New Jersey Medicaid Spending
New Jersey's Medicaid program paid $16.15B across 61 providers from 2018–2024. 78 providers in New Jersey are flagged on our risk watchlist. The top procedure code is H2016 (Comprehensive community support services, per 15 min) at $3.65B.
Total Spending
$16.15B
Total Claims
349.9M
Top Providers
61
Beneficiaries
281.6M
Flagged Providers
78
on risk watchlist
Avg Per Provider
$264.8M
across 61 providers
Yearly Spending Trend
Top Providers in New Jersey
Department of Health and Senior Services
Specialist · Trenton
$1.07B
3.3M claims
Laboratory Corporation of America Holdings
Clinical Medical Laboratory · Raritan
$717.5M
109.5M claims
Care Finders Total Care LLC
Home Health · Hackensack
$708.7M
8.3M claims
Quest Diagnostics Incorporated
Clinical Medical Laboratory · Clifton
$637.7M
57.2M claims
Bioreference Health LLC
Clinical Medical Laboratory · Elmwood Park
$620.1M
60.8M claims
Bancroft a New Jersey Nonprofit Corporation
Clinic/Center Rehabilitation · Cherry Hill
$560.4M
1.8M claims
White Glove Community Care, Inc.
Case Management · Brick
$540.7M
2.6M claims
The Devereux Foundation
Community Based Residential Treatment Facility, In · Cherry Hill
$401.2M
1.0M claims
Newark Beth Israel Medical Center INC
General Acute Care Hospital · Newark
$380.2M
3.3M claims
University Hospital
General Acute Care Hospital · Newark
$362.9M
4.7M claims
Allies, Inc.
Day Training, Developmentally Disabled Services · Hamilton
$362.5M
975K claims
Community Access Unlimited
Supports Brokerage · Elizabeth
$355.7M
855K claims
The Cooper Health System
General Acute Care Hospital · Camden
$354.0M
4.6M claims
Community Options, Inc.
Day Training, Developmentally Disabled Services · Princeton
$337.9M
847K claims
Jersey City Medical Center
General Acute Care Hospital · Jersey City
$336.4M
3.2M claims
New Jersey Division of Developmental Disabilities
Day Training Developmentally Disabled Services · Hamilton
$333.9M
738K claims
Hmh Hospitals Corporation
Ambulance · Hackensack
$333.0M
3.5M claims
St Josephs University Medical Center Inc.
General Acute Care Hospital · Paterson
$322.4M
4.7M claims
Caringhouse Projects
Respite Care · Atlantic City
$280.8M
651K claims
Bayada Home Health Care Inc.
Home Health · Toms River
$269.7M
637K claims
Virtua - West Jersey Health System Inc.
General Acute Care Hospital · Voorhees
$255.7M
3.4M claims
Inspira Medical Centers Inc.
General Acute Care Hospital · Vineland
$227.1M
3.3M claims
Preferred Home Health Care & Nursing Services Inc.
Home Health · Mount Laurel
$224.6M
577K claims
Optum Medical Care of New Jersey PC
Durable Medical Equipment & Medical Supplies · Secaucus
$218.8M
4.3M claims
Rem New Jersey, Inc.
Community Based Residential Treatment Facility, In · Somerset
$217.9M
615K claims
Atlanticare Regional Medical Center
General Acute Care Hospital · Pomona
$214.9M
2.7M claims
Kennedy University Hospital Inc.
General Acute Care Hospital · Stratford
$209.4M
3.9M claims
Starlight Home Care Agency INC
Home Health · Saddle Brook
$207.3M
492K claims
Elwyn New Jersey
Community Based Residential Treatment Facility, In · Vineland
$206.6M
439K claims
Children's Specialized Hospital
Pediatrics · New Brunswick
$199.9M
1.1M claims
Robert Wood Johnson University Hospital, INC
General Acute Care Hospital · New Brunswick
$198.3M
2.7M claims
Universal Rehabilitation and Fitness, Inc.
