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

The Metrohealth System

Anesthesiology·Cleveland, OH·NPI: 1053353896Share

Compared to Anesthesiology Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $125.5M is at the 50th percentile among 13 Anesthesiology providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$125.5M

$125,459,735

Total Claims

4.8M

Beneficiaries

4.3M

1.1 claims/patient

Avg Cost/Claim

$26

#940 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

The Metrohealth System is a Anesthesiology provider based in Cleveland, OH. From the 2018–2024 period, this provider received $125.5M in Medicaid payments across 4.8M claims.

Why This Matters

This provider received $125.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,682 Medicaid beneficiaries for a full year at average per-enrollee costs.

23% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$21.4M
-8%
2019
$19.6M
-18%
2020
$16.0M
+7%
2021
$17.1M
-2%
2022
$16.8M
+7%
2023
$18.0M
-8%
2024
$16.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 20% of total spending.

99214Normal range

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

$25.0M

766K claims · 20.0%

Your Cost: $32.69/claim|Median: $53.41
0.6× median
99213Normal range

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

$14.1M

629K claims · 11.2%

Your Cost: $22.38/claim|Median: $37.81
0.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$12.2M

164K claims · 9.7%

Your Cost: $74.18/claim|Median: $85.65
0.9× median
99284Normal range

Emergency dept visit, high complexity

$8.9M

163K claims · 7.1%

Your Cost: $54.46/claim|Median: $69.51
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$3.7M

114K claims · 3.0%

Your Cost: $32.50/claim|Median: $42.48
0.8× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$2.9M

11K claims · 2.3%

Your Cost: $269.87/claim|Median: $293.45
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.4M

116K claims · 1.9%

Your Cost: $20.73/claim|Median: $23.99
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$2.0M

43K claims · 1.6%

Your Cost: $45.14/claim|Median: $74.09
0.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.9M

54K claims · 1.5%

Your Cost: $35.04/claim|Median: $75.18
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.6M

53K claims · 1.3%

Your Cost: $29.98/claim|Median: $69.35
0.4× median
90791Normal range

Psychiatric diagnostic evaluation

$1.6M

23K claims · 1.2%

Your Cost: $68.63/claim|Median: $99.21
0.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.5M

43K claims · 1.2%

Your Cost: $34.94/claim|Median: $35.80
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$1.5M

30K claims · 1.2%

Your Cost: $49.01/claim|Median: $101.24
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.4M

42K claims · 1.2%

Your Cost: $34.42/claim|Median: $74.82
0.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.4M

243K claims · 1.1%

Your Cost: $5.90/claim|Median: $5.60
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$1.3M

35K claims · 1.0%

Your Cost: $37.34/claim|Median: $65.76
0.6× median
99204Normal range

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

$1.2M

25K claims · 0.9%

Your Cost: $46.70/claim|Median: $84.03
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$1.2M

31K claims · 0.9%

Your Cost: $38.23/claim|Median: $63.65
0.6× median
70450Normal range

CT head/brain without contrast

$1.2M

42K claims · 0.9%

Your Cost: $28.10/claim|Median: $45.53
0.6× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$1.1M

4K claims · 0.9%

Your Cost: $291.73/claim|Median: $307.98
0.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.1M

13K claims · 0.8%

Your Cost: $81.36/claim|Median: $98.15
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.1M

29K claims · 0.8%

Your Cost: $36.24/claim|Median: $54.68
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$1.0M

26K claims · 0.8%

Your Cost: $39.65/claim|Median: $80.15
0.5× median
99203Normal range

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

$1.0M

36K claims · 0.8%

Your Cost: $28.61/claim|Median: $57.85
0.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$984K

52K claims · 0.8%

Your Cost: $18.76/claim|Median: $22.44
0.8× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$982K

19K claims · 0.8%

Your Cost: $52.88/claim|Median: $121.58
0.4× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$947K

11K claims · 0.8%

Your Cost: $86.31/claim|Median: $103.70
0.8× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$893K

41K claims · 0.7%

Your Cost: $21.59/claim|Median: $21.41
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$874K

39K claims · 0.7%

Your Cost: $22.25/claim|Median: $47.08
0.5× median
99233Normal range

Subsequent hospital care, per day, high complexity

$842K

29K claims · 0.7%

Your Cost: $28.62/claim|Median: $35.30
0.8× median