Montclair Hospital LLC

Montclair Hospital LLC was paid $48.59M by Medicaid between Jan 2018 and Dec 2024, across 296 billing codes. Its largest line is 99285, emergency room visit (most serious) — 29% of everything it billed.

33Billing provider infoMONTCLAIR HOSPITAL LLC
MONTCLAIR, NJ 07042

33aNPI1982720249assigned 03/21/2007

33bProvider typeGeneral Acute Care Hospital

28Total paid$48.59M

24GClaims967,812

24DCodes billed296

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in New Jersey

Rank by total paid#34 of 93

Median peer was paid$30.60M

This provider vs. median1.6×

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	129,888	$7.58M
2019	129,502	$7.66M
2020	85,891	$4.82M
2021	118,205	$6.37M
2022	170,222	$7.80M
2023	201,207	$8.10M
2024incomplete	132,897	$6.27M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	29%	26,938	23,885	$14.22M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	22%	27,493	24,959	$10.83M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	9.5%	18,404	16,381	$4.63M
G0378	Hospital observation service, per hour	5.9%	5,162	3,905	$2.87M
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	2.5%	2,153	1,964	$1.22M
74177	Computed tomography, abdomen and pelvis; with contrast material	2.4%	5,981	5,536	$1.18M
70450	Computed tomography, head or brain; without contrast material	1.6%	7,361	6,596	$776K
96375	Therapeutic injection; each additional sequential IV push	1.2%	11,811	9,283	$573K
96361	Intravenous infusion, hydration; each additional hour	1.2%	8,193	6,101	$560K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	1.1%	14,633	12,880	$553K
OP710		1.0%	6,282	5,555	$496K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	5,829	3,114	$473K

