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

⚖️ Compare🖨️ Print Report

ARH TUG VALLEY HEALTH SERVICES, INC.

General Acute Care Hospital·PRESTONSBURG, KY·NPI: 1043878325Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2019-09→2024-12(64 months)

Total Paid

$33.9M

$33,862,437

Total Claims

812K

Beneficiaries

614K

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2019
$0
2020
$6.0M
+26%
2021
$7.6M
-11%
2022
$6.8M
-2%
2023
$6.6M
+3%
2024
$6.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 20% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$6.7M

24K claims · 19.8%

Your Cost: $276.92/claim|Median: $69.51
4.0× median
74177Top 10%

CT abdomen and pelvis with contrast

$2.2M

4,950 claims · 6.4%

Your Cost: $437.04/claim|Median: $65.76
6.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.1M

7,485 claims · 6.2%

Your Cost: $279.64/claim|Median: $85.65
3.3× median
74176Top 10%

CT abdomen and pelvis without contrast

$1.5M

4,656 claims · 4.4%

Your Cost: $322.98/claim|Median: $60.19
5.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.3M

12K claims · 3.7%

Your Cost: $105.45/claim|Median: $42.48
2.5× median
G0463Normal range

Hospital outpatient clinic visit

$1.0M

27K claims · 3.0%

Your Cost: $37.53/claim|Median: $26.41
1.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$770K

14K claims · 2.3%

Your Cost: $56.71/claim|Median: $21.76
2.6× median
70450Top 25%

CT head/brain without contrast

$733K

4,801 claims · 2.2%

Your Cost: $152.77/claim|Median: $45.53
3.4× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$708K

440 claims · 2.1%

Your Cost: $1,609.73/claim|Median: $763.43
2.1× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$624K

2,326 claims · 1.8%

Your Cost: $268.13/claim|Median: $54.68
4.9× median
71045Top 10%

Chest X-ray, single view

$563K

14K claims · 1.7%

Your Cost: $39.85/claim|Median: $4.93
8.1× median
80053Normal range

Comprehensive metabolic panel

$558K

67K claims · 1.6%

Your Cost: $8.31/claim|Median: $7.24
1.1× median
96365Normal range

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

$506K

9,175 claims · 1.5%

Your Cost: $55.14/claim|Median: $54.77
1.0× median
99291Top 5%

Critical care, first 30-74 minutes

$503K

940 claims · 1.5%

Your Cost: $535.23/claim|Median: $101.24
5.3× median
G0378Normal range

Hospital observation service, per hour

$491K

4,336 claims · 1.5%

Your Cost: $113.35/claim|Median: $99.39
1.1× median
43239Normal range

Upper GI endoscopy with biopsy

$460K

1,829 claims · 1.4%

Your Cost: $251.33/claim|Median: $151.68
1.7× median
96361Normal range

IV infusion, hydration, each additional hour

$452K

11K claims · 1.3%

Your Cost: $39.38/claim|Median: $38.92
1.0× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$360K

4,129 claims · 1.1%

Your Cost: $87.30/claim|Median: $29.03
3.0× median
73721Top 10%

MRI joint of lower extremity without contrast

$332K

960 claims · 1.0%

Your Cost: $345.41/claim|Median: $127.34
2.7× median
71275Top 25%

CT angiography, chest, with contrast

$326K

1,294 claims · 1.0%

Your Cost: $251.89/claim|Median: $92.96
2.7× median
69436Top 25%

Tympanostomy, general anesthesia

$300K

327 claims · 0.9%

Your Cost: $917.47/claim|Median: $205.50
4.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$293K

5,199 claims · 0.9%

Your Cost: $56.38/claim|Median: $63.08
0.9× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$291K

1,484 claims · 0.9%

Your Cost: $195.78/claim|Median: $106.14
1.8× median
72125Top 10%

CT cervical spine without contrast

$279K

1,506 claims · 0.8%

Your Cost: $185.46/claim|Median: $32.30
5.7× median
47562Normal range

$276K

152 claims · 0.8%

Your Cost: $1,815.51/claim|Median: $731.87
2.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$275K

