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CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER

General Acute Care Hospital·PLATTSBURGH, NY·NPI: 1033270699Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$35.9M

$35,877,126

Total Claims

792K

Beneficiaries

709K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$135K
+1058%
2019
$1.6M
+175%
2020
$4.3M
+34%
2021
$5.8M
+76%
2022
$10.2M
-18%
2023
$8.3M
-32%
2024
$5.7M

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 9% of total spending.

99213Top 5%

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

$3.3M

22K claims · 9.2%

Your Cost: $149.71/claim|Median: $37.81
4.0× median
99214Top 5%

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

$3.0M

20K claims · 8.4%

Your Cost: $147.21/claim|Median: $53.41
2.8× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.7M

16K claims · 7.5%

Your Cost: $171.96/claim|Median: $42.48
4.0× median
99284Top 25%

Emergency dept visit, high complexity

$2.2M

16K claims · 6.1%

Your Cost: $140.96/claim|Median: $69.51
2.0× median
36415Top 5%

Collection of venous blood by venipuncture

$2.0M

46K claims · 5.6%

Your Cost: $44.29/claim|Median: $1.57
28.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.5M

20K claims · 4.2%

Your Cost: $74.85/claim|Median: $63.08
1.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.3M

9,966 claims · 3.5%

Your Cost: $127.64/claim|Median: $85.65
1.5× median
80053Top 10%

Comprehensive metabolic panel

$1.1M

47K claims · 3.1%

Your Cost: $23.53/claim|Median: $7.24
3.2× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.1M

4,783 claims · 3.0%

Your Cost: $222.75/claim|Median: $38.92
5.7× median
97530Top 25%

Therapeutic activities, each 15 min

$937K

13K claims · 2.6%

Your Cost: $70.10/claim|Median: $33.11
2.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$868K

3,581 claims · 2.4%

Your Cost: $242.51/claim|Median: $65.76
3.7× median
99215Top 10%

Office/outpatient visit, high complexity

$830K

5,578 claims · 2.3%

Your Cost: $148.77/claim|Median: $74.09
2.0× median
99282Top 10%

Emergency dept visit, low complexity

$742K

4,148 claims · 2.1%

Your Cost: $178.87/claim|Median: $37.72
4.7× median
96365Top 5%

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

$704K

3,737 claims · 2.0%

Your Cost: $188.40/claim|Median: $54.77
3.4× median
70450Top 5%

CT head/brain without contrast

$631K

2,204 claims · 1.8%

Your Cost: $286.12/claim|Median: $45.53
6.3× median
99211Top 25%

Office/outpatient visit, minimal complexity

$623K

16K claims · 1.7%

Your Cost: $37.95/claim|Median: $12.93
2.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$517K

5,131 claims · 1.4%

Your Cost: $100.85/claim|Median: $100.62
1.0× median
74176Top 10%

CT abdomen and pelvis without contrast

$393K

1,479 claims · 1.1%

Your Cost: $265.79/claim|Median: $60.19
4.4× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$328K

14K claims · 0.9%

Your Cost: $22.71/claim|Median: $15.76
1.4× median
81025Top 5%

Urine pregnancy test

$327K

8,260 claims · 0.9%

Your Cost: $39.55/claim|Median: $4.81
8.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$326K

2,229 claims · 0.9%

Your Cost: $146.06/claim|Median: $54.68
2.7× median
99212Top 5%

Office/outpatient visit, low complexity

$321K

2,302 claims · 0.9%

Your Cost: $139.27/claim|Median: $25.06
5.6× median
70553Top 25%

MRI brain without contrast, then with contrast

$299K

822 claims · 0.8%

Your Cost: $364.24/claim|Median: $133.68
2.7× median
59025Top 5%

Fetal non-stress test

$287K

1,521 claims · 0.8%

Your Cost: $188.92/claim|Median: $26.45
7.1× median
96360Top 25%

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

$283K

1,757 claims · 0.8%

Your Cost: $161.13/claim|Median: $61.57
2.6× median
72148Top 10%

MRI lumbar spine without contrast

$267K

923 claims · 0.7%

Your Cost: $289.02/claim|Median: $101.03
2.9× median
80048Top 5%

Basic metabolic panel

$259K

7,487 claims · 0.7%

Your Cost: $34.61/claim|Median: $5.78
6.0× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$245K

5,895 claims · 0.7%

Your Cost: $41.62/claim|Median: $24.95
1.7× median
43239Top 10%

Upper GI endoscopy with biopsy

$245K

459 claims · 0.7%

Your Cost: $534.19/claim|Median: $151.68
3.5× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$226K

1,989 claims · 0.6%

Your Cost: $113.72/claim|Median: $75.28
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$215K

5,083 claims · 0.6%

Your Cost: $42.29/claim|Median: $35.43
1.2× median
82306Top 25%

Vitamin D, 25 hydroxy

$214K

7,022 claims · 0.6%

Your Cost: $30.52/claim|Median: $18.18
1.7× median
20610Top 1%

Arthrocentesis, aspiration/injection, major joint

$203K

682 claims · 0.6%

Your Cost: $298.17/claim|Median: $29.03
10.3× median
71275Top 10%

CT angiography, chest, with contrast

$196K

663 claims · 0.5%

Your Cost: $296.19/claim|Median: $92.96
3.2× median
G0463Normal range

Hospital outpatient clinic visit

$192K

7,899 claims · 0.5%

Your Cost: $24.32/claim|Median: $26.41
0.9× median
93976Top 5%

$184K

482 claims · 0.5%

Your Cost: $382.59/claim|Median: $42.06
9.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$183K

3,664 claims · 0.5%

Your Cost: $49.94/claim|Median: $39.33
1.3× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$176K

1,185 claims · 0.5%

Your Cost: $148.79/claim|Median: $58.55
2.5× median
73721Top 10%

MRI joint of lower extremity without contrast

$176K

529 claims · 0.5%

Your Cost: $332.96/claim|Median: $127.34
2.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$172K

3,443 claims · 0.5%

Your Cost: $49.85/claim|Median: $9.56
5.2× median
96366Top 25%

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

$153K

922 claims · 0.4%

Your Cost: $165.60/claim|Median: $40.12
4.1× median
76937Top 5%

$152K

910 claims · 0.4%

Your Cost: $167.53/claim|Median: $6.99
24.0× median
97161Top 25%

Physical therapy evaluation, low complexity

$152K

1,631 claims · 0.4%

Your Cost: $92.92/claim|Median: $47.89
1.9× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$140K

1,048 claims · 0.4%

Your Cost: $134.00/claim|Median: $76.06
1.8× median
76000Top 1%

$140K

527 claims · 0.4%

Your Cost: $265.52/claim|Median: $17.70
15.0× median
36416Top 1%

$135K

2,764 claims · 0.4%

Your Cost: $48.74/claim|Median: $1.31
37.2× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$131K

915 claims · 0.4%

Your Cost: $143.27/claim|Median: $72.71
2.0× median
80061Normal range

Lipid panel

$130K

15K claims · 0.4%

Your Cost: $8.82/claim|Median: $8.41
1.0× median
45385Top 10%

Colonoscopy with polyp removal, snare technique

$123K

170 claims · 0.3%

Your Cost: $723.77/claim|Median: $255.17
2.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$122K

3,850 claims · 0.3%

Your Cost: $31.67/claim|Median: $35.80
0.9× median

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