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ST ANTHONY SHAWNEE HOSPITAL INC

Hospitalist·SHAWNEE, OK·NPI: 1134123193Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$23.0M

$22,998,118

Total Claims

351K

Beneficiaries

339K

1.0 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+5%
2019
$2.1M
-21%
2020
$1.7M
+54%
2021
$2.6M
+87%
2022
$4.8M
+24%
2023
$5.9M
-34%
2024
$3.9M

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 30% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$6.8M

43K claims · 29.6%

Your Cost: $156.89/claim|Median: $42.48
3.7× median
99284Top 10%

Emergency dept visit, high complexity

$4.9M

22K claims · 21.4%

Your Cost: $224.16/claim|Median: $69.51
3.2× median
99282Top 25%

Emergency dept visit, low complexity

$2.3M

25K claims · 10.2%

Your Cost: $92.61/claim|Median: $37.72
2.5× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.8M

14K claims · 8.0%

Your Cost: $127.11/claim|Median: $21.76
5.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.1M

3,368 claims · 4.7%

Your Cost: $318.72/claim|Median: $85.65
3.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$725K

9,840 claims · 3.2%

Your Cost: $73.71/claim|Median: $63.08
1.2× median
69436Top 25%

Tympanostomy, general anesthesia

$638K

998 claims · 2.8%

Your Cost: $639.06/claim|Median: $205.50
3.1× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$512K

153 claims · 2.2%

Your Cost: $3,344.98/claim|Median: $331.68
10.1× median
J3490Top 25%

Unclassified drugs

$427K

11K claims · 1.9%

Your Cost: $37.98/claim|Median: $5.70
6.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$363K

8,488 claims · 1.6%

Your Cost: $42.81/claim|Median: $14.92
2.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$242K

5,323 claims · 1.1%

Your Cost: $45.46/claim|Median: $39.70
1.1× median
80053Top 25%

Comprehensive metabolic panel

$209K

14K claims · 0.9%

Your Cost: $14.63/claim|Median: $7.24
2.0× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$208K

1,567 claims · 0.9%

Your Cost: $132.86/claim|Median: $100.62
1.3× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$200K

8,543 claims · 0.9%

Your Cost: $23.43/claim|Median: $15.76
1.5× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$195K

1,179 claims · 0.8%

Your Cost: $165.66/claim|Median: $36.13
4.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$193K

2,996 claims · 0.8%

Your Cost: $64.58/claim|Median: $9.56
6.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$189K

30K claims · 0.8%

Your Cost: $6.35/claim|Median: $4.71
1.3× median
87070Normal range

Bacterial culture, any source except blood or urine

$147K

20K claims · 0.6%

Your Cost: $7.54/claim|Median: $5.89
1.3× median
71045Top 25%

Chest X-ray, single view

$145K

12K claims · 0.6%

Your Cost: $12.30/claim|Median: $4.93
2.5× median
96361Normal range

IV infusion, hydration, each additional hour

$139K

4,226 claims · 0.6%

Your Cost: $32.81/claim|Median: $38.92
0.8× median
87426Top 25%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$118K

2,969 claims · 0.5%

Your Cost: $39.90/claim|Median: $30.04
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$107K

2,921 claims · 0.5%

Your Cost: $36.80/claim|Median: $23.99
1.5× median
87804Top 25%

Influenza virus detection, rapid test

$107K

5,749 claims · 0.5%

Your Cost: $18.57/claim|Median: $12.59
1.5× median
G0463Normal range

Hospital outpatient clinic visit

$86K

6,396 claims · 0.4%

Your Cost: $13.42/claim|Median: $26.41
0.5× median
S9443Top 25%

$74K

866 claims · 0.3%

Your Cost: $85.21/claim|Median: $52.46
1.6× median
80055Top 25%

$53K

1,244 claims · 0.2%

Your Cost: $42.74/claim|Median: $28.10
1.5× median
70450Normal range

CT head/brain without contrast

$51K

1,267 claims · 0.2%

Your Cost: $40.45/claim|Median: $45.53
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$49K

328 claims · 0.2%

Your Cost: $148.64/claim|Median: $65.76
2.3× median
81025Top 25%

Urine pregnancy test

$47K

6,795 claims · 0.2%

Your Cost: $6.91/claim|Median: $4.81
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$46K

758 claims · 0.2%

Your Cost: $60.18/claim|Median: $43.85
1.4× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$45K

115 claims · 0.2%

Your Cost: $392.49/claim|Median: $283.78
1.4× median
87086Normal range

Urine culture, colony count, with identification

$42K

5,910 claims · 0.2%

Your Cost: $7.07/claim|Median: $5.31
1.3× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$40K

634 claims · 0.2%

Your Cost: $63.85/claim|Median: $35.30
1.8× median
81003Top 25%

Urinalysis, automated without microscopy

$39K

18K claims · 0.2%

Your Cost: $2.14/claim|Median: $1.48
1.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$37K

6,836 claims · 0.2%

Your Cost: $5.43/claim|Median: $7.50
0.7× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$35K

2,510 claims · 0.2%

Your Cost: $14.08/claim|Median: $11.48
1.2× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$35K

1,709 claims · 0.2%

Your Cost: $20.56/claim|Median: $18.03
1.1× median
87150Normal range

$29K

997 claims · 0.1%

Your Cost: $28.62/claim|Median: $25.98
1.1× median
71046Normal range

Chest X-ray, 2 views

$27K

1,892 claims · 0.1%

Your Cost: $14.31/claim|Median: $8.92
1.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$25K

841 claims · 0.1%

Your Cost: $29.46/claim|Median: $24.95
1.2× median
80048Top 25%

Basic metabolic panel

$24K

2,611 claims · 0.1%

Your Cost: $9.08/claim|Median: $5.78
1.6× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$23K

840 claims · 0.1%

Your Cost: $27.45/claim|Median: $23.39
1.2× median
36415Top 5%

Collection of venous blood by venipuncture

$22K

1,992 claims · 0.1%

Your Cost: $11.01/claim|Median: $1.57
7.0× median
87653Top 25%

$20K

622 claims · 0.1%

Your Cost: $31.44/claim|Median: $19.33
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$18K

244 claims · 0.1%

Your Cost: $71.80/claim|Median: $60.19
1.2× median
99291Top 25%

Critical care, first 30-74 minutes

$17K

117 claims · 0.1%

Your Cost: $144.98/claim|Median: $101.24
1.4× median
83655Normal range

$17K

1,440 claims · 0.1%

Your Cost: $11.51/claim|Median: $10.49
1.1× median
83690Normal range

$16K

2,888 claims · 0.1%

Your Cost: $5.50/claim|Median: $3.35
1.6× median
99223Normal range

Initial hospital care, per day, high complexity

$16K

160 claims · 0.1%

Your Cost: $98.51/claim|Median: $67.32
1.5× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$15K

158 claims · 0.1%

Your Cost: $97.93/claim|Median: $37.56
2.6× median

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