Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

INSPIRA MEDICAL CENTER WOODBURY, INC.

General Acute Care Hospital·WOODBURY, NJ·NPI: 1184601288Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2019-12(24 months)
Billing appears to have stoppedLast active: 2019-12

Total Paid

$25.0M

$25,016,430

Total Claims

428K

Beneficiaries

363K

1.2 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$12.7M
-3%
2019
$12.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 16% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$4.0M

12K claims · 15.9%

Your Cost: $324.53/claim|Median: $69.51
4.7× median
99283Top 5%

Emergency dept visit, moderate complexity

$3.5M

12K claims · 14.2%

Your Cost: $296.61/claim|Median: $42.48
7.0× median
H0035Top 25%

Mental health partial hospitalization, treatment, per hour

$3.3M

10K claims · 13.4%

Your Cost: $324.66/claim|Median: $148.53
2.2× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.9M

7,246 claims · 11.6%

Your Cost: $399.46/claim|Median: $85.65
4.7× median
A0427Top 10%

Ambulance, ALS emergency transport Level 1

$2.1M

5,732 claims · 8.3%

Your Cost: $360.82/claim|Median: $164.22
2.2× median
A0429Top 25%

Ambulance, BLS emergency transport

$1.2M

5,892 claims · 4.7%

Your Cost: $201.09/claim|Median: $138.19
1.5× median
A0434Top 10%

Ambulance, specialty care transport

$1.1M

1,786 claims · 4.3%

Your Cost: $599.81/claim|Median: $252.36
2.4× median
G0378Top 25%

Hospital observation service, per hour

$890K

2,583 claims · 3.6%

Your Cost: $344.55/claim|Median: $99.39
3.5× median
A0425Normal range

Ground mileage, per statute mile

$714K

16K claims · 2.9%

Your Cost: $44.57/claim|Median: $23.36
1.9× median
99282Top 10%

Emergency dept visit, low complexity

$562K

3,143 claims · 2.2%

Your Cost: $178.83/claim|Median: $37.72
4.7× median
90837Normal range

Psychotherapy, 60 minutes

$285K

3,982 claims · 1.1%

Your Cost: $71.52/claim|Median: $85.66
0.8× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$264K

701 claims · 1.1%

Your Cost: $376.72/claim|Median: $54.68
6.9× median
97110Normal range

Therapeutic exercises, each 15 min

$257K

7,010 claims · 1.0%

Your Cost: $36.73/claim|Median: $24.49
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$228K

3,347 claims · 0.9%

Your Cost: $68.06/claim|Median: $63.65
1.1× median
59025Top 1%

Fetal non-stress test

$211K

653 claims · 0.8%

Your Cost: $323.06/claim|Median: $26.45
12.2× median
A0433Top 25%

$158K

360 claims · 0.6%

Your Cost: $438.35/claim|Median: $207.46
2.1× median
G0463Normal range

Hospital outpatient clinic visit

$150K

2,845 claims · 0.6%

Your Cost: $52.85/claim|Median: $26.41
2.0× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$109K

535 claims · 0.4%

Your Cost: $203.92/claim|Median: $36.13
5.6× median
A0428Normal range

Ambulance service, BLS, non-emergency transport

$96K

2,573 claims · 0.4%

Your Cost: $37.27/claim|Median: $58.05
0.6× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$88K

6,480 claims · 0.4%

Your Cost: $13.60/claim|Median: $7.50
1.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$88K

631 claims · 0.4%

Your Cost: $139.38/claim|Median: $99.21
1.4× median
92507Normal range

Speech/hearing/language treatment

$77K

1,502 claims · 0.3%

Your Cost: $51.26/claim|Median: $49.45
1.0× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$76K

2,002 claims · 0.3%

Your Cost: $38.06/claim|Median: $3.42
11.1× median
93017Top 5%

$75K

175 claims · 0.3%

Your Cost: $425.80/claim|Median: $56.03
7.6× median
36415Top 25%

Collection of venous blood by venipuncture

$71K

19K claims · 0.3%

Your Cost: $3.75/claim|Median: $1.57
2.4× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$69K

2,489 claims · 0.3%

Your Cost: $27.73/claim|Median: $16.79
1.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$66K

7,041 claims · 0.3%

Your Cost: $9.44/claim|Median: $21.76
0.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$63K

472 claims · 0.3%

Your Cost: $133.66/claim|Median: $106.79
1.3× median
80048Normal range

Basic metabolic panel

$62K

14K claims · 0.2%

Your Cost: $4.55/claim|Median: $5.78
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$61K

1,749 claims · 0.2%

Your Cost: $35.02/claim|Median: $65.76
0.5× median
71046Normal range

Chest X-ray, 2 views

$59K

6,492 claims · 0.2%

Your Cost: $9.12/claim|Median: $8.92
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$58K

17K claims · 0.2%

Your Cost: $3.45/claim|Median: $4.71
0.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$57K

932 claims · 0.2%

Your Cost: $61.61/claim|Median: $47.65
1.3× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$56K

32K claims · 0.2%

Your Cost: $1.76/claim|Median: $0.79
2.2× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$53K

1,041 claims · 0.2%

Your Cost: $50.70/claim|Median: $58.16
0.9× median
77067Top 25%

Screening mammography, bilateral, including CAD

$47K

464 claims · 0.2%

Your Cost: $101.97/claim|Median: $39.33
2.6× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$46K

586 claims · 0.2%

Your Cost: $77.72/claim|Median: $74.78
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$44K

4,445 claims · 0.2%

Your Cost: $9.83/claim|Median: $38.92
0.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$41K

4,404 claims · 0.2%

Your Cost: $9.38/claim|Median: $14.92
0.6× median
76856Normal range

Ultrasound, pelvic, complete

$40K

789 claims · 0.2%

Your Cost: $50.89/claim|Median: $47.58
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$40K

2,798 claims · 0.2%

Your Cost: $14.18/claim|Median: $35.43
0.4× median
76830Normal range

Ultrasound, transvaginal

$39K

664 claims · 0.2%

Your Cost: $58.25/claim|Median: $57.47
1.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$38K

2,131 claims · 0.2%

Your Cost: $17.95/claim|Median: $10.88
1.6× median
97010Normal range

Hot/cold packs application

$37K

3,139 claims · 0.1%

Your Cost: $11.71/claim|Median: $4.47
2.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$36K

501 claims · 0.1%

Your Cost: $72.57/claim|Median: $58.55
1.2× median
70450Normal range

CT head/brain without contrast

$36K

3,099 claims · 0.1%

Your Cost: $11.53/claim|Median: $45.53
0.3× median
99281Top 25%

Emergency dept visit, minimal complexity

$35K

258 claims · 0.1%

Your Cost: $136.34/claim|Median: $52.03
2.6× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$35K

2,180 claims · 0.1%

Your Cost: $15.89/claim|Median: $61.57
0.3× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$34K

115 claims · 0.1%

Your Cost: $293.93/claim|Median: $106.14
2.8× median
97161Normal range

Physical therapy evaluation, low complexity

$33K

747 claims · 0.1%

Your Cost: $44.75/claim|Median: $47.89
0.9× median

Other Top Providers in New Jersey

View all →

Department of Health and Senior Services

Specialist

$1.07B

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$717.5M

Care Finders Total Care LLC

Home Health

$708.7M

Quest Diagnostics Incorporated

Clinical Medical Laboratory

$637.7M

Bioreference Health LLC

Clinical Medical Laboratory

$620.1M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in New Jersey →How we detect fraud →