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PROVIDENCE HEALTH & SERVICES - OREGON

General Acute Care Hospital·PORTLAND, OR·NPI: 1003991845Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.1M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$49.1M

$49,075,247

Total Claims

736K

Beneficiaries

602K

1.2 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$10.5M
-40%
2019
$6.3M
-2%
2020
$6.1M
-2%
2021
$6.0M
+11%
2022
$6.7M
+5%
2023
$7.0M
-8%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 32% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$15.8M

49K claims · 32.3%

Your Cost: $324.25/claim|Median: $85.65
3.8× median
99284Top 5%

Emergency dept visit, high complexity

$12.4M

48K claims · 25.4%

Your Cost: $261.44/claim|Median: $69.51
3.8× median
99283Top 10%

Emergency dept visit, moderate complexity

$7.2M

43K claims · 14.6%

Your Cost: $165.35/claim|Median: $42.48
3.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$2.9M

60K claims · 5.9%

Your Cost: $48.32/claim|Median: $63.08
0.8× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$2.3M

11K claims · 4.7%

Your Cost: $209.68/claim|Median: $135.70
1.5× median
G0463Top 25%

Hospital outpatient clinic visit

$1.9M

31K claims · 4.0%

Your Cost: $63.24/claim|Median: $26.41
2.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.4M

14K claims · 2.9%

Your Cost: $99.29/claim|Median: $21.76
4.6× median
90853Normal range

Group psychotherapy

$465K

12K claims · 0.9%

Your Cost: $37.49/claim|Median: $25.02
1.5× median
90834Top 25%

Psychotherapy, 45 minutes

$459K

5,011 claims · 0.9%

Your Cost: $91.69/claim|Median: $63.65
1.4× median
H0035Top 25%

Mental health partial hospitalization, treatment, per hour

$363K

1,525 claims · 0.7%

Your Cost: $238.34/claim|Median: $148.53
1.6× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$351K

4,927 claims · 0.7%

Your Cost: $71.33/claim|Median: $47.35
1.5× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$332K

4,477 claims · 0.7%

Your Cost: $74.10/claim|Median: $97.61
0.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$327K

34K claims · 0.7%

Your Cost: $9.69/claim|Median: $15.76
0.6× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$291K

1,730 claims · 0.6%

Your Cost: $168.13/claim|Median: $75.28
2.2× median
90791Normal range

Psychiatric diagnostic evaluation

$228K

2,460 claims · 0.5%

Your Cost: $92.80/claim|Median: $99.21
0.9× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$188K

1,471 claims · 0.4%

Your Cost: $128.10/claim|Median: $36.13
3.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$126K

3,898 claims · 0.3%

Your Cost: $32.27/claim|Median: $14.92
2.2× median
80053Normal range

Comprehensive metabolic panel

$122K

96K claims · 0.2%

Your Cost: $1.27/claim|Median: $7.24
0.2× median
71046Top 25%

Chest X-ray, 2 views

$119K

3,903 claims · 0.2%

Your Cost: $30.39/claim|Median: $8.92
3.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$112K

3,058 claims · 0.2%

Your Cost: $36.72/claim|Median: $35.80
1.0× median
11043Top 10%

$112K

439 claims · 0.2%

Your Cost: $253.99/claim|Median: $62.99
4.0× median
71045Top 5%

Chest X-ray, single view

$102K

2,261 claims · 0.2%

Your Cost: $45.25/claim|Median: $4.93
9.2× median
96361Normal range

IV infusion, hydration, each additional hour

$96K

3,885 claims · 0.2%

Your Cost: $24.83/claim|Median: $38.92
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$79K

2,332 claims · 0.2%

Your Cost: $34.05/claim|Median: $35.43
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$76K

107K claims · 0.2%

Your Cost: $0.71/claim|Median: $4.71
0.1× median
97110Normal range

Therapeutic exercises, each 15 min

$71K

2,322 claims · 0.1%

Your Cost: $30.48/claim|Median: $24.49
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$66K

3,806 claims · 0.1%

Your Cost: $17.34/claim|Median: $18.18
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$64K

37K claims · 0.1%

Your Cost: $1.72/claim|Median: $1.57
1.1× median
80061Normal range

Lipid panel

$62K

9,728 claims · 0.1%

Your Cost: $6.39/claim|Median: $8.41
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$62K

793 claims · 0.1%

Your Cost: $78.35/claim|Median: $54.68
1.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$58K

6,100 claims · 0.1%

Your Cost: $9.58/claim|Median: $9.87
1.0× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$55K

1,677 claims · 0.1%

Your Cost: $32.60/claim|Median: $74.63
0.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$53K

988 claims · 0.1%

Your Cost: $54.12/claim|Median: $37.56
1.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$46K

9,504 claims · 0.1%

Your Cost: $4.84/claim|Median: $5.50
0.9× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$36K

31 claims · 0.1%

Your Cost: $1,154.43/claim|Median: $1,587.53
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$32K

1,707 claims · 0.1%

Your Cost: $19.03/claim|Median: $23.39
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$32K

726 claims · 0.1%

Your Cost: $44.60/claim|Median: $41.28
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$30K

4,340 claims · 0.1%

Your Cost: $6.96/claim|Median: $5.60
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$29K

1,723 claims · 0.1%

Your Cost: $16.96/claim|Median: $24.95
0.7× median
88342Top 25%

$28K

563 claims · 0.1%

Your Cost: $49.41/claim|Median: $23.66
2.1× median
99282Top 25%

Emergency dept visit, low complexity

$20K

185 claims · 0.0%

Your Cost: $108.40/claim|Median: $37.72
2.9× median
43239Top 25%

Upper GI endoscopy with biopsy

$17K

40 claims · 0.0%

Your Cost: $436.57/claim|Median: $151.68
2.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$17K

65 claims · 0.0%

Your Cost: $261.03/claim|Median: $65.76
4.0× median
87522Normal range

$14K

539 claims · 0.0%

Your Cost: $26.88/claim|Median: $29.66
0.9× median
84439Normal range

Free thyroxine level blood test

$13K

2,066 claims · 0.0%

Your Cost: $6.20/claim|Median: $6.31
1.0× median
Q5104Normal range

$12K

12 claims · 0.0%

Your Cost: $1,026.52/claim|Median: $1,412.69
0.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$12K

27K claims · 0.0%

Your Cost: $0.43/claim|Median: $7.50
0.1× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$12K

57 claims · 0.0%

Your Cost: $202.90/claim|Median: $169.17
1.2× median
85027Normal range

Complete blood count (CBC), automated

$10K

3,116 claims · 0.0%

Your Cost: $3.32/claim|Median: $3.72
0.9× median
70450Normal range

CT head/brain without contrast

$9K

147 claims · 0.0%

Your Cost: $63.30/claim|Median: $45.53
1.4× median

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$961.1M

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