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STATE HEALTH BENEFITS PROGRAM (SHBP)
AND
SCHOOL EMPLOYEES' HEALTH BENEFITS PROGRAM (SEHBP)
NJ DIRECT MANAGED NETWORK SUMMARY
Horizon BCBSNJ Managed
Network Summary |
Type of Provider |
Number of Providers as of March 2009 |
Total NJ Providers |
23,321 |
Primary Care
Physicians (PCP) |
5,453 (23.4%) |
Specialists |
13,840 (59.3%) |
Ancillary Providers |
4,028 (17.3%) |
| NJ DIRECT National Network |
BlueCard PPO |
Number of Providers |
Primary Care Physicians |
243,706 |
Specialists |
400,713 |
Hospitals |
4,319 |
| NJ DIRECT Provider
Recruitment Summary |
| |
Horizon BCBSNJ continues to
manage the network to ensure appropriate access for our members, while providing
quality and affordable coverage to the State Health Benefits Program and New
Jersey School Employees’ Health Benefits Program participants. Almost 300
additional providers who are highly utilized by SHBP/SEHBP members have been
recruited into the NJ DIRECT network and are included in the summary numbers
above and that follow. |
|
|
Horizon BCBSNJ Managed Network (NJ)
Primary Care Physician Summary by County
March 2009 |
County |
Family
Practice |
Internal
Medicine |
Pediatricians |
Total PCPs |
REGION I |
Morris |
69 |
122 |
79 |
270 |
Passaic |
49 |
155 |
85 |
289 |
Sussex |
20 |
25 |
20 |
65 |
Warren |
31 |
34 |
13 |
78 |
Totals |
169 |
336 |
197 |
702 |
REGION II |
Bergen |
76 |
322 |
193 |
591 |
Hudson |
56 |
142 |
82 |
280 |
Totals |
132 |
464 |
275 |
871 |
REGION III |
Essex |
69 |
321 |
165 |
555 |
Union |
54 |
124 |
64 |
242 |
Totals |
123 |
445 |
229 |
797 |
REGION IV |
Hunterdon |
66 |
9 |
17 |
92 |
Mercer |
53 |
156 |
63 |
272 |
Middlesex |
113 |
284 |
159 |
556 |
Somerset |
86 |
66 |
56 |
208 |
Totals |
318 |
515 |
295 |
1128 |
REGION V |
Burlington |
135 |
82 |
66 |
283 |
Camden |
158 |
147 |
140 |
445 |
Cumberland |
32 |
31 |
23 |
86 |
Gloucester |
85 |
37 |
32 |
154 |
Salem |
28 |
17 |
3 |
48 |
Totals |
438 |
314 |
264 |
1016 |
REGION VI |
Atlantic |
54 |
66 |
45 |
165 |
Cape May |
32 |
13 |
8 |
53 |
Monmouth |
72 |
217 |
145 |
434 |
Ocean |
51 |
167 |
69 |
287 |
Totals |
209 |
463 |
267 |
939 |
Grand
Total |
1,389 |
2,537 |
1,527 |
5,453 |
Horizon BCBSNJ Managed Network (NJ)
Specialty Physician
Network by County
2009 |
County |
Specialists* by County |
REGION I |
Morris |
989 |
Passaic |
569 |
Sussex |
133 |
Warren |
146 |
Totals |
1837 |
REGION II |
Bergen |
1583 |
Hudson |
462 |
Totals |
2045 |
REGION III |
Essex |
1647 |
Union |
636 |
Totals |
2283 |
REGION IV |
Hunterdon |
166 |
Mercer |
736 |
Middlesex |
1311 |
Somerset |
445 |
Totals |
2658 |
REGION V |
Burlington |
703 |
Camden |
1399 |
Cumberland |
166 |
Gloucester |
235 |
Salem |
86 |
Totals |
2589 |
REGION VI |
Atlantic |
551 |
Cape May |
95 |
Monmouth |
1058 |
Ocean |
724 |
Totals |
2428 |
| |
|
Grand
Total |
13,840 |
| *Specialties include: Cardiology, Dermatology, Endocrinologist, Immunologist/Allergist, Infectious Disease, General Surgeon, Thoracic Surgeon,
Vascular Surgeon, Nephrologist, Neurologist, OB/Gyn, Gynecology,
Hematologist, Oncologist, Ophthalmologist, Orthopedic Surgeon, Oral Surgeon, Otolaryngologist,
Physiatrist, Pulmonologist, Urologist, Psychiatric Nurse, Psychiatry,
Psychology, Other MD/DO. |
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