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

Inspira Medical Centers, INC.

Inspira Medical Centers, INC. was paid $27.14M by Medicaid between Dec 2019 and Oct 2024, across 175 billing codes. Its largest line is 99284, emergency room visit (serious) — 20% of everything it billed.

33Billing provider infoINSPIRA MEDICAL CENTERS, INC.
WOODBURY, NJ 08096
33aNPI1972141091assigned 12/19/2019
28Total paid$27.14M
24GClaims427,703
24DCodes billed175
24AFirst – last monthDec 2019 – Oct 2024
Compared with peers

Next to other Physical Therapy Clinic/Center providers in New Jersey

Rank by total paid#1 of 92
Median peer was paid$61K
This provider vs. median447×

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$250K$500K$750K2018201920202021202220232024
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
20194,119$240K
202077,117$4.45M
202191,902$5.11M
202293,498$6.12M
202396,788$6.74M
2024incomplete64,279$4.48M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 20% 15,623 14,424 $5.43M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 20% 16,319 1,619 $5.38M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 16,289 14,961 $4.60M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 13% 6,778 6,375 $3.49M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 8.4% 27,096 10,746 $2.29M
G0378 Hospital observation service, per hour 3.3% 1,076 909 $898K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.3% 4,221 3,914 $613K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.1% 8,754 7,914 $286K
95806 <1% 184 179 $222K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 2,456 2,082 $211K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 4,312 2,869 $209K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 2,300 2,215 $187K
163 more codes
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 351 $179K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,441 $172K
96361 Intravenous infusion, hydration; each additional hour <1% 7,345 $169K
99213 Doctor's office visit, returning patient (routine) <1% 2,956 $158K
96375 Therapeutic injection; each additional sequential IV push <1% 5,577 $109K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 2,299 $102K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 1,024 $101K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,662 $101K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,581 $95K
90832 Psychotherapy session, about 30 minutes <1% 1,833 $90K
93975 <1% 1,249 $81K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,729 $79K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 2,950 $75K
70450 Computed tomography, head or brain; without contrast material <1% 2,948 $74K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,267 $68K
71046 Radiologic examination, chest; 2 views <1% 4,513 $68K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,248 $60K
87631 <1% 1,599 $57K
71045 Radiologic examination, chest; single view <1% 4,876 $57K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 5,895 $56K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,052 $53K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,057 $50K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,345 $49K
71275 Computed tomographic angiography, chest, with contrast material <1% 792 $46K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,245 $44K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 795 $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% 1,206 $37K
76801 <1% 902 $37K
OP279 <1% 1,093 $36K
80053 Comprehensive metabolic panel <1% 9,558 $35K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,715 $35K
94760 <1% 16,721 $35K
76830 Ultrasound, transvaginal <1% 691 $34K
36000 <1% 2,812 $31K
80048 Basic metabolic panel (calcium, ionized) <1% 9,417 $31K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 18,446 $28K
99214 Doctor's office visit, returning patient (more involved) <1% 346 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 982 $26K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,546 $25K
OP259 <1% 16,606 $25K
36415 Collection of venous blood by venipuncture <1% 20,118 $22K
93041 <1% 2,359 $22K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,475 $21K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 469 $20K
84484 <1% 3,975 $19K
73630 <1% 1,361 $18K
87581 <1% 1,466 $18K
87486 <1% 1,467 $18K
96112 <1% 102 $18K
72125 Computed tomography, cervical spine; without contrast material <1% 805 $17K
73130 <1% 1,147 $16K
73564 <1% 1,054 $16K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 14 $15K
96113 <1% 101 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,479 $15K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 465 $14K
80320 <1% 2,948 $13K
73610 <1% 1,009 $12K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 556 $12K
86901 <1% 604 $12K
96376 <1% 1,140 $12K
93971 <1% 202 $11K
73030 <1% 773 $11K
80076 <1% 3,975 $10K
84443 Thyroid stimulating hormone (TSH) <1% 1,142 $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% 1,073 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 12 $8K
83690 <1% 4,958 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,512 $8K
80329 <1% 1,002 $8K
87081 <1% 2,301 $7K
84703 <1% 5,886 $7K
85610 <1% 5,961 $7K
90715 <1% 562 $7K
81003 <1% 11,485 $7K
73110 <1% 382 $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 <1% 96 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,395 $6K
J3490 Unclassified drugs <1% 4,589 $6K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,524 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 476 $6K
83880 <1% 471 $5K
90785 <1% 129 $5K
86900 <1% 593 $5K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 103 $5K
85730 <1% 3,812 $5K
77067 Screening mammography, bilateral, including computer-aided detection <1% 83 $5K
J7030 Infusion, normal saline solution , 1000 cc <1% 8,857 $5K
71250 <1% 162 $5K
84702 <1% 1,078 $5K
87040 <1% 706 $4K
93017 <1% 12 $4K
97010 <1% 2,166 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 156 $4K
81025 <1% 3,437 $4K
83605 <1% 784 $4K
74022 <1% 244 $4K
85379 <1% 1,915 $3K
83735 <1% 1,967 $3K
81001 <1% 6,022 $3K
Q3014 Telehealth originating site facility fee <1% 202 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 4,932 $3K
80306 <1% 160 $3K
87147 <1% 2,364 $3K
82962 <1% 1,791 $3K
82150 <1% 1,588 $2K
72131 <1% 129 $2K
OP250 <1% 1,071 $2K
77063 Screening digital breast tomosynthesis, bilateral <1% 82 $2K
97161 <1% 49 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 4,181 $2K
OP229 <1% 31 $2K
90847 Family psychotherapy with the patient present, 50 minutes <1% 32 $2K
70486 <1% 58 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 664 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,876 $1K
J2060 Injection, lorazepam, 2 mg <1% 685 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,209 $1K
72100 <1% 70 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 13 $1K
C9113 Injection, pantoprazole sodium, per vial <1% 957 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,688 $1K
72110 <1% 55 $1K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 19 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 75 $1K
87186 <1% 228 $856.60
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,017 $848.22
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 1,175 $831.80
73502 <1% 43 $827.25
86850 <1% 71 $725.20
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 12 $694.43
76536 <1% 12 $690.61
J1170 Injection, hydromorphone, up to 4 mg <1% 1,463 $671.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 1,355 $651.36
12001 <1% 12 $641.72
82550 <1% 303 $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% 1,259 $510.19
85652 <1% 672 $399.60
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 911 $374.38
87077 <1% 144 $367.58
86140 <1% 204 $276.86
80061 Lipid panel <1% 32 $252.61
87807 <1% 73 $246.64
73080 <1% 15 $239.09
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 149 $238.62
85027 <1% 132 $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 <1% 816 $223.42
85055 <1% 15 $216.08
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 848 $209.20
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 76 $203.77
J7120 Ringers lactate infusion, up to 1000 cc <1% 242 $141.64
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 66 $123.24
85008 <1% 409 $82.26
87071 <1% 25 $79.73
86308 <1% 54 $58.50
OP637 <1% 435 $36.59
J1650 Injection, enoxaparin sodium, 10 mg <1% 19 $32.94
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 105 $32.63
80178 <1% 12 $31.95
J2470 Injection, pantoprazole sodium, 40 mg <1% 78 $26.92
J8540 Dexamethasone, oral, 0.25 mg <1% 15 $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 <1% 15 $3.00
A9270 Non-covered item or service 0% 15 $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)
Same official

Other billing entities under O'CONNELL, JAMES

Full network →
ProviderLocationPaid
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.