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PROSPECT CHARTERCARE RWMC, LLC

General Acute Care Hospital·PROVIDENCE, RI·NPI: 1013332014Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $57.1M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$57.1M

$57,095,877

Total Claims

382K

Beneficiaries

278K

1.4 claims/patient

Avg Cost/Claim

$149

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+73%
2019
$10.6M
-40%
2020
$6.4M
-4%
2021
$6.1M
+36%
2022
$8.3M
+38%
2023
$11.5M
-29%
2024
$8.1M

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 7% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$4.3M

11K claims · 7.4%

Your Cost: $397.84/claim|Median: $85.65
4.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$3.4M

31K claims · 6.0%

Your Cost: $111.06/claim|Median: $4.71
23.6× median
36415Top 1%

Collection of venous blood by venipuncture

$3.0M

25K claims · 5.2%

Your Cost: $116.64/claim|Median: $1.57
74.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$2.9M

13K claims · 5.1%

Your Cost: $231.64/claim|Median: $42.48
5.5× median
80307Top 1%

Drug test, presumptive, by chemistry analyzers

$2.6M

9,156 claims · 4.6%

Your Cost: $284.33/claim|Median: $35.43
8.0× median
80048Top 1%

Basic metabolic panel

$2.4M

17K claims · 4.2%

Your Cost: $142.11/claim|Median: $5.78
24.6× median
99284Top 5%

Emergency dept visit, high complexity

$2.1M

8,499 claims · 3.8%

Your Cost: $252.68/claim|Median: $69.51
3.6× median
96375Top 1%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.6M

5,861 claims · 2.9%

Your Cost: $280.74/claim|Median: $14.92
18.8× median
G0480Top 1%

Drug test, definitive, 1-7 drug classes

$1.5M

5,438 claims · 2.6%

Your Cost: $272.62/claim|Median: $37.56
7.3× median
96413Top 1%

Chemotherapy administration, IV infusion, up to 1 hour

$1.4M

2,850 claims · 2.5%

Your Cost: $504.78/claim|Median: $75.28
6.7× median
80076Top 1%

Hepatic function panel

$1.2M

7,777 claims · 2.1%

Your Cost: $151.78/claim|Median: $4.59
33.1× median
83735Top 1%

Magnesium blood level test

$1.1M

6,844 claims · 2.0%

Your Cost: $166.27/claim|Median: $2.77
60.0× median
80053Top 5%

Comprehensive metabolic panel

$1.1M

16K claims · 1.9%

Your Cost: $70.23/claim|Median: $7.24
9.7× median
J1644Top 1%

$1.1M

3,085 claims · 1.9%

Your Cost: $353.90/claim|Median: $0.37
956.5× median
96374Top 1%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.0M

5,541 claims · 1.8%

Your Cost: $185.53/claim|Median: $21.76
8.5× median
84100Top 5%

$969K

6,203 claims · 1.7%

Your Cost: $156.29/claim|Median: $1.34
116.6× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$943K

5,057 claims · 1.7%

Your Cost: $186.50/claim|Median: $9.56
19.5× median
81001Top 1%

Urinalysis, automated, with microscopy

$942K

8,984 claims · 1.7%

Your Cost: $104.89/claim|Median: $2.03
51.7× median
96365Top 5%

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

$855K

4,092 claims · 1.5%

Your Cost: $208.98/claim|Median: $54.77
3.8× median
93005Top 1%

Electrocardiogram, tracing only, without interpretation

$823K

6,527 claims · 1.4%

Your Cost: $126.06/claim|Median: $7.50
16.8× median
43239Top 10%

Upper GI endoscopy with biopsy

$821K

1,706 claims · 1.4%

Your Cost: $481.12/claim|Median: $151.68
3.2× median
J1100Top 1%

$782K

2,023 claims · 1.4%

Your Cost: $386.32/claim|Median: $0.52
742.9× median
84484Top 1%

Troponin, quantitative

$745K

4,990 claims · 1.3%

Your Cost: $149.36/claim|Median: $4.84
30.9× median
83690Top 1%

$690K

4,325 claims · 1.2%

Your Cost: $159.61/claim|Median: $3.35
47.6× median
Q9967Top 1%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$681K