284 more codes

93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	21,040	$430K
74176	Computed tomography, abdomen and pelvis; without contrast material	<1%	2,614	$392K
OP370		<1%	6,326	$375K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	11,974	$360K
90834	Psychotherapy session, about 45 minutes	<1%	7,516	$356K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	<1%	7,854	$326K
OP272		<1%	11,214	$326K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	2,029	$316K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	4,211	$308K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	<1%	1,131	$263K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	2,110	$248K
80053	Comprehensive metabolic panel	<1%	37,001	$246K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	45,616	$230K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	5,738	$227K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	3,010	$211K
71045	Radiologic examination, chest; single view	<1%	15,118	$205K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	4,205	$175K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	<1%	4,685	$169K
71275	Computed tomographic angiography, chest, with contrast material	<1%	1,383	$165K
76830	Ultrasound, transvaginal	<1%	2,215	$156K
71046	Radiologic examination, chest; 2 views	<1%	6,041	$150K
77067	Screening mammography, bilateral, including computer-aided detection	<1%	2,288	$127K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	8,604	$126K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	332	$121K
96376		<1%	3,706	$113K
72125	Computed tomography, cervical spine; without contrast material	<1%	1,283	$107K
76700	Ultrasound, abdominal, real time with image documentation; complete	<1%	1,287	$102K
OP250		<1%	122,023	$102K
87631		<1%	3,837	$98K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	4,772	$96K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	3,833	$94K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	2,013	$90K
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%	4,286	$87K
88342		<1%	2,305	$86K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	2,046	$82K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	4,065	$80K
36415	Collection of venous blood by venipuncture	<1%	46,156	$75K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	3,214	$74K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	495	$73K
93970		<1%	861	$69K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	1,328	$67K
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%	1,322	$67K
84484		<1%	12,853	$63K
80048	Basic metabolic panel (calcium, ionized)	<1%	11,507	$63K
71250		<1%	670	$61K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	8,671	$60K
93971		<1%	1,015	$59K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	2,050	$58K
73630		<1%	1,849	$57K
97802		<1%	785	$55K
73130		<1%	1,425	$51K
D0120	Dental checkup, returning patient	<1%	3,447	$49K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	2,669	$45K
OP279		<1%	4,389	$44K
87086	Culture, bacterial; quantitative colony count, urine	<1%	9,184	$44K
73030		<1%	1,576	$43K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	6,155	$42K
73610		<1%	1,573	$41K
D1110	Prophylaxis - adult	<1%	2,999	$41K
85610		<1%	12,928	$41K
96367		<1%	1,267	$40K
81001		<1%	16,542	$40K
83880		<1%	4,194	$40K
86900		<1%	5,192	$39K
73564		<1%	1,480	$39K
86850		<1%	5,081	$38K
83690		<1%	12,654	$38K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	488	$37K
93458		<1%	24	$36K
83735		<1%	13,304	$35K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	6,222	$34K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	<1%	1,142	$33K
81025		<1%	17,856	$32K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	1,176	$30K
92557		<1%	418	$30K
74220		<1%	601	$29K
72131		<1%	399	$28K
92587		<1%	464	$28K
D7140	Extraction, erupted tooth or exposed root	<1%	1,155	$28K
OP270		<1%	4,211	$27K
77063	Screening digital breast tomosynthesis, bilateral	<1%	1,417	$26K
87070		<1%	6,394	$25K
85730		<1%	9,922	$24K
73110		<1%	739	$23K
76641		<1%	354	$23K
87040		<1%	3,684	$23K
C9399	Unclassified drugs or biologicals	<1%	213	$23K
70486		<1%	257	$22K
88313		<1%	2,175	$22K
82962		<1%	8,258	$21K
90792	Psychiatric diagnostic evaluation with medical services	<1%	349	$21K
97162		<1%	738	$20K
84443	Thyroid stimulating hormone (TSH)	<1%	2,392	$20K
83605		<1%	3,590	$20K
