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

⚖️ Compare🖨️ Print Report

ENUMCLAW REGIONAL HOSPITAL ASSOCIATION

General Acute Care Hospital, Critical Access·ENUMCLAW, WA·NPI: 1073674040Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$23.2M

$23,152,190

Total Claims

218K

Beneficiaries

180K

1.2 claims/patient

Avg Cost/Claim

$106

Monthly Spending Trend

Yearly Spending

2018
$4.1M
-11%
2019
$3.6M
-30%
2020
$2.5M
+5%
2021
$2.6M
+29%
2022
$3.4M
+11%
2023
$3.8M
-18%
2024
$3.1M

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 19% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$4.4M

9,309 claims · 18.8%

Your Cost: $468.25/claim|Median: $69.51
6.7× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$4.3M

5,404 claims · 18.6%

Your Cost: $796.26/claim|Median: $85.65
9.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$3.5M

11K claims · 15.0%

Your Cost: $310.48/claim|Median: $42.48
7.3× median
43239Top 5%

Upper GI endoscopy with biopsy

$1.4M

1,967 claims · 6.1%

Your Cost: $720.01/claim|Median: $151.68
4.7× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.1M

2,101 claims · 4.9%

Your Cost: $542.71/claim|Median: $65.76
8.3× median
45380Top 10%

Colonoscopy with biopsy

$777K

1,315 claims · 3.4%

Your Cost: $590.50/claim|Median: $200.68
2.9× median
J2704Top 1%

$669K

6,696 claims · 2.9%

Your Cost: $99.98/claim|Median: $0.76
131.6× median
99282Top 10%

Emergency dept visit, low complexity

$667K

4,049 claims · 2.9%

Your Cost: $164.77/claim|Median: $37.72
4.4× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$501K

5,005 claims · 2.2%

Your Cost: $100.17/claim|Median: $35.80
2.8× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$464K

5,386 claims · 2.0%

Your Cost: $86.12/claim|Median: $14.92
5.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$384K

6,375 claims · 1.7%

Your Cost: $60.30/claim|Median: $21.76
2.8× median
70450Top 25%

CT head/brain without contrast

$301K

1,729 claims · 1.3%

Your Cost: $174.06/claim|Median: $45.53
3.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$273K

5,668 claims · 1.2%

Your Cost: $48.23/claim|Median: $7.50
6.4× median
Q9967Top 10%

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

$234K

3,369 claims · 1.0%

Your Cost: $69.49/claim|Median: $3.42
20.3× median
96361Normal range

IV infusion, hydration, each additional hour

$224K

2,659 claims · 1.0%

Your Cost: $84.33/claim|Median: $38.92
2.2× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$220K

5,624 claims · 0.9%

Your Cost: $39.04/claim|Median: $0.58
67.3× median
96365Normal range

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

$209K

2,595 claims · 0.9%

Your Cost: $80.62/claim|Median: $54.77
1.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$203K

13K claims · 0.9%

Your Cost: $15.11/claim|Median: $4.71
3.2× median
80053Top 10%

Comprehensive metabolic panel

$195K

9,169 claims · 0.8%

Your Cost: $21.24/claim|Median: $7.24
2.9× median
71045Top 10%

Chest X-ray, single view

$182K

5,040 claims · 0.8%

Your Cost: $36.04/claim|Median: $4.93
7.3× median
J1885Top 1%

Injection, ketorolac tromethamine, fifteen milligrams

$181K

3,924 claims · 0.8%

Your Cost: $46.15/claim|Median: $0.91
50.7× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$177K

472 claims · 0.8%

Your Cost: $374.31/claim|Median: $255.17
1.5× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$164K

2,065 claims · 0.7%

Your Cost: $79.43/claim|Median: $35.43
2.2× median
J0696Top 1%

$162K

1,831 claims · 0.7%

Your Cost: $88.26/claim|Median: $1.34
65.9× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$138K