2,407 claims · 1.2%

Your Cost: $283.12/claim|Median: $3.42
82.8× median
J2405Top 1%

Injection, ondansetron HCl, per one milligram

$666K

2,607 claims · 1.2%

Your Cost: $255.48/claim|Median: $0.58
440.5× median
G0378Top 25%

Hospital observation service, per hour

$662K

1,635 claims · 1.2%

Your Cost: $404.78/claim|Median: $99.39
4.1× median
0241UTop 5%

Proprietary lab analysis, genomic sequencing

$639K

3,044 claims · 1.1%

Your Cost: $209.82/claim|Median: $91.47
2.3× median
82962Top 1%

Blood glucose test by monitoring device

$628K

3,238 claims · 1.1%

Your Cost: $193.95/claim|Median: $1.40
138.5× median
85610Top 1%

Prothrombin time (PT) blood clotting test

$616K

5,546 claims · 1.1%

Your Cost: $111.08/claim|Median: $2.14
51.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$598K

2,348 claims · 1.0%

Your Cost: $254.48/claim|Median: $65.76
3.9× median
G0463Top 5%

Hospital outpatient clinic visit

$580K

4,216 claims · 1.0%

Your Cost: $137.52/claim|Median: $26.41
5.2× median
J1885Top 1%

Injection, ketorolac tromethamine, fifteen milligrams

$462K

2,094 claims · 0.8%

Your Cost: $220.84/claim|Median: $0.91
242.7× median
H0035Top 1%

Mental health partial hospitalization, treatment, per hour

$432K

122 claims · 0.8%

Your Cost: $3,541.75/claim|Median: $148.53
23.8× median
71046Top 5%

Chest X-ray, 2 views

$408K

3,804 claims · 0.7%

Your Cost: $107.24/claim|Median: $8.92
12.0× median
99282Top 10%

Emergency dept visit, low complexity

$393K

2,165 claims · 0.7%

Your Cost: $181.51/claim|Median: $37.72
4.8× median
J3490Top 25%

Unclassified drugs

$392K

5,880 claims · 0.7%

Your Cost: $66.74/claim|Median: $5.70
11.7× median
70450Top 10%

CT head/brain without contrast

$379K

2,066 claims · 0.7%

Your Cost: $183.34/claim|Median: $45.53
4.0× median
71045Top 1%

Chest X-ray, single view

$369K

1,840 claims · 0.6%

Your Cost: $200.72/claim|Median: $4.93
40.7× median
87081Top 1%

Culture screening for pathogenic organisms

$357K

1,802 claims · 0.6%

Your Cost: $198.18/claim|Median: $5.09
38.9× median
99214Top 25%

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

$356K

4,292 claims · 0.6%

Your Cost: $82.86/claim|Median: $53.41
1.6× median
95806Top 5%

$353K

496 claims · 0.6%

Your Cost: $711.35/claim|Median: $64.51
11.0× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$340K

6,508 claims · 0.6%

Your Cost: $52.28/claim|Median: $9.87
5.3× median
87086Top 1%

Urine culture, colony count, with identification

$304K

3,826 claims · 0.5%

Your Cost: $79.54/claim|Median: $5.31
15.0× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$301K

2,338 claims · 0.5%

Your Cost: $128.72/claim|Median: $35.80
3.6× median
80061Top 5%

Lipid panel

$288K

6,094 claims · 0.5%

Your Cost: $47.33/claim|Median: $8.41
5.6× median
83036Top 1%

Hemoglobin A1c (glycated hemoglobin)

$284K

5,511 claims · 0.5%

Your Cost: $51.61/claim|Median: $5.50
9.4× median
J2250Top 1%

Injection, midazolam HCl, per one milligram

$281K

1,240 claims · 0.5%

Your Cost: $226.78/claim|Median: $0.32
708.7× median
J3010Top 1%

$275K

1,095 claims · 0.5%

Your Cost: $251.24/claim|Median: $0.55
456.8× median
83605Top 1%

$247K

1,331 claims · 0.4%

Your Cost: $185.41/claim|Median: $4.66
39.8× median

Other Top Providers in Rhode Island

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$249.2M

The Fogarty Center

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$224.3M

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$182.9M

The Providence Center INC

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$170.8M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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