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

⚖️ Compare🖨️ Print Report

UPMC CHAUTAUQUA AT WCA

Hospitalist·JAMESTOWN, NY·NPI: 1033227111Share
Active Billing Period:2018-05→2024-11(79 months)

Total Paid

$38.8M

$38,766,334

Total Claims

916K

Beneficiaries

799K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+57%
2019
$4.7M
-2%
2020
$4.6M
+12%
2021
$5.2M
+110%
2022
$10.8M
-37%
2023
$6.8M
-46%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 10% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$4.0M

24K claims · 10.3%

Your Cost: $164.65/claim|Median: $42.48
3.9× median
99284Top 25%

Emergency dept visit, high complexity

$3.6M

27K claims · 9.4%

Your Cost: $135.38/claim|Median: $69.51
1.9× median
90832Top 5%

Psychotherapy, 30 minutes

$3.2M

25K claims · 8.3%

Your Cost: $129.10/claim|Median: $41.28
3.1× median
99213Top 10%

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

$2.2M

27K claims · 5.7%

Your Cost: $82.94/claim|Median: $37.81
2.2× median
90834Top 5%

Psychotherapy, 45 minutes

$1.6M

9,787 claims · 4.1%

Your Cost: $161.98/claim|Median: $63.65
2.5× median
36415Top 5%

Collection of venous blood by venipuncture

$1.5M

46K claims · 3.9%

Your Cost: $32.92/claim|Median: $1.57
21.0× median
70450Top 5%

CT head/brain without contrast

$1.4M

4,302 claims · 3.5%

Your Cost: $314.52/claim|Median: $45.53
6.9× median
90791Top 10%

Psychiatric diagnostic evaluation

$1.3M

6,796 claims · 3.4%

Your Cost: $191.75/claim|Median: $99.21
1.9× median
43239Top 10%

Upper GI endoscopy with biopsy

$1.2M

2,063 claims · 3.1%

Your Cost: $589.78/claim|Median: $151.68
3.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$984K

8,879 claims · 2.5%

Your Cost: $110.81/claim|Median: $85.65
1.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$956K

2,009 claims · 2.5%

Your Cost: $475.82/claim|Median: $54.68
8.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$891K

3,635 claims · 2.3%

Your Cost: $245.12/claim|Median: $65.76
3.7× median
80053Top 25%

Comprehensive metabolic panel

$735K

37K claims · 1.9%

Your Cost: $19.97/claim|Median: $7.24
2.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$725K

10K claims · 1.9%

Your Cost: $72.09/claim|Median: $63.08
1.1× median
88342Top 1%

$715K

2,414 claims · 1.8%

Your Cost: $296.25/claim|Median: $23.66
12.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$707K

2,748 claims · 1.8%

Your Cost: $257.35/claim|Median: $60.19
4.3× median
99281Top 5%

Emergency dept visit, minimal complexity

$632K

3,258 claims · 1.6%

Your Cost: $193.97/claim|Median: $52.03
3.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$604K

2,920 claims · 1.6%

Your Cost: $206.95/claim|Median: $38.92
5.3× median
97110Top 10%

Therapeutic exercises, each 15 min

$580K

7,313 claims · 1.5%

Your Cost: $79.35/claim|Median: $24.49
3.2× median
99214Top 25%

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

$506K

5,738 claims · 1.3%

Your Cost: $88.26/claim|Median: $53.41
1.7× median
99212Top 5%

Office/outpatient visit, low complexity

$476K

4,544 claims · 1.2%

Your Cost: $104.68/claim|Median: $25.06
4.2× median
99282Top 25%

Emergency dept visit, low complexity

$467K

3,215 claims · 1.2%

Your Cost: $145.17/claim|Median: $37.72
3.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$460K

8,104 claims · 1.2%

Your Cost: $56.79/claim|Median: $9.56
5.9× median
45380Top 5%

Colonoscopy with biopsy

$378K

416 claims · 1.0%

Your Cost: $908.31/claim|Median: $200.68
4.5× median
80048Top 10%

Basic metabolic panel

$330K

14K claims · 0.9%

Your Cost: $23.13/claim|Median: $5.78
4.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$321K

