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PRIME HEALTHCARE SERVICES - GARDEN CITY LLC

General Acute Care Hospital·GARDEN CITY, MI·NPI: 1043625940Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$31.3M

$31,290,695

Total Claims

909K

Beneficiaries

816K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$4.1M
-4%
2019
$3.9M
-8%
2020
$3.6M
+19%
2021
$4.3M
+22%
2022
$5.3M
+4%
2023
$5.5M
-18%
2024
$4.5M

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 28% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$8.7M

29K claims · 27.8%

Your Cost: $300.09/claim|Median: $85.65
3.5× median
99284Top 10%

Emergency dept visit, high complexity

$6.7M

36K claims · 21.3%

Your Cost: $182.83/claim|Median: $69.51
2.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$6.6M

49K claims · 21.2%

Your Cost: $134.88/claim|Median: $42.48
3.2× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.8M

22K claims · 5.7%

Your Cost: $80.98/claim|Median: $21.76
3.7× median
96361Normal range

IV infusion, hydration, each additional hour

$521K

16K claims · 1.7%

Your Cost: $32.65/claim|Median: $38.92
0.8× median
96360Normal range

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

$435K

5,191 claims · 1.4%

Your Cost: $83.87/claim|Median: $61.57
1.4× median
70450Normal range

CT head/brain without contrast

$427K

5,773 claims · 1.4%

Your Cost: $73.94/claim|Median: $45.53
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$413K

3,257 claims · 1.3%

Your Cost: $126.93/claim|Median: $65.76
1.9× median
71045Top 10%

Chest X-ray, single view

$392K

12K claims · 1.3%

Your Cost: $31.84/claim|Median: $4.93
6.5× median
G0378Normal range

Hospital observation service, per hour

$370K

2,449 claims · 1.2%

Your Cost: $151.16/claim|Median: $99.39
1.5× median
74176Normal range

CT abdomen and pelvis without contrast

$355K

3,931 claims · 1.1%

Your Cost: $90.29/claim|Median: $60.19
1.5× median
96365Normal range

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

$347K

4,321 claims · 1.1%

Your Cost: $80.31/claim|Median: $54.77
1.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$345K

14K claims · 1.1%

Your Cost: $24.77/claim|Median: $14.92
1.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$321K

4,996 claims · 1.0%

Your Cost: $64.32/claim|Median: $100.62
0.6× median
71046Top 25%

Chest X-ray, 2 views

$305K

10K claims · 1.0%

Your Cost: $30.35/claim|Median: $8.92
3.4× median
99281Normal range

Emergency dept visit, minimal complexity

$288K

4,912 claims · 0.9%

Your Cost: $58.55/claim|Median: $52.03
1.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$287K

6,604 claims · 0.9%

Your Cost: $43.49/claim|Median: $63.08
0.7× median
99282Normal range

Emergency dept visit, low complexity

$271K

3,353 claims · 0.9%

Your Cost: $80.70/claim|Median: $37.72
2.1× median
99291Top 5%

Critical care, first 30-74 minutes

$263K

543 claims · 0.8%

Your Cost: $485.19/claim|Median: $101.24
4.8× median
80061Top 1%

Lipid panel

$244K

2,904 claims · 0.8%

Your Cost: $84.06/claim|Median: $8.41
10.0× median
97110Normal range

Therapeutic exercises, each 15 min

$174K

6,387 claims · 0.6%

Your Cost: $27.30/claim|Median: $24.49
1.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$133K

2,635 claims · 0.4%

Your Cost: $50.39/claim|Median: $58.16
0.9× median
G0463Top 25%

Hospital outpatient clinic visit

$130K

2,094 claims · 0.4%

Your Cost: $62.20/claim|Median: $26.41
2.4× median
76856Normal range

Ultrasound, pelvic, complete

$102K

2,211 claims · 0.3%

Your Cost: $46.02/claim|Median: $47.58
1.0× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$96K

5,141 claims · 0.3%

Your Cost: $18.66/claim|Median: $39.63
0.5× median
76830Normal range

Ultrasound, transvaginal

$94K

1,896 claims · 0.3%

Your Cost: $49.60/claim|Median: $57.47
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$80K

1,609 claims · 0.3%

Your Cost: $49.49/claim|Median: $39.33
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$73K

4,919 claims · 0.2%

Your Cost: $14.78/claim|Median: $16.79
0.9× median
76705Normal range

Ultrasound, abdominal, limited

$61K

1,257 claims · 0.2%

Your Cost: $48.59/claim|Median: $23.81
2.0× median
96366Normal range

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

$54K

1,667 claims · 0.2%

Your Cost: $32.24/claim|Median: $40.12
0.8× median
71260Normal range

CT chest with contrast

$49K

555 claims · 0.2%

Your Cost: $88.50/claim|Median: $48.36
1.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$45K

3,420 claims · 0.1%

Your Cost: $13.11/claim|Median: $15.76
0.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$44K

5,483 claims · 0.1%

Your Cost: $8.01/claim|Median: $24.95
0.3× median
C9803Normal range

$44K

7,330 claims · 0.1%

Your Cost: $5.95/claim|Median: $13.20
0.5× median
43239Top 25%

Upper GI endoscopy with biopsy

$38K

101 claims · 0.1%

Your Cost: $372.83/claim|Median: $151.68
2.5× median
97161Top 25%

Physical therapy evaluation, low complexity

$35K

516 claims · 0.1%

Your Cost: $68.04/claim|Median: $47.89
1.4× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$35K

751 claims · 0.1%

Your Cost: $46.09/claim|Median: $25.43
1.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$28K

5,474 claims · 0.1%

Your Cost: $5.05/claim|Median: $23.39
0.2× median
86900Normal range

$27K

4,645 claims · 0.1%

Your Cost: $5.72/claim|Median: $2.55
2.2× median
58558Top 25%

$26K

18 claims · 0.1%

Your Cost: $1,441.06/claim|Median: $942.89
1.5× median
93976Normal range

$26K

608 claims · 0.1%

Your Cost: $42.23/claim|Median: $42.06
1.0× median
10060Normal range

Incision and drainage of abscess, simple

$25K

319 claims · 0.1%

Your Cost: $78.14/claim|Median: $75.72
1.0× median
71275Normal range

CT angiography, chest, with contrast

$23K

395 claims · 0.1%

Your Cost: $59.25/claim|Median: $92.96
0.6× median
84443Normal range

Thyroid stimulating hormone (TSH)

$23K

6,458 claims · 0.1%

Your Cost: $3.50/claim|Median: $9.87
0.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$22K

599 claims · 0.1%

Your Cost: $36.18/claim|Median: $33.85
1.1× median
82306Normal range

Vitamin D, 25 hydroxy

$21K

1,480 claims · 0.1%

Your Cost: $14.47/claim|Median: $18.18
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$21K

42K claims · 0.1%

Your Cost: $0.49/claim|Median: $4.71
0.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$19K

2,546 claims · 0.1%

Your Cost: $7.48/claim|Median: $9.80
0.8× median
59025Top 25%

Fetal non-stress test

$18K

221 claims · 0.1%

Your Cost: $80.25/claim|Median: $26.45
3.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$17K

727 claims · 0.1%

Your Cost: $23.92/claim|Median: $39.70
0.6× median

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