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Clara Maass Medical Center

General Acute Care Hospital·Belleville, NJ·NPI: 1902901333Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $156.8M is at the 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$156.8M

$156,839,691

Total Claims

2.2M

Beneficiaries

1.8M

1.2 claims/patient

Avg Cost/Claim

$73

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

🔍 Analysis

Provider Overview

Clara Maass Medical Center is a General Acute Care Hospital provider based in Belleville, NJ. From the 2018–2024 period, this provider received $156.8M in Medicaid payments across 2.2M claims.

Why This Matters

This provider received $156.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,604 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 4% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$22.3M
-4%
2019
$21.5M
-26%
2020
$16.0M
+47%
2021
$23.5M
+7%
2022
$25.2M
+0%
2023
$25.3M
-9%
2024
$23.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0378 (Hospital observation service, per hour)) accounts for 17% of total spending.

G0378Top 25%

Hospital observation service, per hour

$27.2M

40K claims · 17.4%

Your Cost: $686.91/claim|Median: $99.39
6.9× median
99283Top 5%

Emergency dept visit, moderate complexity

$27.2M

80K claims · 17.3%

Your Cost: $339.56/claim|Median: $42.48
8.0× median
99284Top 5%

Emergency dept visit, high complexity

$25.7M

64K claims · 16.4%

Your Cost: $401.22/claim|Median: $69.51
5.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$18.5M

56K claims · 11.8%

Your Cost: $332.44/claim|Median: $85.65
3.9× median
OP250Top 10%

$4.7M

170K claims · 3.0%

Your Cost: $27.78/claim|Median: $1.68
16.5× median
S9480Top 10%

Intensive outpatient psychiatric services, per diem

$4.2M

6K claims · 2.7%

Your Cost: $758.77/claim|Median: $135.70
5.6× median
58558Top 10%

$3.4M

2K claims · 2.1%

Your Cost: $1,695.33/claim|Median: $942.89
1.8× median
99282Top 5%

Emergency dept visit, low complexity

$3.3M

15K claims · 2.1%

Your Cost: $222.95/claim|Median: $37.72
5.9× median
43239Top 5%

Upper GI endoscopy with biopsy

$2.9M

3K claims · 1.9%

Your Cost: $1,121.82/claim|Median: $151.68
7.4× median
T2034Normal range

Crisis intervention, per 15 min

$1.9M

2K claims · 1.2%

Your Cost: $855.60/claim|Median: $254.45
3.4× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.6M

3K claims · 1.0%

Your Cost: $500.30/claim|Median: $54.68
9.2× median
80053Top 25%

Comprehensive metabolic panel

$1.6M

92K claims · 1.0%

Your Cost: $17.81/claim|Median: $7.24
2.5× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$1.6M

7K claims · 1.0%

Your Cost: $224.14/claim|Median: $36.13
6.2× median
95810Top 1%

Polysomnography, sleep study, 6+ hours

$1.6M

586 claims · 1.0%

Your Cost: $2,714.43/claim|Median: $233.73
11.6× median
71046Top 10%

Chest X-ray, 2 views

$1.1M

29K claims · 0.7%

Your Cost: $38.97/claim|Median: $8.92
4.4× median
OP710Normal range

$1.1M

21K claims · 0.7%

Your Cost: $51.71/claim|Median: $68.93
0.8× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$984K

13K claims · 0.6%

Your Cost: $75.76/claim|Median: $144.30
0.5× median
45378Top 5%

Colonoscopy, diagnostic

$844K

664 claims · 0.5%

Your Cost: $1,271.60/claim|Median: $225.49
5.6× median
45380Top 5%

Colonoscopy with biopsy

$778K

1K claims · 0.5%

Your Cost: $763.27/claim|Median: $200.68
3.8× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$681K

9K claims · 0.4%

Your Cost: $76.74/claim|Median: $35.80
2.1× median
76811Top 1%

Ultrasound, pregnant uterus, detailed, single fetus

$663K

2K claims · 0.4%

Your Cost: $311.43/claim|Median: $106.79
2.9× median
76819Top 5%

Fetal biophysical profile with non-stress test

$659K

4K claims · 0.4%

Your Cost: $147.11/claim|Median: $49.45
3.0× median
97803Top 5%

$659K

4K claims · 0.4%

Your Cost: $175.14/claim|Median: $24.33
7.2× median
97530Normal range

Therapeutic activities, each 15 min

$655K

24K claims · 0.4%

Your Cost: $27.61/claim|Median: $33.11
0.8× median
71045Top 10%

Chest X-ray, single view

$654K

17K claims · 0.4%

Your Cost: $37.40/claim|Median: $4.93
7.6× median
74177Normal range

CT abdomen and pelvis with contrast

$621K

9K claims · 0.4%

Your Cost: $69.63/claim|Median: $65.76
1.1× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$604K

5K claims · 0.4%

Your Cost: $121.00/claim|Median: $169.17
0.7× median
59425Normal range

Antepartum care only, 4-6 visits

$601K

9K claims · 0.4%

Your Cost: $69.64/claim|Median: $63.63
1.1× median
S9484Top 25%

Crisis intervention mental health services, per hour

$555K

885 claims · 0.4%

Your Cost: $626.62/claim|Median: $249.51
2.5× median
97110Normal range

Therapeutic exercises, each 15 min

$543K

37K claims · 0.3%

Your Cost: $14.60/claim|Median: $24.49
0.6× median

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