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Henry Ford Health St. John Hospital

Clinic/Center, Ambulatory Surgical·Chicago, IL·NPI: 1023088168Share

Compared to Clinic/Center, Ambulatory Surgical Peers

Total spending distribution among 9 providers in this specialty

P25MedianP75P90

This provider's total spending of $159.4M is at the 75th percentile among 9 Clinic/Center, Ambulatory Surgical providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$159.4M

$159,405,513

Total Claims

6.9M

Beneficiaries

6.4M

1.1 claims/patient

Avg Cost/Claim

$23

#655 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Henry Ford Health St. John Hospital is a Clinic/Center, Ambulatory Surgical provider based in Chicago, IL. From the 2018–2024 period, this provider received $159.4M in Medicaid payments across 6.9M claims.

Why This Matters

This provider received $159.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,925 Medicaid beneficiaries for a full year at average per-enrollee costs.

18% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.7M
+11%
2019
$21.9M
-4%
2020
$20.9M
+26%
2021
$26.5M
+9%
2022
$28.9M
-12%
2023
$25.4M
-37%
2024
$16.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 16% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$25.2M

61K claims · 15.8%

Your Cost: $413.89/claim|Median: $85.65
4.8× median
99284Top 10%

Emergency dept visit, high complexity

$13.9M

81K claims · 8.7%

Your Cost: $170.66/claim|Median: $69.51
2.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$13.7M

103K claims · 8.6%

Your Cost: $133.53/claim|Median: $42.48
3.1× median
G0463Normal range

Hospital outpatient clinic visit

$11.4M

215K claims · 7.2%

Your Cost: $53.03/claim|Median: $26.41
2.0× median
G0378Top 25%

Hospital observation service, per hour

$8.2M

28K claims · 5.2%

Your Cost: $290.92/claim|Median: $99.39
2.9× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$4.9M

861 claims · 3.1%

Your Cost: $5,666.57/claim|Median: $5,391.55
1.1× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$3.9M

52K claims · 2.5%

Your Cost: $75.23/claim|Median: $21.76
3.5× median
99282Top 25%

Emergency dept visit, low complexity

$2.8M

29K claims · 1.7%

Your Cost: $95.18/claim|Median: $37.72
2.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$2.5M

141K claims · 1.6%

Your Cost: $17.72/claim|Median: $23.39
0.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$2.5M

141K claims · 1.6%

Your Cost: $17.60/claim|Median: $24.95
0.7× median
80061Normal range

Lipid panel

$2.3M

197K claims · 1.4%

Your Cost: $11.46/claim|Median: $8.41
1.4× median
82306Normal range

Vitamin D, 25 hydroxy

$2.2M

134K claims · 1.4%

Your Cost: $16.75/claim|Median: $18.18
0.9× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$2.1M

13K claims · 1.3%

Your Cost: $162.81/claim|Median: $75.28
2.2× median
99291Top 5%

Critical care, first 30-74 minutes

$1.9M

4K claims · 1.2%

Your Cost: $547.19/claim|Median: $101.24
5.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$1.9M

199K claims · 1.2%

Your Cost: $9.72/claim|Median: $9.87
1.0× median
99281Normal range

Emergency dept visit, minimal complexity

$1.6M

26K claims · 1.0%

Your Cost: $64.29/claim|Median: $52.03
1.2× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$1.6M

100K claims · 1.0%

Your Cost: $15.54/claim|Median: $21.08
0.7× median
80053Normal range

Comprehensive metabolic panel

$1.4M

260K claims · 0.9%

Your Cost: $5.38/claim|Median: $7.24
0.7× median
96365Normal range

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

$1.4M

15K claims · 0.9%

Your Cost: $92.96/claim|Median: $54.77
1.7× median
71046Top 10%

Chest X-ray, 2 views

$1.2M

38K claims · 0.8%

Your Cost: $32.12/claim|Median: $8.92
3.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

22K claims · 0.8%

Your Cost: $55.27/claim|Median: $69.35
0.8× median
96361Normal range

IV infusion, hydration, each additional hour

$1.2M

33K claims · 0.8%

Your Cost: $36.17/claim|Median: $38.92
0.9× median
82947Top 5%

$1.2M

63K claims · 0.7%

Your Cost: $18.72/claim|Median: $2.38
7.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$1.2M

384K claims · 0.7%

Your Cost: $3.04/claim|Median: $4.71
0.6× median
96360Normal range

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

$1.1M

12K claims · 0.7%

Your Cost: $91.49/claim|Median: $61.57
1.5× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$997K

6K claims · 0.6%

Your Cost: $173.70/claim|Median: $54.68
3.2× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$971K

10K claims · 0.6%

Your Cost: $97.29/claim|Median: $79.28
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$948K

44K claims · 0.6%

Your Cost: $21.50/claim|Median: $9.56
2.3× median
70450Normal range

CT head/brain without contrast

$947K

13K claims · 0.6%

Your Cost: $71.05/claim|Median: $45.53
1.6× median
87390Normal range

$937K

71K claims · 0.6%

Your Cost: $13.26/claim|Median: $10.65
1.3× median