Oatmeal Healthoatmealhealth.com · public-data estimate, October 2026

RWJBarnabas Health

Lung screening gap across 11 counties in New Jersey

190,000to390,000adults in its service area qualify for lung cancer screening and are not being screened

About 4,100 people here are diagnosed with lung cancer each year, and 64% are found at a late stage, when it is hardest to treat.

Explore the screening network
NYCTDENJPA
11 counties14 acute care hospitalsService area
240,000 to 500,000adults likely qualify under USPSTF 2021 criteria (estimate)
2,100lung cancer deaths a year in these counties, 2020 to 2024
22.3%of eligible adults screened in the state, vs 18.2% nationally

Estimates from public data only; no patient information. Sources and method below.

Where the eligible adults live

The counties where most of RWJBarnabas Health's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.

Adults likely eligible, per neighborhood

0+170+240+290+330+390+460+

Acute care hospital in this system

Counties in the service area

CountyAdults likely eligibleLung cancer deaths per 100kMedicare screens billed locally, 2024
Bergen County28,500 to 74,40020.7908
Middlesex County28,200 to 60,20022.41,452
Essex County32,500 to 55,20019.1402
Monmouth County23,500 to 51,20026.2218
Ocean County31,300 to 47,80032.2426
Hudson County19,700 to 47,00019.9121
Union County21,000 to 41,20018.8349
Morris County15,500 to 39,50020.6623
Burlington County18,100 to 34,50027.6671
Mercer County13,100 to 26,70022.9458
Somerset County10,200 to 25,70020.0None billed locally

1 of the 11 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.

What closing the gap would mean

If screening in these counties rose from 22.3% to 27.3%, five points above today, about 12,100 to 25,200 more people would be screened each year.

In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 64% of lung cancers here are found at a late stage.

Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.

Each year in these counties

4,100new lung cancers
2,600found at a late stage
2,100lung cancer deaths

NCI and CDC State Cancer Profiles, annual averages.

Screening at RWJBarnabas Health today

Clinicians at RWJBarnabas Health locations billed 275 low-dose CT lung screening reads to Medicare fee-for-service in 2024. Including Medicare Advantage and other insurers, we estimate about 470 to 1,400 screenings a year.

Most adults who qualify see a primary care clinician every year. We count 1,994 primary care clinicians, 66 pulmonologists and 32 thoracic surgeons practicing at RWJBarnabas Health locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.

CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to RWJBarnabas Health by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (41%, CMS) and, at the high end, by the share of eligible adults under 65 (66%).

14 acute care hospitals

  • Robert Wood Johnson University HospitalNew Brunswick, NJ
  • Cooperman Barnabas Medical CenterLivingston, NJ
  • Community Medical CenterToms River, NJ
  • Newark Beth Israel Medical CenterNewark, NJ
  • Robert Wood Johnson University Hospital SomersetSomerville, NJ
  • Jersey City Medical CenterJersey City, NJ
  • Clara Maass Medical CenterBelleville, NJ
  • Monmouth Medical CenterLong Branch, NJ
  • Monmouth Medical Center-Southern CampusLakewood, NJ
  • Trinitas HospitalElizabeth, NJ
  • Robert Wood Johnson University Hospital HamiltonHamilton, NJ
  • Robert Wood Johnson University Hospital at RahwayRahway, NJ

And 2 more acute care hospitals.

Find them, reach them, give radiologists a second opinion

LungIQ Find

Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.

LungNAV Reach

An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.

LungAI Second opinion

Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.

LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.

How we estimate the gap

Modeled estimates from public data. They are not a count of RWJBarnabas Health patients and contain no patient information.

  • Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
  • Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
  • Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
  • Screening rate: American Lung Association, State of Lung Cancer 2025.
  • Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
  • Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.

LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.

See RWJBarnabas Health's own numbers

In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.