90791	Psychiatric diagnostic evaluation	<1%	190	$19K
80061	Lipid panel	<1%	2,026	$19K
86901		<1%	5,211	$19K
D0140	Limited oral evaluation - problem focused	<1%	1,412	$19K
84702		<1%	2,858	$18K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	1,497	$17K
D1120	Dental cleaning, child	<1%	1,061	$17K
81003		<1%	10,519	$16K
72110		<1%	432	$16K
80076		<1%	2,744	$15K
90715		<1%	1,076	$15K
J7030	Infusion, normal saline solution , 1000 cc	<1%	13,903	$15K
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	958	$14K
93976		<1%	341	$13K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	1,483	$13K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	643	$13K
82248		<1%	2,705	$12K
J2704	Injection, propofol, 10 mg	<1%	4,173	$12K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	785	$11K
97803		<1%	197	$11K
83036	Hemoglobin; glycosylated (A1C)	<1%	2,285	$10K
OP259		<1%	10,085	$10K
84100		<1%	5,050	$9K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	118	$9K
J2405	Injection, ondansetron hydrochloride, per 1 mg	<1%	8,067	$9K
D0210	Intraoral - complete series of radiographic images	<1%	489	$9K
80320		<1%	510	$9K
82550		<1%	2,880	$9K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	66	$9K
J0131	Injection, acetaminophen, not otherwise specified,10 mg	<1%	2,068	$9K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	9,884	$8K
D0274	Bitewings - four radiographic images	<1%	1,436	$8K
85027		<1%	3,113	$8K
85379		<1%	3,141	$8K
J1756	Injection, iron sucrose, 1 mg	<1%	237	$7K
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	681	$7K
82728		<1%	935	$7K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	62	$7K
0012A		<1%	246	$7K
J3490	Unclassified drugs	<1%	239	$7K
74018		<1%	373	$7K
82150		<1%	1,248	$7K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	57	$6K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	2,195	$6K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	145	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,222	$6K
87186		<1%	1,172	$6K
D0150	Comprehensive oral evaluation - new or established patient	<1%	439	$6K
0011A		<1%	219	$6K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	58	$6K
D0220	Intraoral - periapical first radiographic image	<1%	2,084	$6K
D1208	Topical application of fluoride, excluding varnish	<1%	856	$5K
87077		<1%	1,106	$5K
G0279	Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	<1%	346	$5K
97161		<1%	147	$5K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	3,434	$5K
87807		<1%	837	$5K
73502		<1%	258	$5K
J7120	Ringers lactate infusion, up to 1000 cc	<1%	6,357	$5K
92550		<1%	146	$5K
99213	Doctor's office visit, returning patient (routine)	<1%	208	$4K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	17	$4K
77066	Tomosynthesis, mammo	<1%	50	$4K
80143		<1%	1,136	$3K
80324		<1%	185	$3K
80179		<1%	1,074	$3K
73080		<1%	130	$3K
OP255		<1%	1,541	$3K
76536		<1%	46	$3K
OP251		<1%	1,353	$3K
82607		<1%	352	$3K
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	1,811	$3K
84439		<1%	458	$3K
97116		<1%	206	$3K
J7050	Infusion, normal saline solution, 250 cc	<1%	3,703	$3K
D0330	Panoramic radiographic image	<1%	214	$2K
C9290	Injection, bupivacaine liposome, 1 mg	<1%	18	$2K
76642		<1%	50	$2K
M0222	Intravenous injection, bebtelovimab, includes injection and post administration monitoring	<1%	57	$2K
J2765	Injection, metoclopramide hcl, up to 10 mg	<1%	1,853	$2K
0001A		<1%	68	$2K
J2270	Injection, morphine sulfate, up to 10 mg	<1%	1,472	$2K
85007		<1%	1,900	$2K
85378		<1%	504	$2K
82746		<1%	226	$2K
86140		<1%	839	$2K
87076		<1%	216	$2K
J3475	Injection, magnesium sulfate, per 500 mg	<1%	794	$2K
OP637		<1%	1,296	$2K
J0690	Injection, cefazolin sodium, 500 mg	<1%	1,203	$2K
0002A		<1%	54	$2K
J1650	Injection, enoxaparin sodium, 10 mg	<1%	1,556	$2K
J0137	Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg	<1%	520	$2K
84703		<1%	898	$2K
C9113	Injection, pantoprazole sodium, per vial	<1%	1,506	$2K
C1769	Guide wire	<1%	182	$2K
J1644	Injection, heparin sodium, per 1000 units	<1%	2,122	$2K
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	3,258	$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%	119	$2K
82552		<1%	177	$2K
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	<1%	1,293	$2K
74022		<1%	50	$1K
83550		<1%	700	$1K
C1751	Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)	<1%	121	$1K
