Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.

General Acute Care Hospital·WILLIMANTIC, CT·NPI: 1023191467Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $69.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$69.6M

$69,606,241

Total Claims

1.3M

Beneficiaries

939K

1.4 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$8.4M
+9%
2019
$9.2M
-14%
2020
$7.9M
+38%
2021
$11.0M
+2%
2022
$11.2M
+2%
2023
$11.5M
-10%
2024
$10.3M

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 24% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$16.4M

30K claims · 23.6%

Your Cost: $541.83/claim|Median: $85.65
6.3× median
99284Top 5%

Emergency dept visit, high complexity

$13.7M

46K claims · 19.7%

Your Cost: $296.74/claim|Median: $69.51
4.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$8.5M

40K claims · 12.2%

Your Cost: $214.12/claim|Median: $42.48
5.0× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$3.3M

22K claims · 4.8%

Your Cost: $149.42/claim|Median: $21.76
6.9× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.4M

56K claims · 3.5%

Your Cost: $43.18/claim|Median: $24.49
1.8× median
45380Top 5%

Colonoscopy with biopsy

$1.9M

2,448 claims · 2.7%

Your Cost: $757.82/claim|Median: $200.68
3.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.6M

8,457 claims · 2.4%

Your Cost: $194.65/claim|Median: $65.76
3.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.1M

2,805 claims · 1.6%

Your Cost: $401.86/claim|Median: $151.68
2.6× median
96361Normal range

IV infusion, hydration, each additional hour

$969K

20K claims · 1.4%

Your Cost: $49.21/claim|Median: $38.92
1.3× median
U0004Normal range

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

$949K

14K claims · 1.4%

Your Cost: $66.76/claim|Median: $60.05
1.1× median
G0463Top 25%

Hospital outpatient clinic visit

$847K

11K claims · 1.2%

Your Cost: $78.44/claim|Median: $26.41
3.0× median
96360Top 25%

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

$814K

5,955 claims · 1.2%

Your Cost: $136.76/claim|Median: $61.57
2.2× median
71046Top 5%

Chest X-ray, 2 views

$789K

14K claims · 1.1%

Your Cost: $56.34/claim|Median: $8.92
6.3× median
97010Top 10%

Hot/cold packs application

$749K

24K claims · 1.1%

Your Cost: $31.48/claim|Median: $4.47
7.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$699K

15K claims · 1.0%

Your Cost: $45.39/claim|Median: $14.92
3.0× median
96365Top 25%

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

$663K

5,355 claims · 1.0%

Your Cost: $123.88/claim|Median: $54.77
2.3× median
99282Top 25%

Emergency dept visit, low complexity

$660K

5,342 claims · 0.9%

Your Cost: $123.46/claim|Median: $37.72
3.3× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$632K

2,831 claims · 0.9%

Your Cost: $223.09/claim|Median: $54.68
4.1× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$623K

1,361 claims · 0.9%

Your Cost: $457.55/claim|Median: $106.14
4.3× median
71045Top 5%

Chest X-ray, single view

$557K

10K claims · 0.8%

Your Cost: $54.28/claim|Median: $4.93
11.0× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$537K

743 claims · 0.8%

Your Cost: $722.63/claim|Median: $233.73
3.1× median
99291Top 5%

Critical care, first 30-74 minutes

$493K

919 claims · 0.7%

Your Cost: $536.19/claim|Median: $101.24
5.3× median
77067Top 10%

Screening mammography, bilateral, including CAD

$481K

4,405 claims · 0.7%

Your Cost: $109.20/claim|Median: $39.33
2.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$466K

3,297 claims · 0.7%

Your Cost: $141.45/claim|Median: $60.19
2.4× median
70450Normal range

CT head/brain without contrast

$456K

7,735 claims · 0.7%

Your Cost: $58.93/claim|Median: $45.53
1.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$417K

