Kennedy University Hospital Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $545.21 per claim for 99284 (Emergency dept visit, high complexity), which is 7.8× the national median of $69.51.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 85 procedure codes: 99284 at 7.8× median, 99283 at 9.1× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $545.21 per claim for 99284 (Emergency dept visit, high complexity) — 7.8× the national median of $69.51.
Bills $386.32 per claim for 99283 (Emergency dept visit, moderate complexity) — 9.1× the national median of $42.48.
Bills $204.96 per claim for 99282 (Emergency dept visit, low complexity) — 5.4× the national median of $37.72.
Billing in the top 1% nationally for 4 procedure codes: 99284, 99283, 43239.
This is a statistical summary, not an accusation. See our methodology.
Compared to General Acute Care Hospital Peers
Total spending distribution among 156 providers in this specialty
This provider's total spending of $209.4M is at the 50th percentile among 156 General Acute Care Hospital providers.
Total Paid
$209.4M
$209,406,547
Total Claims
3.9M
Beneficiaries
2.9M
1.3 claims/patient
Avg Cost/Claim
$54
#422 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Kennedy University Hospital Inc. is a General Acute Care Hospital provider based in Stratford, NJ. From the 2018–2024 period, this provider received $209.4M in Medicaid payments across 3.9M claims.
Why This Matters
This provider received $209.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 26,175 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 32% of total spending.
$67.5M
124K claims
$545.21
$69.51
Emergency dept visit, high complexity
$67.5M
124K claims · 32.3%
$39.2M
102K claims
$386.32
$42.48
Emergency dept visit, moderate complexity
$39.2M
102K claims · 18.7%
$9.9M
34K claims
$294.00
$99.39
Hospital observation service, per hour
$9.9M
34K claims · 4.7%
Emergency dept visit, low complexity
$9.8M
48K claims · 4.7%
$8.7M
26K claims
$330.66
$85.65
Emergency dept visit, high/urgent complexity
$8.7M
26K claims · 4.2%
$3.3M
19K claims · 1.6%
Upper GI endoscopy with biopsy
$3.0M
3K claims · 1.4%
$1.9M
59K claims
$32.79
$14.92
Therapeutic/prophylactic/diagnostic IV push, each additional substance
$1.9M
59K claims · 0.9%
$1.9M
22K claims
$86.32
$65.76
CT abdomen and pelvis with contrast
$1.9M
22K claims · 0.9%
CT head/brain without contrast
$1.7M
27K claims · 0.8%
Group psychotherapy
$1.6M
23K claims · 0.7%
$1.6M
943 claims
$1,651.44
$233.73
Polysomnography, sleep study, 6+ hours
$1.6M
943 claims · 0.7%
$1.5M
68K claims
$22.54
$21.76
Therapeutic/prophylactic/diagnostic IV push, single substance
$1.5M
68K claims · 0.7%
$1.5M
7K claims
$208.26
$148.53
Mental health partial hospitalization, treatment, per hour
$1.5M
7K claims · 0.7%
$1.3M
37K claims
$34.65
$35.43
Drug test, presumptive, by chemistry analyzers
$1.3M
37K claims · 0.6%
$1.3M
41K claims
$31.18
$24.49
Therapeutic exercises, each 15 min
$1.3M
41K claims · 0.6%
$1.3M
7K claims
$178.54
$52.03
Emergency dept visit, minimal complexity
$1.3M
7K claims · 0.6%
$1.2M
55K claims · 0.6%
$1.1M
2K claims
$455.70
$106.79
Ultrasound, pregnant uterus, detailed, single fetus
$1.1M
2K claims · 0.5%
$1.0M
859 claims
$1,184.67
$123.40
Anchor or screw for tissue to bone fixation
$1.0M
859 claims · 0.5%
$999K
8K claims
$127.97
$79.28
Duplex scan of arterial inflow and venous outflow, complete
$999K
8K claims · 0.5%
$983K
22K claims
$44.24
$54.77
IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour
$983K
22K claims · 0.5%
Colonoscopy with biopsy
$974K
1K claims · 0.5%
$968K
14K claims · 0.5%
Chest X-ray, 2 views
$953K
40K claims · 0.5%
$911K
7K claims
$122.14
$39.33
Screening mammography, bilateral, including CAD
$911K
7K claims · 0.4%
$877K
2K claims
$483.47
$133.68
MRI brain without contrast, then with contrast
$877K
2K claims · 0.4%
$820K
532 claims
$1,541.34
$763.43
Unlisted procedure, dentoalveolar structures
$820K
532 claims · 0.4%
Fetal non-stress test
$804K
4K claims · 0.4%
Ultrasound, transvaginal
$795K
9K claims · 0.4%
Other Top Providers in New Jersey
View all →Similar Providers
Other top providers in General Acute Care Hospital