Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Hmh Hospitals Corporation

General Acute Care Hospital·Neptune, NJ·NPI: 1790297547Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $128.2M is at the 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-022024-12(83 months)
Sharp billing drop in final month

Total Paid

$128.2M

$128,230,742

Total Claims

1.9M

Beneficiaries

1.5M

1.3 claims/patient

Avg Cost/Claim

$66

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

🔍 Analysis

Provider Overview

Hmh Hospitals Corporation is a General Acute Care Hospital provider based in Neptune, NJ. From the 2018–2024 period, this provider received $128.2M in Medicaid payments across 1.9M claims.

Why This Matters

This provider received $128.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,028 Medicaid beneficiaries for a full year at average per-enrollee costs.

179% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$7.7M
+169%
2019
$20.8M
-29%
2020
$14.8M
+31%
2021
$19.4M
+8%
2022
$21.0M
+10%
2023
$23.0M
-6%
2024
$21.5M

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 13% of total spending.

G0378Top 5%

Hospital observation service, per hour

$16.7M

15K claims · 13.0%

Your Cost: $1,096.86/claim|Median: $99.39
11.0× median
99284Top 5%

Emergency dept visit, high complexity

$16.6M

46K claims · 12.9%

Your Cost: $359.95/claim|Median: $69.51
5.2× median
99283Top 5%

Emergency dept visit, moderate complexity

$15.7M

52K claims · 12.2%

Your Cost: $300.76/claim|Median: $42.48
7.1× median
99282Top 5%

Emergency dept visit, low complexity

$4.5M

23K claims · 3.5%

Your Cost: $189.59/claim|Median: $37.72
5.0× median
96413Top 1%

Chemotherapy administration, IV infusion, up to 1 hour

$4.1M

5K claims · 3.2%

Your Cost: $845.06/claim|Median: $75.28
11.2× median
S9480Top 5%

Intensive outpatient psychiatric services, per diem

$4.1M

5K claims · 3.2%

Your Cost: $817.58/claim|Median: $135.70
6.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$3.9M

16K claims · 3.0%

Your Cost: $240.37/claim|Median: $85.65
2.8× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$3.5M

4K claims · 2.7%

Your Cost: $881.57/claim|Median: $763.43
1.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$3.4M

48K claims · 2.7%

Your Cost: $71.32/claim|Median: $24.49
2.9× median
H0035Top 25%

Mental health partial hospitalization, treatment, per hour

$3.0M

10K claims · 2.3%

Your Cost: $286.56/claim|Median: $148.53
1.9× median
99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$2.1M

12K claims · 1.6%

Your Cost: $167.65/claim|Median: $37.81
4.4× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$1.9M

2K claims · 1.5%

Your Cost: $863.23/claim|Median: $54.68
15.8× median
OP370Normal range

$1.8M

17K claims · 1.4%

Your Cost: $103.40/claim|Median: $82.47
1.3× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$1.7M

3K claims · 1.3%

Your Cost: $494.62/claim|Median: $36.13
13.7× median
OP710Normal range

$1.7M

17K claims · 1.3%

Your Cost: $98.98/claim|Median: $68.93
1.4× median
90832Top 10%

Psychotherapy, 30 minutes

$1.6M

16K claims · 1.2%

Your Cost: $98.07/claim|Median: $41.28
2.4× median
69436Top 10%

Tympanostomy, general anesthesia

$1.5M

1K claims · 1.2%

Your Cost: $1,226.72/claim|Median: $205.50
6.0× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.4M

16K claims · 1.1%

Your Cost: $89.07/claim|Median: $14.92
6.0× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$1.3M

24K claims · 1.0%

Your Cost: $54.39/claim|Median: $16.79
3.2× median
92507Top 10%

Speech/hearing/language treatment

$1.2M

14K claims · 0.9%

Your Cost: $88.21/claim|Median: $49.45
1.8× median
G0330Top 25%

$1.1M

526 claims · 0.9%

Your Cost: $2,169.12/claim|Median: $1,205.70
1.8× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$985K

4K claims · 0.8%

Your Cost: $241.84/claim|Median: $53.41
4.5× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$969K

11K claims · 0.8%

Your Cost: $90.41/claim|Median: $54.77
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$860K

8K claims · 0.7%

Your Cost: $114.06/claim|Median: $65.76
1.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$860K

34K claims · 0.7%

Your Cost: $25.00/claim|Median: $7.50
3.3× median
70553Top 10%

MRI brain without contrast, then with contrast

$828K

2K claims · 0.6%

Your Cost: $486.46/claim|Median: $133.68
3.6× median
OP278Top 25%

$822K

1K claims · 0.6%

Your Cost: $777.59/claim|Median: $379.52
2.0× median
43239Top 5%

Upper GI endoscopy with biopsy

$815K

1K claims · 0.6%

Your Cost: $806.03/claim|Median: $151.68
5.3× median
76819Top 25%

Fetal biophysical profile with non-stress test

$795K

9K claims · 0.6%

Your Cost: $87.26/claim|Median: $49.45
1.8× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$770K

605 claims · 0.6%

Your Cost: $1,272.48/claim|Median: $123.40
10.3× median