Medicaid Provider Spending

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

INSPIRA MEDICAL CENTERS, INC.

NPI: 1972141091 · WOODBURY, NJ 08096 · Physical Therapy Clinic/Center · NPI assigned 12/19/2019

$27.14M
Total Medicaid Paid
427,703
Total Claims
348,082
Beneficiaries
175
Codes Billed
2019-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialO'CONNELL, JAMES (DIRECTOR REVENUE CYCLE)
NPI Enumeration Date12/19/2019

Related Entities

Other providers sharing the same authorized official: O'CONNELL, JAMES

ProviderCityStateTotal 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 HEALTH NETWORK MEDICAL GROUP, P.C. GLASSBORO NJ $5.22M
INSPIRA MEDICAL CENTERS, INC. BRIDGETON NJ $73K
INSPIRA MEDICAL CENTERS, INC. WOODBURY NJ $33K
INSPIRA MEDICAL CENTERS, INC. WOODBURY NJ $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 4,119 $240K
2020 77,117 $4.45M
2021 91,902 $5.11M
2022 93,498 $6.12M
2023 96,788 $6.74M
2024 64,279 $4.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 15,623 14,424 $5.43M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 16,319 1,619 $5.38M
99283 Emergency department visit for the evaluation and management, moderate severity 16,289 14,961 $4.60M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,778 6,375 $3.49M
90837 Psychotherapy, 53 minutes with patient 27,096 10,746 $2.29M
G0378 Hospital observation service, per hour 1,076 909 $898K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,221 3,914 $613K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,754 7,914 $286K
95806 184 179 $222K
90791 Psychiatric diagnostic evaluation 2,456 2,082 $211K
90834 Psychotherapy, 45 minutes with patient 4,312 2,869 $209K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,300 2,215 $187K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 351 341 $179K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,441 6,743 $172K
96361 Intravenous infusion, hydration; each additional hour 7,345 6,437 $169K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,956 2,514 $158K
96375 Therapeutic injection; each additional sequential IV push 5,577 4,914 $109K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 2,299 2,193 $102K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,024 999 $101K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,662 2,563 $101K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,581 3,420 $95K
90832 Psychotherapy, 30 minutes with patient 1,833 1,255 $90K
93975 1,249 1,205 $81K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,729 1,661 $79K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,950 733 $75K
70450 Computed tomography, head or brain; without contrast material 2,948 2,846 $74K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,267 1,167 $68K
71046 Radiologic examination, chest; 2 views 4,513 4,358 $68K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,248 1,186 $60K
87631 1,599 1,514 $57K
71045 Radiologic examination, chest; single view 4,876 4,614 $57K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,895 1,477 $56K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,052 2,822 $53K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,057 2,929 $50K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,345 2,884 $49K
71275 Computed tomographic angiography, chest, with contrast material 792 769 $46K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,245 440 $44K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 795 735 $42K
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 1,206 1,177 $37K
76801 902 834 $37K
OP279 1,093 1,059 $36K
80053 Comprehensive metabolic panel 9,558 8,733 $35K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,715 1,427 $35K
94760 16,721 14,468 $35K
76830 Ultrasound, transvaginal 691 676 $34K
36000 2,812 2,692 $31K
80048 Basic metabolic panel (calcium, ionized) 9,417 8,511 $31K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 18,446 16,030 $28K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 346 325 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 982 943 $26K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 1,546 513 $25K
OP259 16,606 12,950 $25K
36415 Collection of venous blood by venipuncture 20,118 16,648 $22K
93041 2,359 2,214 $22K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,475 1,414 $21K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 469 423 $20K
84484 3,975 3,483 $19K
73630 1,361 1,306 $18K
87581 1,466 1,423 $18K
87486 1,467 1,423 $18K
96112 102 95 $18K
72125 Computed tomography, cervical spine; without contrast material 805 768 $17K
73130 1,147 1,103 $16K
73564 1,054 1,002 $16K
