Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NJMHMC, LLC

NPI: 1710491253 · SECAUCUS, NJ 07094 · General Acute Care Hospital · NPI assigned 11/20/2017

$22.78M
Total Medicaid Paid
356,056
Total Claims
287,562
Beneficiaries
226
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKARSOS, FELICIA (CEO)
NPI Enumeration Date11/20/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25,933 $2.15M
2019 47,737 $3.70M
2020 33,505 $2.65M
2021 50,739 $3.03M
2022 63,754 $3.46M
2023 73,717 $3.93M
2024 60,671 $3.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 22,140 20,486 $7.33M
OP710 9,354 8,444 $1.94M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,473 1,354 $1.15M
OP379 6,567 6,073 $967K
99284 Emergency department visit for the evaluation and management, high severity 3,005 2,811 $929K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,924 2,747 $749K
C1776 Joint device (implantable) 448 375 $694K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 3,827 3,250 $543K
G0378 Hospital observation service, per hour 1,093 632 $521K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,078 1,051 $499K
41899 Unlisted procedure, dentoalveolar structures 402 374 $471K
64483 1,071 1,014 $466K
45380 Colonoscopy, flexible; with biopsy, single or multiple 842 765 $455K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 550 498 $416K
20553 1,549 1,396 $269K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 11,080 2,631 $268K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 924 841 $266K
64450 1,365 1,058 $264K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,555 1,503 $249K
70450 Computed tomography, head or brain; without contrast material 2,598 2,462 $221K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5,104 4,534 $217K
93458 163 154 $207K
OP278 1,030 974 $207K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 245 235 $193K
76000 3,918 3,584 $178K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,229 4,915 $147K
A4641 Radiopharmaceutical, diagnostic, not otherwise classified 828 750 $139K
OP279 6,016 5,592 $136K
27447 209 179 $128K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,898 1,118 $127K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,388 1,316 $125K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 14,088 3,083 $110K
72020 3,168 2,895 $106K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 6,542 6,073 $92K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,092 13,685 $83K
64493 158 138 $77K
95810 Polysomnography; sleep staging with 4 or more additional parameters 44 42 $76K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 158 140 $74K
80053 Comprehensive metabolic panel 13,316 12,204 $68K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,093 1,942 $66K
64494 149 125 $60K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 10,394 2,310 $60K
93975 449 432 $60K
64484 402 350 $54K
71046 Radiologic examination, chest; 2 views 2,613 2,534 $53K
71045 Radiologic examination, chest; single view 3,445 3,228 $51K
64495 111 95 $49K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 175 166 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,821 2,671 $44K
99281 Emergency department visit for the evaluation and management, self-limited or minor 231 229 $42K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 143 135 $41K
64635 48 41 $37K
A0425 Ground mileage, per statute mile 4,415 3,522 $33K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,706 3,486 $32K
OP259 23,353 12,488 $31K
64451 385 355 $31K
86900 2,456 2,156 $30K
95811 12 12 $29K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,459 1,376 $28K
88342 800 773 $27K
97161 624 600 $25K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 801 771 $24K
96375 Therapeutic injection; each additional sequential IV push 2,478 2,342 $24K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 787 759 $23K
73221 76 75 $23K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,238 2,091 $23K
88313 798 770 $19K
84443 Thyroid stimulating hormone (TSH) 1,491 1,435 $19K
64636 51 40 $18K
80061 Lipid panel 1,225 1,175 $18K
73564 802 743 $17K
84484 4,333 3,936 $15K
76700 Ultrasound, abdominal, real time with image documentation; complete 202 199 $15K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 463 455 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 767 766 $14K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,295 1,037 $14K
84703 10,119 9,469 $13K
85610 6,056 5,656 $13K
73700 166 153 $13K
72110 455 434 $13K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 400 391 $12K
85730 5,130 4,799 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 529 520 $11K
73565 562 527 $11K
J2785 Injection, regadenoson, 0.1 mg 450 430 $10K
J2704 Injection, propofol, 10 mg 4,403 4,031 $10K
81001 9,818 9,219 $10K
86769 162 162 $9K
97162 254 236 $9K
87070 2,663 2,578 $9K
87086 Culture, bacterial; quantitative colony count, urine 2,135 2,035 $8K
87802 2,570 2,486 $8K
82948 4,168 3,389 $8K
86850 2,369 2,117 $8K
73610 461 436 $8K
62321 27 27 $7K
86780 584 577 $7K
83690 3,607 3,409 $7K
86803 441 440 $7K
72125 Computed tomography, cervical spine; without contrast material 278 260 $7K
