sodium, per 1000 units 54 15 $20.01
82247 14 13 $14.00
99173 36 36 $9.32
86308 16 16 $7.78
J7120 Ringers lactate infusion, up to 1000 cc 13 12 $4.31
90460 Immunization administration through 18 years of age via any route, first or only component 629 627 $0.00
90461 264 264 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 53 45 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 46 40 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 40 27 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 17 16 $0.00
J0690 Injection, cefazolin sodium, 500 mg 48 25 $0.00
OP510 52 52 $0.00