Clinic/Center, Rehabilitation · Livingston
$191.0M
824K claims
Saint Peter's University Hospital
General Acute Care Hospital · New Brunswick
$185.5M
3.1M claims
Accu Reference Medical Lab, LLC
Clinical Medical Laboratory · Linden
$183.0M
12.0M claims
Always Home Care INC
Home Health · West New York
$177.3M
2.0M claims
Eihab Human Services New Jersey, Inc.
Case Management · Howell
$171.1M
398K claims
Eden Autism Services.
Day Training, Developmentally Disabled Services · Princeton
$167.0M
444K claims
Serv Centers of New Jersey, INC
Community Based Residential Treatment Facility, Me · Trenton
$164.4M
733K claims
Spectrum for Living Development, Inc.
Respite Care, Respite Care, Intellectual and/or De · River Vale
$161.7M
538K claims
The Arc of Essex County, INC
Respite Care · Livingston
$158.9M
650K claims
Broadway Respite and Home Care, LLC
Home Health · Fair Lawn
$157.6M
1.9M claims
Clara Maass Medical Center
General Acute Care Hospital · Belleville
$156.8M
2.2M claims
Ahs Hospital Corp.
General Acute Care Hospital · Morristown
$155.9M
2.4M claims
The Arc of Union County
Day Training, Developmentally Disabled Services · Springfield
$155.5M
459K claims
Heart to Heart Health Care Services, LLC
Home Health · East Orange
$149.6M
466K claims
The Arc Ocean County Chapter, INC
Day Training, Developmentally Disabled Services · Lakewood
$147.5M
550K claims
Newark Public Schools
Local Education Agency (LEA) · Newark
$145.8M
1.0M claims
Trinitas Regional Medical Center
General Acute Care Hospital · Elizabeth
$142.2M
2.3M claims
Diya Care INC
Home Health · New Brunswick
$139.2M
2.2M claims
Infinity Diagnostics Laboratory INC
Clinical Medical Laboratory · Teterboro
$138.0M
5.2M claims
Flagged Providers in New Jersey
Department of Health and Senior Services
$1.07B
2 flags
New Jersey Division of Developmental Disabilities
$333.9M
2 flags
St Josephs University Medical Center Inc.
$322.4M
2 flags
Virtua - West Jersey Health System Inc.
$255.7M
2 flags
Kennedy University Hospital Inc.
$209.4M
2 flags
Broadstep Academy-new Jersey Inc.
$116.8M
2 flags
Beacon Specialized Living New Jersey, Inc.
$32.5M
2 flags
Laboratory Corporation of America Holdings
$717.5M
1 flag
Quest Diagnostics Incorporated
$637.7M
1 flag
Bioreference Health LLC
$620.1M
1 flag
Showing 10 of 78 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in New Jersey
| Code | Total Paid |
|---|---|
| H2016 Comprehensive community support services, per 15 min | $3.65B |
| T1019 Personal care services, per 15 min | $1.57B |
| T1018 School-based IEP services, per encounter | $1.02B |
| 99284 Emergency dept visit, high complexity | $542.6M |
| 99283 Emergency dept visit, moderate complexity | $512.0M |
| U0003 Infectious disease detection (COVID-19) | $376.2M |
| T2021 Day habilitation, waiver; per 15 min | $373.6M |
| T1003 LPN/LVN services, per 15 minutes | $368.3M |
| G0378 Hospital observation service, per hour | $288.7M |
| 99285 Emergency dept visit, high/urgent complexity | $283.9M |
| S9124 Nursing care, in the home; per hour | $212.7M |
| T1002 RN services, per 15 minutes | $164.1M |
| H0019 Behavioral health; residential, per diem | $160.1M |
| 99361 Physician direction of emergency medical systems, online | $146.8M |
| 87491 Chlamydia detection, nucleic acid, amplified probe | $106.7M |