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Capital Health System, Inc.

General Acute Care Hospital·Pennington, NJ·NPI: 1073516183Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $132.2M 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

$132.2M

$132,155,587

Total Claims

1.3M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$104

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

🔍 Analysis

Provider Overview

Capital Health System, Inc. is a General Acute Care Hospital provider based in Pennington, NJ. From the 2018–2024 period, this provider received $132.2M in Medicaid payments across 1.3M claims.

Why This Matters

This provider received $132.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,519 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 1% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.3M
-5%
2019
$17.4M
-18%
2020
$14.3M
+37%
2021
$19.7M
+12%
2022
$22.1M
+1%
2023
$22.3M
-19%
2024
$18.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 22% of total spending.

99283Top 1%

Emergency dept visit, moderate complexity

$29.1M

71K claims · 22.0%

Your Cost: $409.27/claim|Median: $42.48
9.6× median
99284Top 5%

Emergency dept visit, high complexity

$19.5M

52K claims · 14.7%

Your Cost: $375.43/claim|Median: $69.51
5.4× median
G0378Top 5%

Hospital observation service, per hour

$12.7M

11K claims · 9.6%

Your Cost: $1,112.02/claim|Median: $99.39
11.2× median
99282Top 1%

Emergency dept visit, low complexity

$7.3M

22K claims · 5.6%

Your Cost: $328.05/claim|Median: $37.72
8.7× median
59025Top 1%

Fetal non-stress test

$6.3M

8K claims · 4.8%

Your Cost: $767.97/claim|Median: $26.45
29.0× median
41899Top 5%

Unlisted procedure, dentoalveolar structures

$5.4M

1K claims · 4.1%

Your Cost: $3,697.49/claim|Median: $763.43
4.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$4.5M

14K claims · 3.4%

Your Cost: $329.95/claim|Median: $85.65
3.9× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$4.5M

5K claims · 3.4%

Your Cost: $844.27/claim|Median: $54.68
15.4× median
43239Top 1%

Upper GI endoscopy with biopsy

$4.0M

2K claims · 3.0%

Your Cost: $2,231.08/claim|Median: $151.68
14.7× median
76811Top 1%

Ultrasound, pregnant uterus, detailed, single fetus

$2.3M

3K claims · 1.7%

Your Cost: $793.25/claim|Median: $106.79
7.4× median
74177Top 10%

CT abdomen and pelvis with contrast

$1.9M

6K claims · 1.4%

Your Cost: $305.29/claim|Median: $65.76
4.6× median
70553Top 1%

MRI brain without contrast, then with contrast

$1.5M

1K claims · 1.1%

Your Cost: $1,514.29/claim|Median: $133.68
11.3× median
93017Top 1%

$1.5M

3K claims · 1.1%

Your Cost: $532.10/claim|Median: $56.03
9.5× median
45380Top 1%

Colonoscopy with biopsy

$1.2M

921 claims · 0.9%

Your Cost: $1,350.47/claim|Median: $200.68
6.7× median
77067Top 1%

Screening mammography, bilateral, including CAD

$1.2M

5K claims · 0.9%

Your Cost: $264.10/claim|Median: $39.33
6.7× median
76816Top 1%

Ultrasound, pregnant uterus, follow-up

$1.1M

5K claims · 0.8%

Your Cost: $195.65/claim|Median: $58.55
3.3× median
78815Top 5%

PET imaging for limited area

$943K

502 claims · 0.7%

Your Cost: $1,879.30/claim|Median: $325.10
5.8× median
76801Top 1%

Ultrasound, pregnant uterus, single fetus, first trimester

$858K

4K claims · 0.6%

Your Cost: $234.69/claim|Median: $58.16
4.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$818K

18K claims · 0.6%

Your Cost: $46.52/claim|Median: $14.92
3.1× median
76830Top 1%

Ultrasound, transvaginal

$801K

3K claims · 0.6%

Your Cost: $278.29/claim|Median: $57.47
4.8× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$785K

1K claims · 0.6%

Your Cost: $618.59/claim|Median: $106.14
5.8× median
OP250Top 10%

Orthotic or prosthetic procedure, not otherwise classified

$753K

39K claims · 0.6%

Your Cost: $19.06/claim|Median: $1.68
11.3× median
70450Top 25%

CT head/brain without contrast

$749K

6K claims · 0.6%

Your Cost: $120.75/claim|Median: $45.53
2.6× median
OP379Normal range

$689K

12K claims · 0.5%

Your Cost: $55.50/claim|Median: $44.23
1.3× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$658K

4K claims · 0.5%

Your Cost: $173.40/claim|Median: $75.28
2.3× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$640K

6K claims · 0.5%

Your Cost: $111.65/claim|Median: $36.79
3.0× median
93970Top 1%

Duplex scan of extremity veins, complete, bilateral

$610K

2K claims · 0.5%

Your Cost: $404.23/claim|Median: $43.07
9.4× median
C9803Top 25%

$593K

25K claims · 0.4%

Your Cost: $23.51/claim|Median: $13.20
1.8× median
71046Top 10%

Chest X-ray, 2 views

$589K

14K claims · 0.4%

Your Cost: $42.64/claim|Median: $8.92
4.8× median
70551Top 1%

MRI brain without contrast

$578K

707 claims · 0.4%

Your Cost: $817.56/claim|Median: $85.39
9.6× median

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