Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Raritan Bay Medical Center

Raritan Bay Medical Center was paid $8.36M by Medicaid between Jan 2018 and Aug 2018, across 217 billing codes. Its largest line is 99283, emergency room visit (moderate) — 24% of everything it billed.

33Billing provider infoRARITAN BAY MEDICAL CENTER
PERTH AMBOY, NJ 08861
33aNPI1770569832assigned 12/21/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$8.36M
24GClaims105,516
24DCodes billed217
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other General Acute Care Hospital providers in New Jersey

Rank by total paid#62 of 93
Median peer was paid$30.60M
This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018105,516$8.36M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 24% 5,375 5,185 $1.97M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 18% 5,254 4,856 $1.52M
G0378 Hospital observation service, per hour 13% 1,575 1,260 $1.07M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.6% 1,322 1,249 $465K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.4% 1,409 1,371 $286K
S9480 Intensive outpatient psychiatric services, per diem 3.1% 325 310 $260K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.5% 2,500 602 $206K
A0427 Emergency ambulance ride, advanced life supportAmbulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 2.3% 363 357 $193K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.5% 117 117 $129K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1.5% 120 120 $129K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 1.5% 1,916 492 $125K
77067 Screening mammography, bilateral, including computer-aided detection 1.4% 835 835 $117K
205 more codes
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.1% 958 $91K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 960 $74K
97010 <1% 2,251 $71K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 423 $62K
97014 <1% 1,553 $61K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 483 $52K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 217 $50K
70450 Computed tomography, head or brain; without contrast material <1% 841 $48K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 450 $48K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 3,029 $47K
76830 Ultrasound, transvaginal <1% 391 $45K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 278 $43K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 5,964 $41K
93017 <1% 176 $37K
76819 Fetal biophysical profile; without non-stress testing <1% 422 $37K
71046 Radiologic examination, chest; 2 views <1% 2,327 $36K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 253 $35K
80053 Comprehensive metabolic panel <1% 5,003 $33K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 146 $31K
76642 <1% 252 $29K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 550 $29K
93970 <1% 89 $27K
OP250 <1% 3,599 $26K
76801 <1% 221 $23K
77080 <1% 172 $23K
58558 <1% 15 $22K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 192 $21K
77065 Tomosynthesis, mammo <1% 164 $20K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 739 $19K
A0425 Ground mileage, per statute mile <1% 439 $19K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 171 $19K
76813 <1% 191 $18K
72110 <1% 369 $18K
93971 <1% 151 $17K
70551 Magnetic resonance imaging, brain; without contrast material <1% 80 $16K
76536 <1% 124 $16K
97161 <1% 286 $16K
73564 <1% 381 $15K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 366 $15K
S9484 Crisis intervention mental health services, per hour <1% 13 $15K
71045 Radiologic examination, chest; single view <1% 989 $14K
82962 <1% 1,541 $13K
76820 <1% 192 $12K
84484 <1% 1,740 $11K
OP270 <1% 1,704 $11K
76770 <1% 122 $11K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 241 $10K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 178 $10K
73630 <1% 385 $10K
90791 Psychiatric diagnostic evaluation <1% 416 $10K
96361 Intravenous infusion, hydration; each additional hour <1% 984 $10K
71275 Computed tomographic angiography, chest, with contrast material <1% 128 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 344 $10K
96375 Therapeutic injection; each additional sequential IV push <1% 763 $10K
72052 <1% 116 $10K
80048 Basic metabolic panel (calcium, ionized) <1% 1,476 $10K
81001 <1% 3,282 $10K
73030 <1% 304 $9K
J3490 Unclassified drugs <1% 1,173 $9K
84443 Thyroid stimulating hormone (TSH) <1% 566 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 859 $9K
97035 <1% 222 $8K
85610 <1% 1,207 $8K
95886 <1% 42 $7K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,201 $7K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 416 $7K
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 <1% 101 $7K
85730 <1% 994 $7K