5,180 claims · 0.8%

Your Cost: $53.02/claim|Median: $24.49
2.2× median
92507Normal range

Speech/hearing/language treatment

$270K

5,139 claims · 0.8%

Your Cost: $52.45/claim|Median: $49.45
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$258K

4,400 claims · 0.8%

Your Cost: $58.69/claim|Median: $33.11
1.8× median
36415Top 25%

Collection of venous blood by venipuncture

$250K

68K claims · 0.7%

Your Cost: $3.70/claim|Median: $1.57
2.4× median
72148Top 10%

MRI lumbar spine without contrast

$248K

708 claims · 0.7%

Your Cost: $349.81/claim|Median: $101.03
3.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$240K

58K claims · 0.7%

Your Cost: $4.14/claim|Median: $4.71
0.9× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$231K

8,462 claims · 0.7%

Your Cost: $27.28/claim|Median: $3.42
8.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$226K

13K claims · 0.7%

Your Cost: $16.95/claim|Median: $7.50
2.3× median
59025Top 25%

Fetal non-stress test

$224K

2,608 claims · 0.7%

Your Cost: $86.03/claim|Median: $26.45
3.3× median
71250Top 10%

CT scan of chest without contrast

$221K

1,515 claims · 0.7%

Your Cost: $145.98/claim|Median: $39.11
3.7× median
96360Normal range

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

$218K

5,552 claims · 0.6%

Your Cost: $39.34/claim|Median: $61.57
0.6× median
71260Top 10%

CT chest with contrast

$210K

1,011 claims · 0.6%

Your Cost: $207.94/claim|Median: $48.36
4.3× median
82306Normal range

Vitamin D, 25 hydroxy

$203K

9,783 claims · 0.6%

Your Cost: $20.71/claim|Median: $18.18
1.1× median
99282Normal range

Emergency dept visit, low complexity

$201K

3,106 claims · 0.6%

Your Cost: $64.65/claim|Median: $37.72
1.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$200K

18K claims · 0.6%

Your Cost: $11.29/claim|Median: $9.87
1.1× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$193K

6,142 claims · 0.6%

Your Cost: $31.35/claim|Median: $34.62
0.9× median
76705Top 25%

Ultrasound, abdominal, limited

$184K

2,138 claims · 0.5%

Your Cost: $86.10/claim|Median: $23.81
3.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$178K

7,102 claims · 0.5%

Your Cost: $25.03/claim|Median: $14.92
1.7× median
72131Top 25%

$175K

1,065 claims · 0.5%

Your Cost: $164.56/claim|Median: $42.82
3.8× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$174K

59 claims · 0.5%

Your Cost: $2,954.34/claim|Median: $331.68
8.9× median
73110Top 10%

X-ray of wrist, complete, minimum three views

$174K

3,920 claims · 0.5%

Your Cost: $44.32/claim|Median: $12.64
3.5× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$169K

3,168 claims · 0.5%

Your Cost: $53.43/claim|Median: $65.45
0.8× median
76536Top 25%

$167K

1,978 claims · 0.5%

Your Cost: $84.26/claim|Median: $44.06
1.9× median
80061Normal range

Lipid panel

$161K

16K claims · 0.5%

Your Cost: $10.08/claim|Median: $8.41
1.2× median
73610Top 10%

X-ray of ankle, complete, minimum three views

$159K

3,969 claims · 0.5%

Your Cost: $40.07/claim|Median: $13.55
3.0× median

Other Top Providers in Kentucky

View all →

University of Kentucky

General Acute Care Hospital

$716.4M

Norton Hospitals INC

General Acute Care Hospital

$419.6M

Seven Counties Services Inc.

Clinic/Center Developmental Disabilities

$375.8M

Cumberland River Behavioral Health INC

Community/Behavioral Health

$349.2M

Addiction Recovery Care LLC

Community Based Residential Treatment Facility, Me

$309.0M

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 Kentucky →How we detect fraud →