77080		<1%	52	$1K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	<1%	1,083	$1K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	38	$1K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	<1%	32	$1K
92523		<1%	15	$1K
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	<1%	217	$1K
OP258		<1%	1,963	$1K
OP278		<1%	12	$1K
72100		<1%	67	$1K
J2272	Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg	<1%	1,386	$1K
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	2,062	$1K
J2060	Injection, lorazepam, 2 mg	<1%	1,152	$999.30
85652		<1%	1,180	$981.20
82553		<1%	452	$951.45
70498		<1%	29	$929.52
OP720		<1%	102	$921.87
73090		<1%	27	$921.07
J1170	Injection, hydromorphone, up to 4 mg	<1%	1,091	$892.05
D0230	Intraoral - periapical each additional radiographic image	<1%	287	$731.51
70496		<1%	30	$720.66
93979		<1%	12	$698.12
M0245	Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring	<1%	16	$674.46
A4615	Cannula, nasal	<1%	1,639	$666.35
73560		<1%	15	$659.00
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	28	$570.99
A9575	Injection, gadoterate meglumine, 0.1 ml	<1%	64	$530.87
D2331		<1%	15	$528.50
83540		<1%	174	$526.00
73562		<1%	14	$524.93
74240		<1%	15	$522.39
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	<1%	1,876	$517.33
88304		<1%	62	$501.85
C1894	Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser	<1%	122	$457.27
87205		<1%	248	$431.65
99152		<1%	48	$416.04
J1596	Injection, glycopyrrolate, 0.1 mg	<1%	29	$405.79
93880		<1%	16	$392.95
94760		<1%	43	$341.13
J0134	Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg	<1%	176	$337.17
J2919	Injection, methylprednisolone sodium succinate, 5 mg	<1%	205	$298.43
85651		<1%	121	$278.82
D0270		<1%	146	$243.00
J3370	Injection, vancomycin hcl, 500 mg	<1%	60	$231.15
87147		<1%	258	$230.92
73140		<1%	17	$212.51
84145		<1%	37	$199.04
82247		<1%	41	$198.60
J0665	Injection, bupivicaine, not otherwise specified, 0.5 mg	<1%	291	$196.65
88307		<1%	20	$177.00
J2470	Injection, pantoprazole sodium, 40 mg	<1%	125	$169.80
87390		<1%	28	$161.26
99153	Mod sedat endo service >5yrs	<1%	18	$160.71
J2543	Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)	<1%	159	$151.55
J3480	Injection, potassium chloride, per 2 meq	<1%	118	$150.70
J1815	Injection, insulin, per 5 units	<1%	591	$127.84
J0360	Injection, hydralazine hcl, up to 20 mg	<1%	112	$118.47
D1206	Topical application of fluoride varnish	<1%	14	$117.50
J3411	Injection, thiamine hcl, 100 mg	<1%	68	$113.07
Q9963	High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml	<1%	73	$106.84
J2003	Injection, lidocaine hydrochloride, 1 mg	<1%	134	$85.91
82010		<1%	31	$83.57
D0272	Bitewings - two radiographic images	<1%	14	$82.50
82570		<1%	13	$73.53
J0136	Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg	<1%	53	$68.95
84550		<1%	17	$62.01
J0744	Injection, ciprofloxacin for intravenous infusion, 200 mg	<1%	42	$58.66
J0330	Injection, succinylcholine chloride, up to 20 mg	<1%	12	$57.94
J7510	Prednisolone oral, per 5 mg	<1%	105	$52.36
J7070	Infusion, d5w, 1000 cc	<1%	149	$27.58
86592		<1%	28	$26.07
J1642	Injection, heparin sodium, (heparin lock flush), per 10 units	<1%	36	$24.00
J8540	Dexamethasone, oral, 0.25 mg	<1%	15	$22.65
J1630	Injection, haloperidol, up to 5 mg	<1%	54	$21.87
83615		<1%	19	$16.80
J1171	Injection, hydromorphone, 0.1 mg	<1%	19	$16.31
82803		<1%	16	$7.10
J2004	Injection, lidocaine hcl with epinephrine, 1 mg	<1%	13	$4.68
J2305	Injection, nitroglycerin, 5 mg	<1%	18	$4.25
Q0222	Injection, bebtelovimab, 175 mg	<1%	57	$3.00
J1836	Injection, metronidazole, 10 mg	<1%	27	$1.30
J2371	Injection, phenylephrine hydrochloride, 20 micrograms	0%	61	$0.00
J0687	Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg	0%	93	$0.00
J1920	Injection, labetalol hydrochloride, 5 mg	0%	23	$0.00
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	0%	35	$0.00
G1004	Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program	0%	848	$0.00
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	0%	24	$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 officialJOHNSON, JOE (VICE PRESIDENT)

Same official

Other billing entities under JOHNSON, JOE

Full network →

Provider	Location	Paid
Sky Park Gardens Assisted Living	Sacramento, CA	$9.68M
Montclair Hospital LLC	Montclair, NJ	$4.12M
Montclair Hospital LLC	Verona, NJ	$1.08M
Montclair Hospital LLC	Montclair, NJ	$865K

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