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SUMMIT HEALTHCARE ASSOCIATION

General Acute Care Hospital, Rural·SHOW LOW, AZ·NPI: 1144209271Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$50.8M

$50,774,506

Total Claims

1.1M

Beneficiaries

882K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$6.7M
+3%
2019
$7.0M
-9%
2020
$6.3M
+14%
2021
$7.2M
+15%
2022
$8.3M
+2%
2023
$8.5M
-22%
2024
$6.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (74177 (CT abdomen and pelvis with contrast)) accounts for 17% of total spending.

74177Top 5%

CT abdomen and pelvis with contrast

$8.6M

11K claims · 16.9%

Your Cost: $746.41/claim|Median: $65.76
11.4× median
99283Top 5%

Emergency dept visit, moderate complexity

$8.0M

30K claims · 15.8%

Your Cost: $263.97/claim|Median: $42.48
6.2× median
99284Top 10%

Emergency dept visit, high complexity

$7.0M

31K claims · 13.9%

Your Cost: $227.03/claim|Median: $69.51
3.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$5.2M

17K claims · 10.2%

Your Cost: $297.98/claim|Median: $85.65
3.5× median
71275Top 5%

CT angiography, chest, with contrast

$1.9M

4,210 claims · 3.7%

Your Cost: $441.75/claim|Median: $92.96
4.8× median
99282Top 25%

Emergency dept visit, low complexity

$1.4M

9,895 claims · 2.7%

Your Cost: $140.02/claim|Median: $37.72
3.7× median
72125Top 5%

CT cervical spine without contrast

$1.2M

4,289 claims · 2.3%

Your Cost: $268.83/claim|Median: $32.30
8.3× median
70450Top 25%

CT head/brain without contrast

$1.1M

9,672 claims · 2.1%

Your Cost: $111.01/claim|Median: $45.53
2.4× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$1.0M

8,831 claims · 2.0%

Your Cost: $117.45/claim|Median: $36.13
3.3× median
88305Top 1%

Surgical pathology, gross and microscopic examination

$981K

3,719 claims · 1.9%

Your Cost: $263.67/claim|Median: $35.80
7.4× median
74176Top 5%

CT abdomen and pelvis without contrast

$806K

1,781 claims · 1.6%

Your Cost: $452.78/claim|Median: $60.19
7.5× median
C1713Top 5%

Anchor or screw for tissue to bone fixation

$805K

424 claims · 1.6%

Your Cost: $1,898.13/claim|Median: $123.40
15.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$702K

15K claims · 1.4%

Your Cost: $47.20/claim|Median: $24.49
1.9× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$667K

1,574 claims · 1.3%

Your Cost: $423.64/claim|Median: $255.03
1.7× median
72131Top 10%

$645K

2,706 claims · 1.3%

Your Cost: $238.30/claim|Median: $42.82
5.6× median
99213Top 5%

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

$584K

3,977 claims · 1.1%

Your Cost: $146.75/claim|Median: $37.81
3.9× median
G0378Normal range

Hospital observation service, per hour

$495K

5,943 claims · 1.0%

Your Cost: $83.32/claim|Median: $99.39
0.8× median
11043Top 10%

$494K

2,491 claims · 1.0%

Your Cost: $198.18/claim|Median: $62.99
3.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$485K

2,607 claims · 1.0%

Your Cost: $185.89/claim|Median: $54.68
3.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$430K

