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UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC

General Acute Care Hospital·LEOMINSTER, MA·NPI: 1013995133Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $82.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$82.6M

$82,601,425

Total Claims

2.0M

Beneficiaries

1.7M

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$13.3M
-14%
2019
$11.4M
-20%
2020
$9.1M
+20%
2021
$10.9M
+11%
2022
$12.1M
+9%
2023
$13.2M
-4%
2024
$12.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 11% of total spending.

99213Top 1%

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

$9.2M

53K claims · 11.1%

Your Cost: $173.48/claim|Median: $37.81
4.6× median
96361Top 5%

IV infusion, hydration, each additional hour

$8.5M

24K claims · 10.3%

Your Cost: $354.58/claim|Median: $38.92
9.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$8.0M

47K claims · 9.6%

Your Cost: $170.15/claim|Median: $85.65
2.0× median
99283Top 10%

Emergency dept visit, moderate complexity

$7.3M

47K claims · 8.9%

Your Cost: $156.12/claim|Median: $42.48
3.7× median
99284Top 25%

Emergency dept visit, high complexity

$6.3M

41K claims · 7.7%

Your Cost: $153.63/claim|Median: $69.51
2.2× median
99214Top 5%

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

$3.3M

21K claims · 4.0%

Your Cost: $162.31/claim|Median: $53.41
3.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$3.3M

52K claims · 4.0%

Your Cost: $63.73/claim|Median: $24.49
2.6× median
99212Top 5%

Office/outpatient visit, low complexity

$2.5M

16K claims · 3.1%

Your Cost: $154.01/claim|Median: $25.06
6.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$2.1M

19K claims · 2.5%

Your Cost: $111.80/claim|Median: $100.62
1.1× median
99282Top 10%

Emergency dept visit, low complexity

$1.9M

13K claims · 2.4%

Your Cost: $154.27/claim|Median: $37.72
4.1× median
74177Normal range

CT abdomen and pelvis with contrast

$1.9M

13K claims · 2.3%

Your Cost: $150.46/claim|Median: $65.76
2.3× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$1.6M

24K claims · 2.0%

Your Cost: $69.59/claim|Median: $60.05
1.2× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$1.3M

9,863 claims · 1.5%

Your Cost: $127.35/claim|Median: $61.57
2.1× median
70450Top 25%

CT head/brain without contrast

$1.2M

9,794 claims · 1.4%

Your Cost: $120.82/claim|Median: $45.53
2.7× median
S9485Normal range

Crisis intervention mental health services, per diem

$1.2M

2,603 claims · 1.4%

Your Cost: $454.25/claim|Median: $501.33
0.9× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$1.1M

4,572 claims · 1.4%

Your Cost: $247.75/claim|Median: $75.28
3.3× median
99211Top 5%

Office/outpatient visit, minimal complexity

$1.0M

6,187 claims · 1.2%

Your Cost: $163.66/claim|Median: $12.93
12.7× median
96365Top 25%

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

$893K

8,052 claims · 1.1%

Your Cost: $110.96/claim|Median: $54.77
2.0× median
G0463Normal range

Hospital outpatient clinic visit

$794K

33K claims · 1.0%

Your Cost: $24.24/claim|Median: $26.41
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$558K

12K claims · 0.7%

Your Cost: $48.03/claim|Median: $39.33
1.2× median
97161Top 25%

Physical therapy evaluation, low complexity

$542K

8,281 claims · 0.7%

Your Cost: $65.45/claim|Median: $47.89
1.4× median
20611Top 5%

Aspiration or injection of intermediate joint or bursa

$483K

1,347 claims · 0.6%

Your Cost: $358.83/claim|Median: $42.51
8.4× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$477K

8,658 claims · 0.6%

Your Cost: $55.06/claim|Median: $10.88
5.1× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$476K

2,891 claims · 0.6%

Your Cost: $164.50/claim|Median: $57.85
2.8× median
99291Top 25%

Critical care, first 30-74 minutes

$462K

2,695 claims · 0.6%

Your Cost: $171.31/claim|Median: $101.24
1.7× median
71260Normal range

CT chest with contrast

$450K

4,934 claims · 0.5%

Your Cost: $91.15/claim|Median: $48.36
1.9× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$449K

2,314 claims · 0.5%

Your Cost: $194.24/claim|Median: $40.12
4.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$416K

97K claims · 0.5%

Your Cost: $4.28/claim|Median: $4.71
0.9× median
71046Normal range

Chest X-ray, 2 views

$410K

26K claims · 0.5%

Your Cost: $15.66/claim|Median: $8.92
1.8× median
G0378Normal range

Hospital observation service, per hour

$392K

6,745 claims · 0.5%

Your Cost: $58.06/claim|Median: $99.39
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$381K

12K claims · 0.5%

Your Cost: $31.69/claim|Median: $35.43
0.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$373K

7,158 claims · 0.5%

Your Cost: $52.15/claim|Median: $63.08
0.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$354K

11K claims · 0.4%

Your Cost: $31.27/claim|Median: $16.79
1.9× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$336K

4,992 claims · 0.4%

Your Cost: $67.29/claim|Median: $21.41
3.1× median
59025Top 5%

Fetal non-stress test

$330K

1,332 claims · 0.4%

Your Cost: $247.42/claim|Median: $26.45
9.4× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$327K

18K claims · 0.4%

Your Cost: $18.04/claim|Median: $15.76
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$318K

11K claims · 0.4%

Your Cost: $27.71/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$314K

11K claims · 0.4%

Your Cost: $27.35/claim|Median: $23.39
1.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$286K

16K claims · 0.3%

Your Cost: $17.57/claim|Median: $17.15
1.0× median
76856Top 25%

Ultrasound, pelvic, complete

$264K

2,299 claims · 0.3%

Your Cost: $114.84/claim|Median: $47.58
2.4× median
76830Top 25%

Ultrasound, transvaginal

$255K

2,581 claims · 0.3%

Your Cost: $98.97/claim|Median: $57.47
1.7× median
12001Top 25%

$249K

1,141 claims · 0.3%

Your Cost: $217.88/claim|Median: $64.99
3.4× median
92507Top 5%

Speech/hearing/language treatment

$245K

2,002 claims · 0.3%

Your Cost: $122.30/claim|Median: $49.45
2.5× median
76700Top 10%

Ultrasound, abdominal, complete

$239K

1,556 claims · 0.3%

Your Cost: $153.86/claim|Median: $50.69
3.0× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$238K

1,421 claims · 0.3%

Your Cost: $167.80/claim|Median: $84.03
2.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$217K

1,673 claims · 0.3%

Your Cost: $129.91/claim|Median: $60.19
2.2× median
93971Top 5%

Duplex scan of extremity veins, unilateral or limited

$208K

1,138 claims · 0.3%

Your Cost: $182.95/claim|Median: $25.43
7.2× median
76705Top 25%

Ultrasound, abdominal, limited

$207K

2,465 claims · 0.3%

Your Cost: $83.81/claim|Median: $23.81
3.5× median
76642Top 25%

$201K

2,492 claims · 0.2%

Your Cost: $80.68/claim|Median: $32.06
2.5× median
45378Top 5%

Colonoscopy, diagnostic

$197K

179 claims · 0.2%

Your Cost: $1,101.27/claim|Median: $225.49
4.9× median

Other Top Providers in Massachusetts

View all →

Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

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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