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SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES

General Acute Care Hospital·SIMI VALLEY, CA·NPI: 1063495190Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$19.9M

$19,939,682

Total Claims

595K

Beneficiaries

507K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+8%
2019
$1.8M
-4%
2020
$1.7M
+47%
2021
$2.6M
+61%
2022
$4.1M
+24%
2023
$5.1M
-45%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 9% of total spending.

0450Normal range

Emergency room visit

$1.9M

39K claims · 9.3%

Your Cost: $47.88/claim|Median: $44.95
1.1× median
99213Normal range

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

$1.5M

31K claims · 7.5%

Your Cost: $48.10/claim|Median: $37.81
1.3× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.0M

15K claims · 5.0%

Your Cost: $67.54/claim|Median: $21.76
3.1× median
99281Top 1%

Emergency dept visit, minimal complexity

$944K

1,602 claims · 4.7%

Your Cost: $589.41/claim|Median: $52.03
11.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$774K

10K claims · 3.9%

Your Cost: $73.74/claim|Median: $65.64
1.1× median
99284Top 10%

Emergency dept visit, high complexity

$723K

3,941 claims · 3.6%

Your Cost: $183.46/claim|Median: $69.51
2.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$700K

3,180 claims · 3.5%

Your Cost: $220.17/claim|Median: $65.76
3.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$592K

6,966 claims · 3.0%

Your Cost: $84.96/claim|Median: $63.08
1.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$541K

11K claims · 2.7%

Your Cost: $47.20/claim|Median: $14.92
3.2× median
97530Top 5%

Therapeutic activities, each 15 min

$522K

4,441 claims · 2.6%

Your Cost: $117.51/claim|Median: $33.11
3.5× median
99283Top 10%

Emergency dept visit, moderate complexity

$507K

3,440 claims · 2.5%

Your Cost: $147.38/claim|Median: $42.48
3.5× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$471K

8,178 claims · 2.4%

Your Cost: $57.63/claim|Median: $39.70
1.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$468K

2,438 claims · 2.3%

Your Cost: $191.82/claim|Median: $85.65
2.2× median
70450Top 25%

CT head/brain without contrast

$467K

5,522 claims · 2.3%

Your Cost: $84.58/claim|Median: $45.53
1.9× median
87637Top 5%

Respiratory virus detection, 3-5 targets, nucleic acid

$441K

2,174 claims · 2.2%

Your Cost: $202.70/claim|Median: $100.62
2.0× median
74176Normal range

CT abdomen and pelvis without contrast

$432K

3,798 claims · 2.2%

Your Cost: $113.75/claim|Median: $60.19
1.9× median
77067Top 25%

Screening mammography, bilateral, including CAD

$410K

4,100 claims · 2.1%

Your Cost: $99.96/claim|Median: $39.33
2.5× median
0360Normal range

$389K

3,558 claims · 2.0%

Your Cost: $109.40/claim|Median: $95.40
1.1× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$354K

17K claims · 1.8%

Your Cost: $21.14/claim|Median: $7.50
2.8× median
80053Top 25%

Comprehensive metabolic panel

$351K

34K claims · 1.8%

Your Cost: $10.45/claim|Median: $7.24
1.4× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$320K

4,704 claims · 1.6%

Your Cost: $68.00/claim|Median: $37.56
1.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$294K

6,817 claims · 1.5%

Your Cost: $43.17/claim|Median: $9.56
4.5× median
96361Normal range

IV infusion, hydration, each additional hour

$283K

9,351 claims · 1.4%

Your Cost: $30.21/claim|Median: $38.92
0.8× median
92507Top 5%

Speech/hearing/language treatment

$276K

2,570 claims · 1.4%

Your Cost: $107.44/claim|Median: $49.45
2.2× median
A4649Normal range

Surgical supply, miscellaneous, not otherwise classified

$269K

31K claims · 1.3%

Your Cost: $8.75/claim|Median: $5.04
1.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$267K

4,565 claims · 1.3%

Your Cost: $58.57/claim|Median: $35.43
1.7× median
96360Normal range

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

$225K

3,109 claims · 1.1%

Your Cost: $72.43/claim|Median: $61.57
1.2× median
96365Normal range

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

$220K

2,780 claims · 1.1%

Your Cost: $78.99/claim|Median: $54.77
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$210K

36K claims · 1.1%

Your Cost: $5.91/claim|Median: $4.71
1.3× median
J3490Normal range

Unclassified drugs

$185K

9,616 claims · 0.9%

Your Cost: $19.21/claim|Median: $5.70
3.4× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$179K

10K claims · 0.9%

Your Cost: $17.81/claim|Median: $0.58
30.7× median
71275Top 25%

CT angiography, chest, with contrast

$151K

763 claims · 0.8%

Your Cost: $197.92/claim|Median: $92.96
2.1× median
71045Top 25%

Chest X-ray, single view

$147K

13K claims · 0.7%

Your Cost: $11.45/claim|Median: $4.93
2.3× median
72125Top 25%

CT cervical spine without contrast

$144K

1,151 claims · 0.7%

Your Cost: $125.49/claim|Median: $32.30
3.9× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$140K

4,481 claims · 0.7%

Your Cost: $31.23/claim|Median: $26.72
1.2× median
76705Normal range

Ultrasound, abdominal, limited

$137K

2,817 claims · 0.7%

Your Cost: $48.49/claim|Median: $23.81
2.0× median
0160Normal range

$136K

1,582 claims · 0.7%

Your Cost: $85.86/claim|Median: $54.01
1.6× median
76856Normal range

Ultrasound, pelvic, complete

$119K

2,197 claims · 0.6%

Your Cost: $54.27/claim|Median: $47.58
1.1× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$111K

1,394 claims · 0.6%

Your Cost: $79.54/claim|Median: $25.43
3.1× median
83880Normal range

$107K

5,593 claims · 0.5%

Your Cost: $19.19/claim|Median: $11.81
1.6× median
84484Normal range

Troponin, quantitative

$96K

13K claims · 0.5%

Your Cost: $7.43/claim|Median: $4.84
1.5× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$82K

2,836 claims · 0.4%

Your Cost: $28.98/claim|Median: $21.41
1.4× median
83690Top 25%

$79K

13K claims · 0.4%

Your Cost: $5.87/claim|Median: $3.35
1.8× median
76830Normal range

Ultrasound, transvaginal

$75K

1,448 claims · 0.4%

Your Cost: $51.68/claim|Median: $57.47
0.9× median
81001Top 25%

Urinalysis, automated, with microscopy

$71K

22K claims · 0.4%

Your Cost: $3.25/claim|Median: $2.03
1.6× median
71046Top 25%

Chest X-ray, 2 views

$68K

3,441 claims · 0.3%

Your Cost: $19.89/claim|Median: $8.92
2.2× median
77066Top 25%

$68K

699 claims · 0.3%

Your Cost: $97.81/claim|Median: $43.94
2.2× median
43239Normal range

Upper GI endoscopy with biopsy

$64K

1,701 claims · 0.3%

Your Cost: $37.63/claim|Median: $151.68
0.2× median
87086Normal range

Urine culture, colony count, with identification

$64K

8,568 claims · 0.3%

Your Cost: $7.42/claim|Median: $5.31
1.4× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$63K

3,330 claims · 0.3%

Your Cost: $18.97/claim|Median: $10.88
1.7× median