5,119 claims · 0.6%

Your Cost: $81.38/claim|Median: $63.08
1.3× median
72125Top 10%

CT cervical spine without contrast

$396K

2,658 claims · 0.6%

Your Cost: $149.09/claim|Median: $32.30
4.6× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$389K

1,115 claims · 0.6%

Your Cost: $349.20/claim|Median: $111.02
3.1× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$343K

734 claims · 0.5%

Your Cost: $467.43/claim|Median: $255.17
1.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$336K

3,311 claims · 0.5%

Your Cost: $101.59/claim|Median: $100.62
1.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$318K

2,947 claims · 0.5%

Your Cost: $107.75/claim|Median: $91.47
1.2× median
76705Top 10%

Ultrasound, abdominal, limited

$314K

3,415 claims · 0.5%

Your Cost: $91.93/claim|Median: $23.81
3.9× median
97035Top 10%

Ultrasound therapy

$280K

6,853 claims · 0.4%

Your Cost: $40.82/claim|Median: $7.31
5.6× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$264K

1,597 claims · 0.4%

Your Cost: $165.24/claim|Median: $75.28
2.2× median
97161Normal range

Physical therapy evaluation, low complexity

$263K

5,080 claims · 0.4%

Your Cost: $51.87/claim|Median: $47.89
1.1× median
71260Top 25%

CT chest with contrast

$254K

1,852 claims · 0.4%

Your Cost: $136.91/claim|Median: $48.36
2.8× median
76856Top 25%

Ultrasound, pelvic, complete

$239K

2,558 claims · 0.3%

Your Cost: $93.62/claim|Median: $47.58
2.0× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$236K

1,660 claims · 0.3%

Your Cost: $141.91/claim|Median: $36.13
3.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$232K

11K claims · 0.3%

Your Cost: $21.39/claim|Median: $15.76
1.4× median
94060Top 5%

$225K

1,551 claims · 0.3%

Your Cost: $144.91/claim|Median: $25.18
5.8× median
76830Top 25%

Ultrasound, transvaginal

$222K

2,193 claims · 0.3%

Your Cost: $101.14/claim|Median: $57.47
1.8× median
72148Normal range

MRI lumbar spine without contrast

$156K

1,193 claims · 0.2%

Your Cost: $130.53/claim|Median: $101.03
1.3× median
77065Top 10%

$145K

1,346 claims · 0.2%

Your Cost: $107.87/claim|Median: $35.39
3.0× median
77066Top 25%

$135K

1,161 claims · 0.2%

Your Cost: $116.51/claim|Median: $43.94
2.7× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$132K

12K claims · 0.2%

Your Cost: $11.33/claim|Median: $20.04
0.6× median
76642Top 25%

$129K

2,077 claims · 0.2%

Your Cost: $62.13/claim|Median: $32.06
1.9× median
71275Normal range

CT angiography, chest, with contrast

$125K

1,038 claims · 0.2%

Your Cost: $120.02/claim|Median: $92.96
1.3× median
90791Normal range

Psychiatric diagnostic evaluation

$122K

3,430 claims · 0.2%

Your Cost: $35.49/claim|Median: $99.21
0.4× median
76700Top 25%

Ultrasound, abdominal, complete

$115K

1,227 claims · 0.2%

Your Cost: $93.86/claim|Median: $50.69
1.9× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$113K

1,750 claims · 0.2%

Your Cost: $64.29/claim|Median: $25.43
2.5× median

Other Top Providers in Connecticut

View all →

Yale New Haven Hospital

General Acute Care Hospital

$1.08B

Community Health Center INC

Counselor, Addiction (Substance Use Disorder)

$533.3M

New England Home Care Inc.

Home Health

$400.1M

Hartford Hospital

General Acute Care Hospital

$316.3M

Cornell Scott Hill Health Corporation

Psychiatry & Neurology, Child & Adolescent Psychia

$294.2M

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

← All providersAll providers in Connecticut →How we detect fraud →