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

⚖️ Compare🖨️ Print Report

MARTHA'S VINEYARD HOSPITAL, INC.

General Acute Care Hospital, Critical Access·OAK BLUFFS, MA·NPI: 1134206386Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$50.4M

$50,350,522

Total Claims

548K

Beneficiaries

465K

1.2 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$6.5M
+23%
2019
$8.1M
-16%
2020
$6.8M
+23%
2021
$8.3M
+46%
2022
$12.2M
-55%
2023
$5.4M
-44%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99211 (Office/outpatient visit, minimal complexity)) accounts for 33% of total spending.

99211Top 1%

Office/outpatient visit, minimal complexity

$16.6M

52K claims · 33.0%

Your Cost: $320.93/claim|Median: $12.93
24.8× median
99283Top 5%

Emergency dept visit, moderate complexity

$5.9M

21K claims · 11.6%

Your Cost: $282.40/claim|Median: $42.48
6.6× median
96361Top 1%

IV infusion, hydration, each additional hour

$4.1M

4,460 claims · 8.2%

Your Cost: $926.16/claim|Median: $38.92
23.8× median
99284Top 5%

Emergency dept visit, high complexity

$3.7M

15K claims · 7.3%

Your Cost: $248.29/claim|Median: $69.51
3.6× median
97110Top 1%

Therapeutic exercises, each 15 min

$2.1M

15K claims · 4.1%

Your Cost: $135.92/claim|Median: $24.49
5.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.4M

7,071 claims · 2.7%

Your Cost: $192.45/claim|Median: $85.65
2.2× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$1.0M

4,751 claims · 2.0%

Your Cost: $214.40/claim|Median: $69.35
3.1× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$833K

4,137 claims · 1.7%

Your Cost: $201.46/claim|Median: $75.18
2.7× median
96365Top 1%

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

$764K

2,498 claims · 1.5%

Your Cost: $305.84/claim|Median: $54.77
5.6× median
74177Top 10%

CT abdomen and pelvis with contrast

$749K

1,903 claims · 1.5%

Your Cost: $393.80/claim|Median: $65.76
6.0× median
96110Top 1%

Developmental screening, per standardized instrument

$747K

3,251 claims · 1.5%

Your Cost: $229.66/claim|Median: $9.10
25.2× median
99282Top 5%

Emergency dept visit, low complexity

$731K

2,692 claims · 1.5%

Your Cost: $271.49/claim|Median: $37.72
7.2× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$705K

13K claims · 1.4%

Your Cost: $53.78/claim|Median: $37.81
1.4× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$607K

8,128 claims · 1.2%

Your Cost: $74.66/claim|Median: $16.79
4.4× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$591K

3,225 claims · 1.2%

Your Cost: $183.28/claim|Median: $74.82
2.4× median
96360Top 1%

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

$546K

1,623 claims · 1.1%

Your Cost: $336.64/claim|Median: $61.57
5.5× median
92552Top 1%

Pure tone audiometry, air only, each ear

$436K

1,703 claims · 0.9%

Your Cost: $256.04/claim|Median: $12.63
20.3× median
70450Top 5%

CT head/brain without contrast

$432K

1,401 claims · 0.9%

Your Cost: $308.05/claim|Median: $45.53
6.8× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$411K

2,163 claims · 0.8%

Your Cost: $189.89/claim|Median: $80.15
2.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$409K

8,414 claims · 0.8%

Your Cost: $48.63/claim|Median: $53.41
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$386K

3,125 claims · 0.8%

Your Cost: $123.55/claim|Median: $100.62
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$358K

5,525 claims · 0.7%

Your Cost: $64.89/claim|Median: $63.08
1.0× median
77063Top 1%

Screening digital breast tomosynthesis, bilateral

$304K

1,751 claims · 0.6%

Your Cost: $173.61/claim|Median: $21.41
8.1× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$243K

1,330 claims · 0.5%

Your Cost: $182.51/claim|Median: $76.06
2.4× median
76856Top 5%

Ultrasound, pelvic, complete

$218K

763 claims · 0.4%

Your Cost: $285.06/claim|Median: $47.58
6.0× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$210K

754 claims · 0.4%

Your Cost: $279.08/claim|Median: $54.68
5.1× median
92507Top 1%

Speech/hearing/language treatment

$201K

582 claims · 0.4%

Your Cost: $346.14/claim|Median: $49.45
7.0× median
90651Top 1%

HPV vaccine, 9-valent

$197K

639 claims · 0.4%

Your Cost: $308.51/claim|Median: $8.93
34.5× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$190K

1,221 claims · 0.4%

Your Cost: $155.59/claim|Median: $10.88
14.3× median
97161Top 10%

Physical therapy evaluation, low complexity

$181K

1,400 claims · 0.4%

Your Cost: $129.62/claim|Median: $47.89
2.7× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$180K

4,637 claims · 0.4%

Your Cost: $38.78/claim|Median: $34.62
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$172K

5,202 claims · 0.3%

Your Cost: $33.16/claim|Median: $26.41
1.3× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$170K

967 claims · 0.3%

Your Cost: $175.42/claim|Median: $72.71
2.4× median
G2023Normal range

Specimen collection for COVID-19 testing

$166K

7,955 claims · 0.3%

Your Cost: $20.86/claim|Median: $17.15
1.2× median
97112Top 1%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$162K

1,535 claims · 0.3%

Your Cost: $105.48/claim|Median: $20.04
5.3× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$156K

5,385 claims · 0.3%

Your Cost: $28.93/claim|Median: $9.80
3.0× median
76830Top 1%

Ultrasound, transvaginal

$153K

681 claims · 0.3%

Your Cost: $225.31/claim|Median: $57.47
3.9× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$151K

7,791 claims · 0.3%

Your Cost: $19.33/claim|Median: $17.85
1.1× median
59025Top 1%

Fetal non-stress test

$123K

197 claims · 0.2%

Your Cost: $625.31/claim|Median: $26.45
23.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$112K

3,641 claims · 0.2%

Your Cost: $30.64/claim|Median: $35.43
0.9× median
90715Top 5%

Tdap vaccine

$96K

1,779 claims · 0.2%

Your Cost: $53.97/claim|Median: $10.32
5.2× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$95K

4,640 claims · 0.2%

Your Cost: $20.54/claim|Median: $7.18
2.9× median
99215Normal range

Office/outpatient visit, high complexity

$94K

1,012 claims · 0.2%

Your Cost: $93.00/claim|Median: $74.09
1.3× median
86618Top 25%

$91K

4,602 claims · 0.2%

Your Cost: $19.70/claim|Median: $12.93
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$89K

19K claims · 0.2%

Your Cost: $4.64/claim|Median: $4.71
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$87K

2,622 claims · 0.2%

Your Cost: $33.14/claim|Median: $36.70
0.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$84K

2,708 claims · 0.2%

Your Cost: $31.15/claim|Median: $33.72
0.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$83K

5,533 claims · 0.2%

Your Cost: $15.07/claim|Median: $21.76
0.7× median
99201Top 1%

Office/outpatient visit, new patient, straightforward

$83K

231 claims · 0.2%

Your Cost: $357.91/claim|Median: $27.38
13.1× median
45385Top 1%

Colonoscopy with polyp removal, snare technique

$82K

45 claims · 0.2%

Your Cost: $1,822.83/claim|Median: $255.17
7.1× median

Other Top Providers in Massachusetts

View all →

Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

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