The Cooper Health System
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 111 procedure codes: 99285 at 5.6× median, 99284 at 4.2× 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:
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 $477.70 per claim for 99285 (Emergency dept visit, high/urgent complexity) — 5.6× the national median of $85.65.
Bills $290.85 per claim for 99284 (Emergency dept visit, high complexity) — 4.2× the national median of $69.51.
Bills $300.88 per claim for 99283 (Emergency dept visit, moderate complexity) — 7.1× the national median of $42.48.
Billing in the top 1% nationally for 7 procedure codes: OP250, 43239, 96375.
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 $354.0M is at the 75th percentile among 156 General Acute Care Hospital providers.
Total Paid
$354.0M
$354,034,396
Total Claims
4.6M
Beneficiaries
3.7M
1.3 claims/patient
Avg Cost/Claim
$77
#191 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
The Cooper Health System is a General Acute Care Hospital provider based in Camden, NJ. From the 2018–2024 period, this provider received $354.0M in Medicaid payments across 4.6M claims.
Why This Matters
This provider received $354.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 44,254 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 (99285 (Emergency dept visit, high/urgent complexity)) accounts for 10% of total spending.
$34.6M
72K claims
$477.70
$85.65
Emergency dept visit, high/urgent complexity
$34.6M
72K claims · 9.8%
$26.2M
90K claims
$290.85
$69.51
Emergency dept visit, high complexity
$26.2M
90K claims · 7.4%
$24.5M
81K claims
$300.88
$42.48
Emergency dept visit, moderate complexity
$24.5M
81K claims · 6.9%
$17.8M
3K claims
$5,559.55
$5,391.55
Injection, pembrolizumab, 1 mg
$17.8M
3K claims · 5.0%
$16.5M
317K claims
$52.17
$1.68
Orthotic or prosthetic procedure, not otherwise classified
$16.5M
317K claims · 4.7%
Upper GI endoscopy with biopsy
$16.4M
14K claims · 4.6%
$15.6M
40K claims
$385.91
$99.39
Hospital observation service, per hour
$15.6M
40K claims · 4.4%
$8.8M
46K claims
$193.53
$138.19
Ambulance, BLS emergency transport
$8.8M
46K claims · 2.5%
$7.8M
43K claims
$181.64
$14.92
Therapeutic/prophylactic/diagnostic IV push, each additional substance
$7.8M
43K claims · 2.2%
$6.9M
27K claims
$261.57
$75.28
Chemotherapy administration, IV infusion, up to 1 hour
$6.9M
27K claims · 2.0%
$6.6M
3K claims
$2,270.28
$233.73
Polysomnography, sleep study, 6+ hours
$6.6M
3K claims · 1.9%
$5.8M
6K claims · 1.7%
$5.3M
2K claims · 1.5%
Colonoscopy with biopsy
$5.1M
7K claims · 1.5%
$4.5M
4K claims
$1,176.70
$123.40
Anchor or screw for tissue to bone fixation
$4.5M
4K claims · 1.3%
$3.4M
8K claims
$456.57
$133.68
MRI brain without contrast, then with contrast
$3.4M
8K claims · 1.0%
Fetal non-stress test
$3.4M
11K claims · 1.0%
Colonoscopy, diagnostic
$3.1M
4K claims · 0.9%
$2.9M
13K claims
$216.67
$164.22
Ambulance, ALS emergency transport Level 1
$2.9M
13K claims · 0.8%
$2.9M
14K claims
$207.25
$260.56
Intensity modulated radiation treatment delivery, complex
$2.9M
14K claims · 0.8%
$2.5M
32K claims · 0.7%
$2.5M
67K claims
$37.51
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$2.5M
67K claims · 0.7%
$2.3M
2K claims · 0.7%
$2.3M
23K claims
$98.61
$39.33
Screening mammography, bilateral, including CAD
$2.3M
23K claims · 0.6%
$2.2M
1K claims
$1,819.87
$1,587.53
Injection, infliximab, excludes biosimilar, 10 mg
$2.2M
1K claims · 0.6%
$2.2M
459 claims
$4,880.08
$3,562.28
Nivolumab (Opdivo) injection, 1 mg
$2.2M
459 claims · 0.6%
$2.1M
1K claims · 0.6%
$2.1M
1K claims · 0.6%
$2.1M
905 claims
$2,316.18
$183.33
Left heart catheterization with imaging
$2.1M
905 claims · 0.6%
$2.1M
2K claims · 0.6%
Other Top Providers in New Jersey
View all →Similar Providers
Other top providers in General Acute Care Hospital