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

⚖️ Compare🖨️ Print Report

PIONEERS MEMORIAL HEALTHCARE DISTRICT

General Acute Care Hospital·BRAWLEY, CA·NPI: 1073519443Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$46.5M

$46,455,759

Total Claims

1.5M

Beneficiaries

1.3M

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$6.3M
+9%
2019
$6.9M
-36%
2020
$4.4M
+30%
2021
$5.7M
+39%
2022
$8.0M
+2%
2023
$8.1M
-14%
2024
$7.0M

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 11% of total spending.

0450Normal range

Emergency room visit

$5.3M

92K claims · 11.4%

Your Cost: $57.42/claim|Median: $44.95
1.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.5M

11K claims · 5.4%

Your Cost: $225.23/claim|Median: $65.76
3.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.2M

15K claims · 4.7%

Your Cost: $140.07/claim|Median: $85.65
1.6× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$1.7M

5,292 claims · 3.7%

Your Cost: $323.75/claim|Median: $169.17
1.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.6M

22K claims · 3.5%

Your Cost: $74.87/claim|Median: $42.48
1.8× median
0241UTop 10%

Proprietary lab analysis, genomic sequencing

$1.6M

11K claims · 3.5%

Your Cost: $143.45/claim|Median: $91.47
1.6× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$1.5M

6,652 claims · 3.3%

Your Cost: $227.81/claim|Median: $79.28
2.9× median
99284Normal range

Emergency dept visit, high complexity

$1.5M

17K claims · 3.2%

Your Cost: $85.97/claim|Median: $69.51
1.2× median
80053Top 25%

Comprehensive metabolic panel

$1.2M

94K claims · 2.5%

Your Cost: $12.61/claim|Median: $7.24
1.7× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.1M

13K claims · 2.5%

Your Cost: $89.02/claim|Median: $63.08
1.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.1M

19K claims · 2.5%

Your Cost: $59.19/claim|Median: $21.76
2.7× median
70450Top 25%

CT head/brain without contrast

$1.1M

9,347 claims · 2.4%

Your Cost: $118.92/claim|Median: $45.53
2.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.1M

42K claims · 2.3%

Your Cost: $26.08/claim|Median: $7.50
3.5× median
0122Top 25%

$849K

155 claims · 1.8%

Your Cost: $5,480.25/claim|Median: $1,752.88
3.1× median
0259Top 10%

$820K

41K claims · 1.8%

Your Cost: $20.20/claim|Median: $4.32
4.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$773K

108K claims · 1.7%

Your Cost: $7.13/claim|Median: $4.71
1.5× median
99499Top 10%

Unlisted evaluation and management service

$744K

9,036 claims · 1.6%

Your Cost: $82.35/claim|Median: $30.88
2.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$696K

22K claims · 1.5%

Your Cost: $31.70/claim|Median: $9.56
3.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$693K

18K claims · 1.5%

Your Cost: $38.37/claim|Median: $14.92
2.6× median
96365Normal range

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

$555K

7,773 claims · 1.2%

Your Cost: $71.38/claim|Median: $54.77
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$544K

19K claims · 1.2%

Your Cost: $29.26/claim|Median: $38.92
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$525K

4,653 claims · 1.1%

Your Cost: $112.85/claim|Median: $60.19
1.9× median
72125Top 10%

CT cervical spine without contrast

$500K

2,862 claims · 1.1%

Your Cost: $174.79/claim|Median: $32.30
5.4× median
76705Top 25%

Ultrasound, abdominal, limited

$499K

7,895 claims · 1.1%

Your Cost: $63.14/claim|Median: $23.81
2.7× median
0121Top 25%

Revenue code, all-inclusive room and board

$434K

56 claims · 0.9%

Your Cost: $7,748.40/claim|Median: $2,650.78
2.9× median
71260Top 10%

CT chest with contrast

$403K

2,071 claims · 0.9%

Your Cost: $194.71/claim|Median: $48.36
4.0× median
J3490Normal range

Unclassified drugs

$359K

60K claims · 0.8%

Your Cost: $6.02/claim|Median: $5.70
1.1× median
71046Top 25%

Chest X-ray, 2 views

$342K

16K claims · 0.7%

Your Cost: $21.09/claim|Median: $8.92
2.4× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$332K

20K claims · 0.7%

Your Cost: $16.63/claim|Median: $9.87
1.7× median
96360Normal range

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

$316K

5,137 claims · 0.7%

Your Cost: $61.56/claim|Median: $61.57
1.0× median
71045Top 25%

Chest X-ray, single view

$306K

27K claims · 0.7%

Your Cost: $11.17/claim|Median: $4.93
2.3× median
71275Top 25%

CT angiography, chest, with contrast

$302K

1,674 claims · 0.7%

Your Cost: $180.51/claim|Median: $92.96
1.9× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$302K

23K claims · 0.7%

Your Cost: $13.18/claim|Median: $1.53
8.6× median
81001Top 10%

Urinalysis, automated, with microscopy

$294K

35K claims · 0.6%

Your Cost: $8.46/claim|Median: $2.03
4.2× median
0250Top 25%

$283K

14K claims · 0.6%

Your Cost: $20.08/claim|Median: $3.70
5.4× median
0762Top 25%

$277K

421 claims · 0.6%

Your Cost: $657.68/claim|Median: $102.28
6.4× median
77067Top 25%

Screening mammography, bilateral, including CAD

$271K

2,914 claims · 0.6%

Your Cost: $92.89/claim|Median: $39.33
2.4× median
93970Top 10%

Duplex scan of extremity veins, complete, bilateral

$268K

1,456 claims · 0.6%

Your Cost: $184.29/claim|Median: $43.07
4.3× median
82306Top 25%

Vitamin D, 25 hydroxy

$248K

8,619 claims · 0.5%

Your Cost: $28.77/claim|Median: $18.18
1.6× median
84484Normal range

Troponin, quantitative

$234K

28K claims · 0.5%

Your Cost: $8.38/claim|Median: $4.84
1.7× median
83690Top 25%

$230K

33K claims · 0.5%

Your Cost: $6.94/claim|Median: $3.35
2.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$214K

3,314 claims · 0.5%

Your Cost: $64.51/claim|Median: $49.45
1.3× median
0761Top 25%

$212K

4,931 claims · 0.5%

Your Cost: $42.99/claim|Median: $24.10
1.8× median
80061Normal range

Lipid panel

$203K

19K claims · 0.4%

Your Cost: $10.63/claim|Median: $8.41
1.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$202K

3,041 claims · 0.4%

Your Cost: $66.48/claim|Median: $58.16
1.1× median
87486Top 25%

$201K

5,295 claims · 0.4%

Your Cost: $37.93/claim|Median: $19.16
2.0× median
Z7502Normal range

$196K

6,039 claims · 0.4%

Your Cost: $32.50/claim|Median: $37.17
0.9× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$190K

1,822 claims · 0.4%

Your Cost: $104.54/claim|Median: $74.78
1.4× median
76830Normal range

Ultrasound, transvaginal

$189K

2,659 claims · 0.4%

Your Cost: $71.25/claim|Median: $57.47
1.2× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$184K

2,470 claims · 0.4%

Your Cost: $74.57/claim|Median: $37.56
2.0× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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 California →How we detect fraud →