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SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.

General Acute Care Hospital·WEST BURLINGTON, IA·NPI: 1134168263Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$21.2M

$21,190,118

Total Claims

431K

Beneficiaries

394K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-4%
2019
$2.3M
-8%
2020
$2.1M
+39%
2021
$2.9M
+20%
2022
$3.5M
+5%
2023
$3.6M
+25%
2024
$4.5M

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 30% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$6.5M

30K claims · 30.5%

Your Cost: $214.84/claim|Median: $69.51
3.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$6.0M

42K claims · 28.2%

Your Cost: $141.19/claim|Median: $42.48
3.3× median
G0463Top 25%

Hospital outpatient clinic visit

$2.1M

27K claims · 10.1%

Your Cost: $79.76/claim|Median: $26.41
3.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.4M

4,619 claims · 6.7%

Your Cost: $305.88/claim|Median: $85.65
3.6× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.2M

11K claims · 5.5%

Your Cost: $108.52/claim|Median: $21.76
5.0× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$419K

2,486 claims · 2.0%

Your Cost: $168.49/claim|Median: $36.13
4.7× median
96361Normal range

IV infusion, hydration, each additional hour

$344K

8,031 claims · 1.6%

Your Cost: $42.83/claim|Median: $38.92
1.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$316K

3,567 claims · 1.5%

Your Cost: $88.46/claim|Median: $91.47
1.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$302K

7,167 claims · 1.4%

Your Cost: $42.11/claim|Median: $14.92
2.8× median
42820Top 1%

Tonsillectomy and adenoidectomy, under age 12

$287K

58 claims · 1.4%

Your Cost: $4,946.58/claim|Median: $331.68
14.9× median
69436Top 25%

Tympanostomy, general anesthesia

$284K

328 claims · 1.3%

Your Cost: $864.89/claim|Median: $205.50
4.2× median
71046Top 5%

Chest X-ray, 2 views

$194K

3,461 claims · 0.9%

Your Cost: $56.17/claim|Median: $8.92
6.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$151K

2,774 claims · 0.7%

Your Cost: $54.26/claim|Median: $63.08
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$131K

3,371 claims · 0.6%

Your Cost: $38.73/claim|Median: $39.70
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$122K

3,890 claims · 0.6%

Your Cost: $31.36/claim|Median: $23.39
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$120K

3,891 claims · 0.6%

Your Cost: $30.88/claim|Median: $24.95
1.2× median
86900Top 5%

$116K

1,439 claims · 0.5%

Your Cost: $80.72/claim|Median: $2.55
31.7× median
99282Normal range

Emergency dept visit, low complexity

$115K

1,562 claims · 0.5%

Your Cost: $73.60/claim|Median: $37.72
2.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$83K

406 claims · 0.4%

Your Cost: $205.32/claim|Median: $65.76
3.1× median
71045Top 5%

Chest X-ray, single view

$80K

1,583 claims · 0.4%

Your Cost: $50.72/claim|Median: $4.93
10.3× median
97110Normal range

Therapeutic exercises, each 15 min

$79K

2,375 claims · 0.4%

Your Cost: $33.33/claim|Median: $24.49
1.4× median
96365Top 25%

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

$72K

587 claims · 0.3%

Your Cost: $122.19/claim|Median: $54.77
2.2× median
92507Normal range

Speech/hearing/language treatment

$64K

991 claims · 0.3%

Your Cost: $65.04/claim|Median: $49.45
1.3× median
80053Normal range

Comprehensive metabolic panel

$54K

42K claims · 0.3%

Your Cost: $1.28/claim|Median: $7.24
0.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$45K

46K claims · 0.2%

Your Cost: $0.99/claim|Median: $4.71
0.2× median
94060Top 5%

$45K

300 claims · 0.2%

Your Cost: $148.66/claim|Median: $25.18
5.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$45K

2,360 claims · 0.2%

Your Cost: $18.86/claim|Median: $15.76
1.2× median
70450Top 25%

CT head/brain without contrast

$43K

452 claims · 0.2%

Your Cost: $94.71/claim|Median: $45.53
2.1× median
59025Top 25%

Fetal non-stress test

$41K

338 claims · 0.2%

Your Cost: $120.97/claim|Median: $26.45
4.6× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$33K

472 claims · 0.2%

Your Cost: $68.87/claim|Median: $64.72
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$28K

3,176 claims · 0.1%

Your Cost: $8.78/claim|Median: $9.87
0.9× median
87389Normal range

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

$25K

1,298 claims · 0.1%

Your Cost: $19.02/claim|Median: $18.03
1.1× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$23K

112 claims · 0.1%

Your Cost: $209.47/claim|Median: $75.28
2.8× median
80061Normal range

Lipid panel

$22K

2,105 claims · 0.1%

Your Cost: $10.38/claim|Median: $8.41
1.2× median
90837Top 10%

Psychotherapy, 60 minutes

$22K

147 claims · 0.1%

Your Cost: $148.59/claim|Median: $85.66
1.7× median
36415Normal range

Collection of venous blood by venipuncture

$21K

51K claims · 0.1%

Your Cost: $0.42/claim|Median: $1.57
0.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$21K

225 claims · 0.1%

Your Cost: $92.88/claim|Median: $108.91
0.9× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$20K

283 claims · 0.1%

Your Cost: $70.45/claim|Median: $60.05
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$18K

1,407 claims · 0.1%

Your Cost: $13.00/claim|Median: $35.43
0.4× median
86780Normal range

$18K

1,669 claims · 0.1%

Your Cost: $10.83/claim|Median: $9.83
1.1× median
43239Top 25%

Upper GI endoscopy with biopsy

$16K

58 claims · 0.1%

Your Cost: $281.52/claim|Median: $151.68
1.9× median
C9803Normal range

$15K

7,444 claims · 0.1%

Your Cost: $1.98/claim|Median: $13.20
0.1× median
0353UTop 10%

$13K

218 claims · 0.1%

Your Cost: $59.64/claim|Median: $4.92
12.1× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$12K

56 claims · 0.1%

Your Cost: $216.66/claim|Median: $763.43
0.3× median
86762Normal range

$12K

1,026 claims · 0.1%

Your Cost: $11.63/claim|Median: $9.97
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$12K

469 claims · 0.1%

Your Cost: $25.16/claim|Median: $17.85
1.4× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$9K

445 claims · 0.0%

Your Cost: $19.74/claim|Median: $19.06
1.0× median
87340Normal range

Hepatitis B surface antigen detection

$9K

1,072 claims · 0.0%

Your Cost: $7.99/claim|Median: $5.52
1.4× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$8K

314 claims · 0.0%

Your Cost: $24.57/claim|Median: $16.79
1.5× median
96360Normal range

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

$7K

63 claims · 0.0%

Your Cost: $108.91/claim|Median: $61.57
1.8× median