1,367 claims · 0.8%

Your Cost: $314.30/claim|Median: $151.68
2.1× median
96365Normal range

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

$416K

11K claims · 0.8%

Your Cost: $36.41/claim|Median: $54.77
0.7× median
76856Top 10%

Ultrasound, pelvic, complete

$409K

2,379 claims · 0.8%

Your Cost: $172.06/claim|Median: $47.58
3.6× median
93971Top 5%

Duplex scan of extremity veins, unilateral or limited

$349K

1,993 claims · 0.7%

Your Cost: $175.23/claim|Median: $25.43
6.9× median
59025Top 25%

Fetal non-stress test

$328K

2,939 claims · 0.6%

Your Cost: $111.60/claim|Median: $26.45
4.2× median
45380Top 25%

Colonoscopy with biopsy

$316K

863 claims · 0.6%

Your Cost: $366.01/claim|Median: $200.68
1.8× median
99291Top 5%

Critical care, first 30-74 minutes

$295K

489 claims · 0.6%

Your Cost: $603.67/claim|Median: $101.24
6.0× median
72100Top 5%

$289K

2,701 claims · 0.6%

Your Cost: $106.96/claim|Median: $15.14
7.1× median
99281Normal range

Emergency dept visit, minimal complexity

$269K

3,616 claims · 0.5%

Your Cost: $74.39/claim|Median: $52.03
1.4× median
97530Normal range

Therapeutic activities, each 15 min

$256K

5,469 claims · 0.5%

Your Cost: $46.83/claim|Median: $33.11
1.4× median
72148Normal range

MRI lumbar spine without contrast

$253K

1,713 claims · 0.5%

Your Cost: $147.54/claim|Median: $101.03
1.5× median
70486Top 10%

$247K

1,478 claims · 0.5%

Your Cost: $167.38/claim|Median: $44.28
3.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$243K

3,786 claims · 0.5%

Your Cost: $64.13/claim|Median: $39.33
1.6× median
71046Top 25%

Chest X-ray, 2 views

$212K

9,940 claims · 0.4%

Your Cost: $21.35/claim|Median: $8.92
2.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$204K

3,698 claims · 0.4%

Your Cost: $55.10/claim|Median: $169.17
0.3× median
70553Top 10%

MRI brain without contrast, then with contrast

$203K

461 claims · 0.4%

Your Cost: $439.56/claim|Median: $133.68
3.3× median
92507Normal range

Speech/hearing/language treatment

$182K

5,335 claims · 0.4%

Your Cost: $34.05/claim|Median: $49.45
0.7× median
73721Normal range

MRI joint of lower extremity without contrast

$169K

1,489 claims · 0.3%

Your Cost: $113.73/claim|Median: $127.34
0.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$167K

1,939 claims · 0.3%

Your Cost: $86.25/claim|Median: $75.28
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$162K

17K claims · 0.3%

Your Cost: $9.48/claim|Median: $38.92
0.2× median
64483Top 5%

$156K

171 claims · 0.3%

Your Cost: $914.44/claim|Median: $124.24
7.4× median
71260Normal range

CT chest with contrast

$148K

2,294 claims · 0.3%

Your Cost: $64.35/claim|Median: $48.36
1.3× median
73030Top 10%

$121K

3,330 claims · 0.2%

Your Cost: $36.35/claim|Median: $10.94
3.3× median
76705Normal range

Ultrasound, abdominal, limited

$118K

3,466 claims · 0.2%

Your Cost: $33.95/claim|Median: $23.81
1.4× median
76700Top 25%

Ultrasound, abdominal, complete

$114K

1,364 claims · 0.2%

Your Cost: $83.48/claim|Median: $50.69
1.6× median
77066Top 25%

$89K

744 claims · 0.2%

Your Cost: $119.70/claim|Median: $43.94
2.7× median
73562Top 25%

$89K

3,197 claims · 0.2%

Your Cost: $27.77/claim|Median: $12.28
2.3× median
70551Normal range

MRI brain without contrast

$84K

731 claims · 0.2%

Your Cost: $114.87/claim|Median: $85.39
1.3× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$80K

2,582 claims · 0.2%

Your Cost: $30.97/claim|Median: $13.55
2.3× median
99214Normal range

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

$79K

1,906 claims · 0.2%

Your Cost: $41.41/claim|Median: $53.41
0.8× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$72K

2,266 claims · 0.1%

Your Cost: $31.89/claim|Median: $12.64
2.5× median

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