3,693 claims · 0.6%

Your Cost: $37.24/claim|Median: $9.56
3.9× median
84484Top 10%

Troponin, quantitative

$133K

5,016 claims · 0.6%

Your Cost: $26.55/claim|Median: $4.84
5.5× median
96376Top 10%

$113K

2,356 claims · 0.5%

Your Cost: $47.89/claim|Median: $3.19
15.0× median
83690Top 5%

$110K

5,413 claims · 0.5%

Your Cost: $20.25/claim|Median: $3.35
6.0× median
G0378Top 25%

Hospital observation service, per hour

$103K

187 claims · 0.4%

Your Cost: $552.72/claim|Median: $99.39
5.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$100K

328 claims · 0.4%

Your Cost: $306.23/claim|Median: $54.68
5.6× median
96366Top 25%

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

$84K

678 claims · 0.4%

Your Cost: $124.45/claim|Median: $40.12
3.1× median
G0463Normal range

Hospital outpatient clinic visit

$83K

3,113 claims · 0.4%

Your Cost: $26.81/claim|Median: $26.41
1.0× median
80048Top 25%

Basic metabolic panel

$77K

4,989 claims · 0.3%

Your Cost: $15.52/claim|Median: $5.78
2.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$68K

1,877 claims · 0.3%

Your Cost: $36.12/claim|Median: $37.56
1.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$66K

1,433 claims · 0.3%

Your Cost: $45.99/claim|Median: $10.88
4.2× median
83880Top 25%

$61K

2,121 claims · 0.3%

Your Cost: $28.76/claim|Median: $11.81
2.4× median
71046Top 10%

Chest X-ray, 2 views

$53K

1,221 claims · 0.2%

Your Cost: $43.06/claim|Median: $8.92
4.8× median
85610Top 10%

Prothrombin time (PT) blood clotting test

$51K

5,422 claims · 0.2%

Your Cost: $9.42/claim|Median: $2.14
4.4× median
83605Top 10%

$50K

2,724 claims · 0.2%

Your Cost: $18.51/claim|Median: $4.66
4.0× median
J2001Top 10%

Injection, lidocaine HCl for IV infusion

$45K

4,308 claims · 0.2%

Your Cost: $10.49/claim|Median: $0.22
47.7× median
87040Top 10%

$42K

2,321 claims · 0.2%

Your Cost: $18.18/claim|Median: $5.54
3.3× median
81001Top 10%

Urinalysis, automated, with microscopy

$40K

4,498 claims · 0.2%

Your Cost: $8.92/claim|Median: $2.03
4.4× median
84703Top 5%

Human chorionic gonadotropin (hCG) quantitative blood test

$37K

2,046 claims · 0.2%

Your Cost: $18.13/claim|Median: $4.20
4.3× median
J0690Top 5%

$37K

526 claims · 0.2%

Your Cost: $70.39/claim|Median: $0.94
74.9× median
74176Top 10%

CT abdomen and pelvis without contrast

$37K

135 claims · 0.2%

Your Cost: $273.61/claim|Median: $60.19
4.5× median
J3010Top 5%

$37K

1,689 claims · 0.2%

Your Cost: $21.85/claim|Median: $0.55
39.7× median
J2250Top 5%

Injection, midazolam HCl, per one milligram

$36K

1,259 claims · 0.2%

Your Cost: $28.34/claim|Median: $0.32
88.6× median
81025Top 5%

Urine pregnancy test

$35K

1,810 claims · 0.1%

Your Cost: $19.14/claim|Median: $4.81
4.0× median
J7120Top 25%

Ringer's lactate infusion, up to 1000 cc

$33K

2,942 claims · 0.1%

Your Cost: $11.24/claim|Median: $1.51
7.4× median
85379Top 5%

$32K

956 claims · 0.1%

Your Cost: $33.80/claim|Median: $4.29
7.9× median

Other Top Providers in Washington

View all →

Stillaguamish Tribe of Indians

Clinic/Center Rehabilitation Substance Use Disor

$349.3M

We Care Daily Clinics LLC

Clinic/Center Methadone Clinic

$260.6M

Ideal Option, PLLC

Preventive Medicine, Addiction Medicine

$259.1M

Seattle Children's Hospital

Prosthetic/Orthotic Supplier

$219.5M

Swinomish Health Services

Clinic/Center Rehabilitation Substance Use Disor

$195.9M

← All providersAll providers in Washington →How we detect fraud →