95810 Polysomnography; sleep staging with 4 or more additional parameters 14 14 $15K
96113 101 94 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,479 1,417 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited 465 448 $14K
80320 2,948 2,576 $13K
73610 1,009 976 $12K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 556 534 $12K
86901 604 578 $12K
96376 1,140 947 $12K
93971 202 196 $11K
73030 773 746 $11K
80076 3,975 3,726 $10K
84443 Thyroid stimulating hormone (TSH) 1,142 1,090 $9K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,073 1,047 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $8K
83690 4,958 4,622 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,512 2,412 $8K
80329 1,002 930 $8K
87081 2,301 2,237 $7K
84703 5,886 5,499 $7K
85610 5,961 5,583 $7K
90715 562 551 $7K
81003 11,485 10,640 $7K
73110 382 366 $6K
G2251 Brief communication technology-based service, e.g. virtual check-in, by a qualified health care professional who cannot report evaluation and management services, provided to an established patient, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion 96 87 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,395 1,363 $6K
J3490 Unclassified drugs 4,589 3,487 $6K
87086 Culture, bacterial; quantitative colony count, urine 2,524 2,417 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 476 446 $6K
83880 471 447 $5K
90785 129 106 $5K
86900 593 567 $5K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 103 30 $5K
85730 3,812 3,630 $5K
77067 Screening mammography, bilateral, including computer-aided detection 83 74 $5K
J7030 Infusion, normal saline solution , 1000 cc 8,857 7,314 $5K
71250 162 156 $5K
84702 1,078 948 $5K
87040 706 671 $4K
93017 12 12 $4K
97010 2,166 672 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 156 142 $4K
81025 3,437 3,203 $4K
83605 784 736 $4K
74022 244 234 $4K
85379 1,915 1,837 $3K
83735 1,967 1,717 $3K
81001 6,022 5,668 $3K
Q3014 Telehealth originating site facility fee 202 124 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 4,932 4,415 $3K
80306 160 154 $3K
87147 2,364 2,301 $3K
82962 1,791 1,370 $3K
82150 1,588 1,519 $2K
72131 129 126 $2K
OP250 1,071 915 $2K
77063 Screening digital breast tomosynthesis, bilateral 82 74 $2K
97161 49 45 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 4,181 3,662 $2K
OP229 31 29 $2K
90847 Family psychotherapy with the patient present, 50 minutes 32 27 $2K
70486 58 58 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 664 629 $2K
J2270 Injection, morphine sulfate, up to 10 mg 1,876 1,596 $1K
J2060 Injection, lorazepam, 2 mg 685 589 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,209 989 $1K
72100 70 67 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 13 13 $1K
C9113 Injection, pantoprazole sodium, per vial 957 817 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 1,688 1,546 $1K
72110 55 51 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 19 13 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 75 60 $1K
87186 228 219 $856.60
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,017 862 $848.22
P9612 Catheterization for collection of specimen, single patient, all places of service 1,175 1,150 $831.80
73502 43 41 $827.25
86850 71 67 $725.20
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 12 12 $694.43
76536 12 12 $690.61
J1170 Injection, hydromorphone, up to 4 mg 1,463 989 $671.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,355 1,304 $651.36
12001 12 12 $641.72
82550 303 277 $552.37
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,259 1,104 $510.19
85652 672 651 $399.60
J2765 Injection, metoclopramide hcl, up to 10 mg 911 849 $374.38
87077 144 138 $367.58
86140 204 194 $276.86
80061 Lipid panel 32 31 $252.61
87807 73 73 $246.64
73080 15 14 $239.09
A9575 Injection, gadoterate meglumine, 0.1 ml 149 136 $238.62
85027 132 128 $225.93
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 816 724 $223.42
85055 15 14 $216.08
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 848 787 $209.20
J2919 Injection, methylprednisolone sodium succinate, 5 mg 76 70 $203.77
J7120 Ringers lactate infusion, up to 1000 cc 242 208 $141.64
J0131 Injection, acetaminophen, not otherwise specified,10 mg 66 59 $123.24
85008 409 382 $82.26
87071 25 25 $79.73
86308 54 50 $58.50
OP637 435 314 $36.59
J1650 Injection, enoxaparin sodium, 10 mg 19 12 $32.94
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 105 94 $32.63
80178 12 12 $31.95
J2470 Injection, pantoprazole sodium, 40 mg 78 68 $26.92
J8540 Dexamethasone, oral, 0.25 mg 15 14 $19.76
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 15 14 $3.00
A9270 Non-covered item or service 15 12 $0.00