87400 3,982 3,825 $7K
77067 Screening mammography, bilateral, including computer-aided detection 71 66 $7K
62323 12 12 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,243 5,139 $6K
97014 659 189 $6K
83036 Hemoglobin; glycosylated (A1C) 1,737 1,609 $6K
86901 2,509 2,161 $5K
J3490 Unclassified drugs 2,263 1,534 $5K
73630 418 394 $5K
87340 480 477 $5K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 3,995 3,283 $5K
73030 337 311 $5K
73502 255 233 $4K
J1030 Injection, methylprednisolone acetate, 40 mg 860 808 $4K
36415 Collection of venous blood by venipuncture 4,049 3,299 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,621 1,431 $4K
L2280 Addition to lower extremity, molded inner boot 947 857 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 3,124 2,921 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 44 41 $3K
80048 Basic metabolic panel (calcium, ionized) 1,108 998 $3K
76830 Ultrasound, transvaginal 65 63 $3K
84702 657 609 $3K
76641 52 50 $3K
73560 382 323 $3K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 160 152 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,006 3,657 $2K
88304 303 268 $2K
87040 295 272 $2K
71250 26 25 $2K
82150 434 425 $2K
86756 299 294 $2K
71275 Computed tomographic angiography, chest, with contrast material 14 14 $2K
77063 Screening digital breast tomosynthesis, bilateral 84 79 $2K
64418 13 13 $2K
64405 13 13 $2K
OP250 2,451 1,595 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 30 29 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 2,696 2,488 $2K
73130 121 111 $2K
OP270 267 236 $2K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 160 118 $2K
83605 443 382 $1K
87420 500 474 $1K
A4649 Surgical supply; miscellaneous 544 457 $1K
85378 852 810 $1K
72131 13 13 $1K
87270 145 145 $1K
86706 122 122 $1K
J2270 Injection, morphine sulfate, up to 10 mg 1,129 962 $1K
0011A 42 41 $1K
76770 12 12 $1K
84439 148 148 $1K
J0690 Injection, cefazolin sodium, 500 mg 1,956 1,556 $1K
A4930 Gloves, sterile, per pair 1,249 1,136 $1K
87081 155 155 $1K
82550 361 343 $994.66
97535 Self-care/home management training, each 15 minutes 456 418 $964.51
J0330 Injection, succinylcholine chloride, up to 20 mg 424 389 $945.13
80305 72 70 $888.79
83735 810 755 $868.60
J3370 Injection, vancomycin hcl, 500 mg 718 386 $811.35
76536 15 15 $807.31
76870 12 12 $804.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,491 1,357 $801.79
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $739.62
80320 194 182 $723.64
J2765 Injection, metoclopramide hcl, up to 10 mg 1,002 933 $672.16
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 31 27 $669.73
87641 166 127 $609.56
86704 42 42 $564.01
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 16 12 $479.51
86762 72 71 $428.52
J1010 Injection, methylprednisolone acetate, 1 mg 629 535 $421.32
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 92 80 $399.24
S0020 Injection, bupivicaine hydrochloride, 30 ml 456 447 $359.57
82607 36 35 $335.92
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 197 185 $324.63
86787 25 25 $286.40
J1200 Injection, diphenhydramine hcl, up to 50 mg 337 306 $261.30
84153 12 12 $237.50
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 33 32 $235.43
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 116 111 $214.81
82728 17 16 $207.21
84481 17 17 $199.20
C9113 Injection, pantoprazole sodium, per vial 304 265 $198.09
82746 17 16 $176.27
96361 Intravenous infusion, hydration; each additional hour 72 66 $169.76
88311 75 64 $151.53
87186 14 14 $150.91
86701 25 25 $144.00
90714 37 36 $141.42
87077 14 14 $131.65
C9290 Injection, bupivacaine liposome, 1 mg 221 219 $122.09
83540 31 30 $113.00
J7643 Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram 116 115 $109.91
J2795 Injection, ropivacaine hydrochloride, 1 mg 96 76 $109.87
97164 43 42 $106.14
84100 102 97 $90.75
82043 51 50 $84.13
83880 12 12 $77.02
88300 15 15 $64.10
J7120 Ringers lactate infusion, up to 1000 cc 159 155 $60.47
J7060 5% dextrose/water (500 ml = 1 unit) 216 156 $52.90
S0028 Injection, famotidine, 20 mg 324 299 $48.37
83550 17 16 $47.49
82950 14 14 $46.05
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 246 230 $45.94
86140 26 26 $43.41
A4600 Sleeve for intermittent limb compression device, replacement only, each 51 51 $39.12
J1040 Injection, methylprednisolone acetate, 80 mg 16 16 $33.84
84436 15 15 $33.51
J1170 Injection, hydromorphone, up to 4 mg 95 83 $31.89
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 267 248 $21.65
72170 27 27 $21.45
OP290 148 147 $20.87
J0696 Injection, ceftriaxone sodium, per 250 mg 86 81 $19.48
85651 12 12 $18.25
E0769 Electrical stimulation or electromagnetic wound treatment device, not otherwise classified 30 27 $16.21
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 27 26 $16.00
J1644 Injection, heparin sodium, per 1000 units 27 18 $8.35
J3260 Injection, tobramycin sulfate, up to 80 mg 93 66 $4.00
91301 43 42 $2.00
20985 46 37 $0.00
J8499 Prescription drug, oral, non chemotherapeutic, nos 48 26 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 13 12 $0.00
99152 14 12 $0.00