13K claims · 0.8%

Your Cost: $24.50/claim|Median: $24.95
1.0× median
97530Top 10%

Therapeutic activities, each 15 min

$319K

3,599 claims · 0.8%

Your Cost: $88.77/claim|Median: $33.11
2.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$308K

22K claims · 0.8%

Your Cost: $14.16/claim|Median: $35.43
0.4× median
96365Top 25%

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

$295K

2,579 claims · 0.8%

Your Cost: $114.58/claim|Median: $54.77
2.1× median
12001Top 1%

$278K

473 claims · 0.7%

Your Cost: $586.86/claim|Median: $64.99
9.0× median
59025Top 10%

Fetal non-stress test

$259K

1,899 claims · 0.7%

Your Cost: $136.47/claim|Median: $26.45
5.2× median
93017Top 5%

$231K

940 claims · 0.6%

Your Cost: $246.04/claim|Median: $56.03
4.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$231K

11K claims · 0.6%

Your Cost: $21.04/claim|Median: $23.39
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$220K

4,838 claims · 0.6%

Your Cost: $45.48/claim|Median: $35.80
1.3× median
99233Normal range

Subsequent hospital care, per day, high complexity

$215K

5,907 claims · 0.6%

Your Cost: $36.45/claim|Median: $35.30
1.0× median
71275Top 10%

CT angiography, chest, with contrast

$215K

718 claims · 0.6%

Your Cost: $299.08/claim|Median: $92.96
3.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$207K

3,700 claims · 0.5%

Your Cost: $55.95/claim|Median: $39.33
1.4× median
99203Top 5%

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

$207K

1,510 claims · 0.5%

Your Cost: $136.81/claim|Median: $57.85
2.4× median
97162Top 5%

PT evaluation, moderate complexity

$184K

1,190 claims · 0.5%

Your Cost: $154.57/claim|Median: $46.10
3.4× median
90853Top 25%

Group psychotherapy

$172K

3,189 claims · 0.4%

Your Cost: $54.04/claim|Median: $25.02
2.2× median
82306Top 25%

Vitamin D, 25 hydroxy

$171K

5,400 claims · 0.4%

Your Cost: $31.64/claim|Median: $18.18
1.7× median
96360Top 25%

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

$164K

1,064 claims · 0.4%

Your Cost: $153.72/claim|Median: $61.57
2.5× median
97010Top 5%

Hot/cold packs application

$155K

2,644 claims · 0.4%

Your Cost: $58.44/claim|Median: $4.47
13.1× median
Q3014Top 5%

Telehealth originating site facility fee

$152K

3,609 claims · 0.4%

Your Cost: $42.18/claim|Median: $15.37
2.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$118K

5,154 claims · 0.3%

Your Cost: $22.98/claim|Median: $23.99
1.0× median
76830Normal range

Ultrasound, transvaginal

$116K

2,914 claims · 0.3%

Your Cost: $39.81/claim|Median: $57.47
0.7× median
76815Normal range

Ultrasound, pregnant uterus, limited

$101K

1,672 claims · 0.3%

Your Cost: $60.20/claim|Median: $36.79
1.6× median
80061Normal range

Lipid panel

$93K

15K claims · 0.2%

Your Cost: $6.24/claim|Median: $8.41
0.7× median
72148Top 10%

MRI lumbar spine without contrast

$92K

282 claims · 0.2%

Your Cost: $324.70/claim|Median: $101.03
3.2× median
97161Top 10%

Physical therapy evaluation, low complexity

$91K

899 claims · 0.2%

Your Cost: $101.73/claim|Median: $47.89
2.1× median

Other Top Providers in New York

View all →

Public Partnerships LLC

Supports Brokerage

$7.18B

Freedom Care LLC

Home Health

$3.03B

American Business Institute Corp

Home Health

$1.68B

Premier Home Health Care Services INC

Home Health

$1.48B

Assistcarehome Healthcare Services

Home Health

$1.44B

Similar Providers

Other top providers in Hospitalist

Stamford Hospital

Stamford, CT

$139.8M

← All providersAll providers in New York →How we detect fraud →