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ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.

General Acute Care Hospital, Critical Access·CLEARLAKE, CA·NPI: 1124018031Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$35.1M

$35,138,332

Total Claims

935K

Beneficiaries

833K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$4.4M
-1%
2019
$4.4M
-10%
2020
$3.9M
+38%
2021
$5.4M
+14%
2022
$6.2M
+1%
2023
$6.2M
-26%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 23% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$7.9M

69K claims · 22.5%

Your Cost: $114.51/claim|Median: $42.48
2.7× median
99281Top 25%

Emergency dept visit, minimal complexity

$4.1M

37K claims · 11.6%

Your Cost: $109.67/claim|Median: $52.03
2.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.4M

32K claims · 4.1%

Your Cost: $45.58/claim|Median: $24.49
1.9× median
74177Top 10%

CT abdomen and pelvis with contrast

$1.3M

3,943 claims · 3.8%

Your Cost: $341.28/claim|Median: $65.76
5.2× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.2M

4,462 claims · 3.5%

Your Cost: $278.52/claim|Median: $54.68
5.1× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$868K

3,713 claims · 2.5%

Your Cost: $233.71/claim|Median: $40.11
5.8× median
70450Top 10%

CT head/brain without contrast

$742K

3,881 claims · 2.1%

Your Cost: $191.13/claim|Median: $45.53
4.2× median
97750Top 10%

$675K

7,419 claims · 1.9%

Your Cost: $90.98/claim|Median: $30.89
2.9× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$639K

6,366 claims · 1.8%

Your Cost: $100.31/claim|Median: $21.76
4.6× median
77067Top 5%

Screening mammography, bilateral, including CAD

$593K

4,420 claims · 1.7%

Your Cost: $134.19/claim|Median: $39.33
3.4× median
96365Top 25%

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

$475K

3,597 claims · 1.4%

Your Cost: $131.92/claim|Median: $54.77
2.4× median
72148Top 5%

MRI lumbar spine without contrast

$472K

1,025 claims · 1.3%

Your Cost: $460.40/claim|Median: $101.03
4.6× median
80053Normal range

Comprehensive metabolic panel

$471K

57K claims · 1.3%

Your Cost: $8.30/claim|Median: $7.24
1.1× median
97139Normal range

$447K

13K claims · 1.3%

Your Cost: $35.08/claim|Median: $28.71
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$435K

18K claims · 1.2%

Your Cost: $24.73/claim|Median: $18.18
1.4× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$431K

5,843 claims · 1.2%

Your Cost: $73.77/claim|Median: $14.92
4.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$414K

9,092 claims · 1.2%

Your Cost: $45.54/claim|Median: $7.50
6.1× median
99201Top 5%

Office/outpatient visit, new patient, straightforward

$406K

1,926 claims · 1.2%

Your Cost: $210.91/claim|Median: $27.38
7.7× median
76700Top 25%

Ultrasound, abdominal, complete

$386K

3,765 claims · 1.1%

Your Cost: $102.63/claim|Median: $50.69
2.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$358K

28K claims · 1.0%

Your Cost: $12.65/claim|Median: $9.87
1.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$343K

1,696 claims · 1.0%

Your Cost: $202.18/claim|Median: $60.19
3.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$337K

60K claims · 1.0%

Your Cost: $5.66/claim|Median: $4.71
1.2× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$322K

6,316 claims · 0.9%

Your Cost: $51.02/claim|Median: $39.70
1.3× median
71045Top 25%

Chest X-ray, single view

$315K

21K claims · 0.9%

Your Cost: $15.32/claim|Median: $4.93
3.1× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$290K

866 claims · 0.8%

Your Cost: $334.95/claim|Median: $144.30
2.3× median
80061Normal range

Lipid panel

$258K

28K claims · 0.7%

Your Cost: $9.31/claim|Median: $8.41
1.1× median
76856Top 25%

Ultrasound, pelvic, complete

$240K

2,647 claims · 0.7%

Your Cost: $90.72/claim|Median: $47.58
1.9× median
J3490Normal range

Unclassified drugs

$237K

20K claims · 0.7%

Your Cost: $12.13/claim|Median: $5.70
2.1× median
71046Top 25%

Chest X-ray, 2 views

$233K

9,923 claims · 0.7%

Your Cost: $23.50/claim|Median: $8.92
2.6× median
73721Top 5%

MRI joint of lower extremity without contrast

$228K

456 claims · 0.7%

Your Cost: $500.95/claim|Median: $127.34
3.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$223K

8,019 claims · 0.6%

Your Cost: $27.84/claim|Median: $23.39
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$223K

7,983 claims · 0.6%

Your Cost: $27.89/claim|Median: $24.95
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$215K

5,217 claims · 0.6%

Your Cost: $41.19/claim|Median: $38.92
1.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$204K

6,433 claims · 0.6%

Your Cost: $31.76/claim|Median: $9.56
3.3× median
87637Top 10%

Respiratory virus detection, 3-5 targets, nucleic acid

$200K

1,379 claims · 0.6%

Your Cost: $144.75/claim|Median: $100.62
1.4× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$188K

4,344 claims · 0.5%

Your Cost: $43.19/claim|Median: $21.41
2.0× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$186K

3,001 claims · 0.5%

Your Cost: $62.11/claim|Median: $37.56
1.7× median
72125Top 5%

CT cervical spine without contrast

$168K

418 claims · 0.5%

Your Cost: $401.06/claim|Median: $32.30
12.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$167K

24K claims · 0.5%

Your Cost: $6.89/claim|Median: $5.50
1.3× median
96360Normal range

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

$151K

1,469 claims · 0.4%

Your Cost: $102.60/claim|Median: $61.57
1.7× median
93010Top 5%

Electrocardiogram, interpretation and report only

$138K

8,938 claims · 0.4%

Your Cost: $15.48/claim|Median: $5.60
2.8× median
73030Top 10%

$133K

3,777 claims · 0.4%

Your Cost: $35.26/claim|Median: $10.94
3.2× median
76830Top 10%

Ultrasound, transvaginal

$133K

1,254 claims · 0.4%

Your Cost: $105.79/claim|Median: $57.47
1.8× median
76705Top 10%

Ultrasound, abdominal, limited

$131K

1,398 claims · 0.4%

Your Cost: $93.87/claim|Median: $23.81
3.9× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$129K

958 claims · 0.4%

Your Cost: $134.87/claim|Median: $74.78
1.8× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$128K

999 claims · 0.4%

Your Cost: $128.16/claim|Median: $37.35
3.4× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$117K

3,660 claims · 0.3%

Your Cost: $31.98/claim|Median: $12.06
2.7× median
96366Top 25%

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

$116K

775 claims · 0.3%

Your Cost: $150.32/claim|Median: $40.12
3.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$114K

1,883 claims · 0.3%

Your Cost: $60.44/claim|Median: $65.64
0.9× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$114K

11K claims · 0.3%

Your Cost: $10.26/claim|Median: $8.72
1.2× median

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