36415 Collection of venous blood by venipuncture <1% 1,557 $7K
95911 <1% 21 $6K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 14 $6K
70486 <1% 33 $6K
80061 Lipid panel <1% 505 $6K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 147 $6K
97116 <1% 176 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 482 $6K
72125 Computed tomography, cervical spine; without contrast material <1% 77 $6K
97162 <1% 128 $6K
73130 <1% 261 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 170 $5K
OP710 <1% 443 $5K
J2704 Injection, propofol, 10 mg <1% 448 $5K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 321 $5K
77066 Tomosynthesis, mammo <1% 28 $4K
87040 <1% 593 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 251 $4K
OP258 <1% 599 $4K
83880 <1% 447 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 12 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 759 $4K
83735 <1% 769 $4K
73110 <1% 203 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,252 $4K
84439 <1% 314 $4K
82550 <1% 387 $4K
74018 <1% 217 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 388 $4K
73610 <1% 313 $4K
93226 <1% 54 $3K
82553 <1% 286 $3K
C9113 Injection, pantoprazole sodium, per vial <1% 33 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 48 $3K
85027 <1% 681 $3K
73502 <1% 118 $3K
OP278 <1% 37 $3K
83605 <1% 272 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 61 $3K
83690 <1% 1,627 $3K
OP272 <1% 607 $3K
J1644 Injection, heparin sodium, per 1000 units <1% 139 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 229 $3K
82607 <1% 183 $3K
93880 <1% 54 $3K
88342 <1% 164 $3K
86850 <1% 438 $3K
86901 <1% 441 $2K
86900 <1% 442 $2K
OP370 <1% 444 $2K
72081 <1% 38 $2K
97032 <1% 85 $2K
93225 <1% 55 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 734 $2K
87400 <1% 1,214 $2K
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 391 $2K
36430 <1% 23 $2K
90792 Psychiatric diagnostic evaluation with medical services <1% 57 $2K
72070 <1% 41 $2K
85651 <1% 205 $1K
86738 <1% 73 $1K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 142 $1K
73140 <1% 131 $1K
73080 <1% 94 $1K
J1245 Injection, dipyridamole, per 10 mg <1% 36 $1K
C1769 Guide wire <1% 25 $1K
84702 <1% 350 $1K
88304 <1% 120 $1K
84163 <1% 49 $1K
84132 <1% 24 $1K
J1650 Injection, enoxaparin sodium, 10 mg <1% 22 $1K
81025 <1% 285 $1K
82397 <1% 49 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 93 $909.60
74019 <1% 115 $901.27
J1815 Injection, insulin, per 5 units <1% 114 $848.12
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 93 $846.32
80320 <1% 596 $831.21
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 157 $821.66
82728 <1% 33 $805.10
82746 <1% 32 $798.59
83550 <1% 37 $765.22
83615 <1% 41 $760.01
J0690 Injection, cefazolin sodium, 500 mg <1% 84 $749.66
82800 <1% 66 $731.74
82803 <1% 27 $726.50
J1630 Injection, haloperidol, up to 5 mg <1% 38 $725.87
74021 <1% 109 $720.20
83540 <1% 37 $707.27
71100 <1% 45 $693.40
86140 <1% 68 $671.24
82248 <1% 77 $640.51
81003 <1% 277 $610.76
J1170 Injection, hydromorphone, up to 4 mg <1% 184 $609.59
86920 <1% 20 $596.17
90715 <1% 158 $583.87
73590 <1% 32 $564.81
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 741 $552.74
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 13 $552.10
84480 <1% 60 $533.18
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 206 $379.68
83930 <1% 15 $367.22
82010 <1% 112 $349.51
84100 <1% 272 $344.37
82150 <1% 261 $333.59
J2270 Injection, morphine sulfate, up to 10 mg <1% 249 $319.56
70360 <1% 12 $302.22
97166 <1% 12 $300.00
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 150 $247.39
82570 <1% 60 $247.22
73090 <1% 44 $234.82
L1930 Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment <1% 45 $220.00
72050 <1% 32 $214.79
84550 <1% 44 $196.95
G0008 Administration of influenza virus vaccine <1% 31 $181.56
85379 <1% 230 $171.34
82247 <1% 23 $166.89
12001 <1% 14 $161.27
87420 <1% 206 $146.16
80329 <1% 96 $145.04
80076 <1% 30 $101.65
J3475 Injection, magnesium sulfate, per 500 mg <1% 30 $94.22
96376 <1% 44 $85.93
87070 <1% 53 $75.86
S0164 Injection, pantoprazole sodium, 40 mg <1% 58 $67.56
82565 <1% 25 $62.39
90656 <1% 12 $61.86
82043 <1% 14 $56.64
87449 <1% 12 $48.00
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 241 $44.81
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 31 $29.73
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 17 $8.00
J0280 Injection, aminophyllin, up to 250 mg <1% 15 $7.00
36600 <1% 12 $6.42
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 19 $2.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 20 $2.00
S0028 Injection, famotidine, 20 mg 0% 20 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialD'AGNES, MICHAEL (PRESIDENT CEO)