Clinic
Inspira Health Network Medical Group, P.C.
Inspira Health Network Medical Group, P.C. was paid $5.22M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoINSPIRA HEALTH NETWORK MEDICAL GROUP, P.C.
GLASSBORO, NJ 08028
GLASSBORO, NJ 08028
33aNPI1922177856assigned 11/07/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$5.22M
24GClaims180,650
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in New Jersey
Rank by total paid#3 of 27
Median peer was paid$554K
This provider vs. median9.4×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,086 | $297K | |
| 2019 | 17,658 | $502K | |
| 2020 | 20,112 | $525K | |
| 2021 | 22,287 | $700K | |
| 2022 | 28,811 | $788K | |
| 2023 | 41,513 | $1.19M | |
| 2024incomplete | 39,183 | $1.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 51,748 | 46,769 | $1.62M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19% | 44,404 | 41,808 | $977K |
| 99223 | Prolong inpt eval add15 m | 4.2% | 2,970 | 2,785 | $217K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.5% | 5,752 | 5,289 | $184K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 3.5% | 2,409 | 2,337 | $181K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 2,876 | 2,693 | $167K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.7% | 4,025 | 2,144 | $141K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.7% | 4,008 | 3,811 | $139K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 5,674 | 2,882 | $139K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 1,510 | 1,461 | $138K |
| 59025 | Fetal non-stress test | 2.6% | 6,030 | 3,802 | $134K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 3,881 | 3,080 | $130K |
88 more codes
| 99222 | Initial hospital care, per day, moderate complexity | 2.1% | 2,769 | $108K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.8% | 3,550 | $93K |
| 99203 | Doctor's office visit, new patient (routine) | 1.6% | 1,571 | $82K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.5% | 4,954 | $79K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.1% | 2,781 | $59K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,533 | $48K |
| 99205 | Prolong outpt/office vis | <1% | 533 | $42K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 472 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 492 | $38K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 1,042 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 297 | $30K |
| 76820 | <1% | 1,347 | $29K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 803 | $28K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 381 | $25K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,254 | $23K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 298 | $21K |
| 95806 | <1% | 368 | $20K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 245 | $16K |
| 76818 | <1% | 435 | $16K | |
| 90686 | <1% | 1,589 | $14K | |
| 90461 | <1% | 813 | $13K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 781 | $12K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 53 | $12K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 115 | $11K |
| 99305 | <1% | 244 | $11K | |
| 99459 | <1% | 814 | $10K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 585 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 916 | $10K |
| 99243 | <1% | 86 | $9K | |
| 99385 | <1% | 176 | $6K | |
| 99443 | <1% | 317 | $6K | |
| 94010 | <1% | 431 | $6K | |
| 94729 | <1% | 393 | $6K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 188 | $6K |
| 51701 | <1% | 154 | $5K | |
| 76821 | <1% | 172 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 462 | $5K |
| 93000 | <1% | 456 | $5K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 27 | $5K |
| 95800 | <1% | 94 | $4K | |
| 95811 | <1% | 26 | $4K | |
| 94726 | <1% | 209 | $3K | |
| 76801 | <1% | 101 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 85 | $3K |
| 99349 | <1% | 302 | $3K | |
| 90734 | <1% | 96 | $2K | |
| 95816 | <1% | 69 | $2K | |
| 90651 | <1% | 38 | $2K | |
| 99442 | <1% | 1,042 | $2K | |
| 20610 | <1% | 52 | $2K | |
| 99307 | <1% | 148 | $2K | |
| 90677 | <1% | 158 | $1K | |
| 90662 | <1% | 53 | $1K | |
| 99454 | <1% | 90 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,341 | $1K |
| 99253 | <1% | 15 | $997.66 | |
| 99457 | <1% | 172 | $990.75 | |
| 94727 | <1% | 78 | $723.25 | |
| 90656 | <1% | 277 | $715.98 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 57 | $704.60 |
| 99221 | <1% | 19 | $675.08 | |
| 90716 | <1% | 31 | $638.46 | |
| 99441 | <1% | 334 | $595.15 | |
| 99497 | <1% | 27 | $434.37 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 27 | $361.25 |
| 99458 | <1% | 29 | $320.46 | |
| 90723 | <1% | 140 | $283.23 | |
| 90707 | <1% | 27 | $267.36 | |
| 82948 | <1% | 80 | $264.22 | |
| 90633 | <1% | 69 | $258.04 | |
| 81002 | <1% | 492 | $257.44 | |
| 90715 | <1% | 53 | $250.77 | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 22 | $249.55 |
| 99406 | <1% | 70 | $226.93 | |
| 90670 | <1% | 23 | $226.43 | |
| 76937 | <1% | 30 | $177.69 | |
| 99453 | <1% | 38 | $175.90 | |
| 90648 | <1% | 225 | $159.90 | |
| 93296 | <1% | 28 | $156.27 | |
| 94060 | <1% | 15 | $109.60 | |
| 90688 | <1% | 13 | $108.26 | |
| 93016 | <1% | 12 | $97.39 | |
| 87428 | <1% | 14 | $73.49 | |
| 93018 | <1% | 12 | $72.37 | |
| 81025 | <1% | 15 | $35.61 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 65 | $22.46 |
| G0008 | Administration of influenza virus vaccine | <1% | 13 | $11.50 |
| 90681 | 0% | 40 | $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 officialO'CONNELL, JAMES (DIRECTOR REVENUE CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Inspira Medical Centers, INC. | Vineland, NJ | $227.07M |
| Inspira Medical Centers, INC. | Mullica Hill, NJ | $56.65M |
| Inspira Medical Centers, INC. | Elmer, NJ | $30.55M |
| Inspira Medical Centers, INC. | Woodbury, NJ | $27.14M |
| Inspira Medical Centers, INC. | Bridgeton, NJ | $73K |
| Inspira Medical Centers, INC. | Woodbury, NJ | $33K |
| Inspira Medical Centers, INC. | Woodbury, NJ | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.