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Trinitas Regional Medical Center

General Acute Care Hospital·Elizabeth, NJ·NPI: 1770583999Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $142.2M is at the 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$142.2M

$142,211,286

Total Claims

2.3M

Beneficiaries

1.8M

1.3 claims/patient

Avg Cost/Claim

$62

#776 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Trinitas Regional Medical Center is a General Acute Care Hospital provider based in Elizabeth, NJ. From the 2018–2024 period, this provider received $142.2M in Medicaid payments across 2.3M claims.

Why This Matters

This provider received $142.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,776 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 38% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$27.0M
-0%
2019
$26.9M
-39%
2020
$16.5M
+14%
2021
$18.8M
-5%
2022
$17.9M
+3%
2023
$18.4M
-10%
2024
$16.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90853 (Group psychotherapy)) accounts for 16% of total spending.

90853Top 5%

Group psychotherapy

$22.4M

146K claims · 15.8%

Your Cost: $153.52/claim|Median: $25.02
6.1× median
99283Top 5%

Emergency dept visit, moderate complexity

$17.3M

63K claims · 12.1%

Your Cost: $273.53/claim|Median: $42.48
6.4× median
99284Top 5%

Emergency dept visit, high complexity

$14.5M

44K claims · 10.2%

Your Cost: $327.95/claim|Median: $69.51
4.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$8.6M

26K claims · 6.0%

Your Cost: $325.11/claim|Median: $85.65
3.8× median
G0378Top 25%

Hospital observation service, per hour

$6.4M

19K claims · 4.5%

Your Cost: $341.10/claim|Median: $99.39
3.4× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$4.6M

75K claims · 3.2%

Your Cost: $60.85/claim|Median: $37.81
1.6× median
99282Top 10%

Emergency dept visit, low complexity

$4.3M

25K claims · 3.0%

Your Cost: $167.73/claim|Median: $37.72
4.5× median
43239Top 10%

Upper GI endoscopy with biopsy

$2.8M

6K claims · 2.0%

Your Cost: $449.20/claim|Median: $151.68
3.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.3M

9K claims · 1.6%

Your Cost: $251.93/claim|Median: $65.76
3.8× median
45380Top 25%

Colonoscopy with biopsy

$1.8M

4K claims · 1.3%

Your Cost: $412.33/claim|Median: $200.68
2.0× median
OP272Top 25%

$1.5M

32K claims · 1.1%

Your Cost: $48.05/claim|Median: $28.37
1.7× median
A0427Top 10%

Ambulance, ALS emergency transport Level 1

$1.5M

4K claims · 1.0%

Your Cost: $343.09/claim|Median: $164.22
2.1× median
S9480Top 5%

Intensive outpatient psychiatric services, per diem

$1.4M

2K claims · 1.0%

Your Cost: $797.77/claim|Median: $135.70
5.9× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$1.4M

2K claims · 1.0%

Your Cost: $894.97/claim|Median: $233.73
3.8× median
90837Normal range

Psychotherapy, 60 minutes

$1.4M

26K claims · 1.0%

Your Cost: $52.00/claim|Median: $85.66
0.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.3M

36K claims · 0.9%

Your Cost: $36.15/claim|Median: $21.76
1.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.3M

43K claims · 0.9%

Your Cost: $29.55/claim|Median: $7.50
3.9× median
70450Top 25%

CT head/brain without contrast

$1.3M

11K claims · 0.9%

Your Cost: $118.64/claim|Median: $45.53
2.6× median
OP251Normal range

$1.2M

124K claims · 0.9%

Your Cost: $9.86/claim|Median: $7.16
1.4× median
90832Normal range

Psychotherapy, 30 minutes

$1.2M

24K claims · 0.9%

Your Cost: $51.70/claim|Median: $41.28
1.3× median
59025Top 5%

Fetal non-stress test

$1.2M

6K claims · 0.8%

Your Cost: $180.47/claim|Median: $26.45
6.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$1.1M

36K claims · 0.8%

Your Cost: $30.23/claim|Median: $12.93
2.3× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$1.1M

115K claims · 0.7%

Your Cost: $9.20/claim|Median: $4.71
1.9× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$1.0M

10K claims · 0.7%

Your Cost: $108.75/claim|Median: $35.80
3.0× median
45378Top 25%

Colonoscopy, diagnostic

$1.0M

2K claims · 0.7%

Your Cost: $429.83/claim|Median: $225.49
1.9× median
71046Top 10%

Chest X-ray, 2 views

$993K

24K claims · 0.7%

Your Cost: $40.53/claim|Median: $8.92
4.5× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$983K

3K claims · 0.7%

Your Cost: $303.16/claim|Median: $54.68
5.5× median
77067Top 25%

Screening mammography, bilateral, including CAD

$947K

11K claims · 0.7%

Your Cost: $88.72/claim|Median: $39.33
2.3× median
76819Top 10%

Fetal biophysical profile with non-stress test

$932K

9K claims · 0.7%

Your Cost: $102.29/claim|Median: $49.45
2.1× median
90834Normal range

Psychotherapy, 45 minutes

$913K

15K claims · 0.6%

Your Cost: $60.08/claim|Median: $63.65
0.9× median

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