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LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC

General Acute Care Hospital·SAINT JOSEPH, MI·NPI: 1134220031Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $78.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$78.2M

$78,217,625

Total Claims

2.4M

Beneficiaries

2.0M

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$9.2M
+0%
2019
$9.3M
-1%
2020
$9.2M
+37%
2021
$12.6M
-0%
2022
$12.6M
+11%
2023
$14.0M
-19%
2024
$11.3M

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 13% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$10.5M

54K claims · 13.5%

Your Cost: $196.68/claim|Median: $69.51
2.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$10.0M

32K claims · 12.7%

Your Cost: $313.47/claim|Median: $85.65
3.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$9.4M

76K claims · 12.0%

Your Cost: $124.14/claim|Median: $42.48
2.9× median
G0378Top 25%

Hospital observation service, per hour

$7.2M

21K claims · 9.3%

Your Cost: $336.58/claim|Median: $99.39
3.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$3.6M

38K claims · 4.7%

Your Cost: $94.99/claim|Median: $21.76
4.4× median
97110Normal range

Therapeutic exercises, each 15 min

$1.8M

79K claims · 2.3%

Your Cost: $23.15/claim|Median: $24.49
0.9× median
G0463Top 25%

Hospital outpatient clinic visit

$1.6M

26K claims · 2.0%

Your Cost: $60.96/claim|Median: $26.41
2.3× median
74177Normal range

CT abdomen and pelvis with contrast

$1.4M

10K claims · 1.8%

Your Cost: $143.38/claim|Median: $65.76
2.2× median
96365Normal range

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

$1.3M

15K claims · 1.7%

Your Cost: $88.65/claim|Median: $54.77
1.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.2M

11K claims · 1.5%

Your Cost: $103.69/claim|Median: $54.68
1.9× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$1.1M

6,845 claims · 1.5%

Your Cost: $165.93/claim|Median: $75.28
2.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$941K

33K claims · 1.2%

Your Cost: $28.51/claim|Median: $14.92
1.9× median
99282Normal range

Emergency dept visit, low complexity

$931K

13K claims · 1.2%

Your Cost: $70.97/claim|Median: $37.72
1.9× median
96361Normal range

IV infusion, hydration, each additional hour

$898K

27K claims · 1.1%

Your Cost: $33.15/claim|Median: $38.92
0.9× median
45380Top 25%

Colonoscopy with biopsy

$890K

1,755 claims · 1.1%

Your Cost: $507.34/claim|Median: $200.68
2.5× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$841K

3,377 claims · 1.1%

Your Cost: $249.08/claim|Median: $106.14
2.3× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$775K

276 claims · 1.0%

Your Cost: $2,807.68/claim|Median: $331.68
8.5× median
71046Top 10%

Chest X-ray, 2 views

$761K

20K claims · 1.0%

Your Cost: $38.41/claim|Median: $8.92
4.3× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$677K

31K claims · 0.9%

Your Cost: $21.83/claim|Median: $20.04
1.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$651K

13K claims · 0.8%

Your Cost: $51.84/claim|Median: $63.08
0.8× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$605K

8,443 claims · 0.8%

Your Cost: $71.67/claim|Median: $97.61
0.7× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$602K

1,180 claims · 0.8%

Your Cost: $509.93/claim|Median: $233.73
2.2× median
43239Top 25%

Upper GI endoscopy with biopsy

$573K

1,747 claims · 0.7%

Your Cost: $327.88/claim|Median: $151.68
2.2× median
96360Normal range

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

$566K

5,823 claims · 0.7%

Your Cost: $97.26/claim|Median: $61.57
1.6× median
70450Top 25%

CT head/brain without contrast

$547K

6,811 claims · 0.7%

Your Cost: $80.35/claim|Median: $45.53
1.8× median
99214Normal range

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

$523K

8,290 claims · 0.7%

Your Cost: $63.11/claim|Median: $53.41
1.2× median
92507Normal range

Speech/hearing/language treatment

$484K

12K claims · 0.6%

Your Cost: $41.00/claim|Median: $49.45
0.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$439K

30K claims · 0.6%

Your Cost: $14.75/claim|Median: $16.79
0.9× median
70553Normal range

MRI brain without contrast, then with contrast

$407K

2,105 claims · 0.5%

Your Cost: $193.48/claim|Median: $133.68
1.4× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$394K

861 claims · 0.5%

Your Cost: $457.76/claim|Median: $255.17
1.8× median
97530Normal range

Therapeutic activities, each 15 min

$387K

16K claims · 0.5%

Your Cost: $23.80/claim|Median: $33.11
0.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$381K

7,809 claims · 0.5%

Your Cost: $48.74/claim|Median: $39.33
1.2× median
71045Top 10%

Chest X-ray, single view

$329K

9,497 claims · 0.4%

Your Cost: $34.66/claim|Median: $4.93
7.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$325K

5,449 claims · 0.4%

Your Cost: $59.73/claim|Median: $74.78
0.8× median
99291Top 5%

Critical care, first 30-74 minutes

$319K

943 claims · 0.4%

Your Cost: $337.88/claim|Median: $101.24
3.3× median
71260Top 25%

CT chest with contrast

$318K

2,368 claims · 0.4%

Your Cost: $134.13/claim|Median: $48.36
2.8× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$301K

2,481 claims · 0.4%

Your Cost: $121.13/claim|Median: $79.28
1.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$296K

20K claims · 0.4%

Your Cost: $14.64/claim|Median: $24.95
0.6× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$293K

20K claims · 0.4%

Your Cost: $14.53/claim|Median: $23.39
0.6× median
15275Top 10%

$289K

312 claims · 0.4%

Your Cost: $925.61/claim|Median: $51.83
17.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$283K

5,660 claims · 0.4%

Your Cost: $49.99/claim|Median: $58.55
0.9× median
76830Normal range

Ultrasound, transvaginal

$280K

4,822 claims · 0.4%

Your Cost: $58.14/claim|Median: $57.47
1.0× median
99281Normal range

Emergency dept visit, minimal complexity

$280K

7,126 claims · 0.4%

Your Cost: $39.29/claim|Median: $52.03
0.8× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$275K

1,476 claims · 0.4%

Your Cost: $186.31/claim|Median: $36.13
5.2× median
69436Normal range

Tympanostomy, general anesthesia

$271K

567 claims · 0.3%

Your Cost: $478.41/claim|Median: $205.50
2.3× median
97162Normal range

PT evaluation, moderate complexity

$265K

5,573 claims · 0.3%

Your Cost: $47.59/claim|Median: $46.10
1.0× median
76705Top 25%

Ultrasound, abdominal, limited

$265K

4,698 claims · 0.3%

Your Cost: $56.38/claim|Median: $23.81
2.4× median
80061Normal range

Lipid panel

$262K

24K claims · 0.3%

Your Cost: $11.03/claim|Median: $8.41
1.3× median
97161Normal range

Physical therapy evaluation, low complexity

$257K

5,431 claims · 0.3%

Your Cost: $47.33/claim|Median: $47.89
1.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$257K

4,407 claims · 0.3%

Your Cost: $58.23/claim|Median: $58.16
1.0× median

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$590.6M

Integra Partners LLC

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Similar Providers

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$1.08B

Montefiore Medical Center

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$961.1M

The Cleveland Clinic Foundation

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$863.5M

Nationwide Children's Hospital

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$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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