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

⚖️ Compare🖨️ Print Report

COMMUNITY MERCY HEALTH PARTNERS

General Acute Care Hospital·SPRINGFIELD, OH·NPI: 1144286402Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$43.7M

$43,715,597

Total Claims

1.2M

Beneficiaries

966K

1.3 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$4.5M
-18%
2019
$3.7M
+18%
2020
$4.3M
+5%
2021
$4.5M
-3%
2022
$4.4M
+191%
2023
$12.7M
-24%
2024
$9.6M

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 18% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$7.8M

68K claims · 17.9%

Your Cost: $114.23/claim|Median: $42.48
2.7× median
99284Top 25%

Emergency dept visit, high complexity

$6.5M

54K claims · 14.9%

Your Cost: $121.58/claim|Median: $69.51
1.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$5.9M

43K claims · 13.4%

Your Cost: $137.80/claim|Median: $85.65
1.6× median
G0463Top 10%

Hospital outpatient clinic visit

$1.9M

21K claims · 4.3%

Your Cost: $90.36/claim|Median: $26.41
3.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.8M

7,227 claims · 4.0%

Your Cost: $244.22/claim|Median: $38.92
6.3× median
70450Top 10%

CT head/brain without contrast

$1.7M

7,710 claims · 3.9%

Your Cost: $222.23/claim|Median: $45.53
4.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.3M

5,183 claims · 2.9%

Your Cost: $245.14/claim|Median: $65.76
3.7× median
99282Top 25%

Emergency dept visit, low complexity

$884K

8,720 claims · 2.0%

Your Cost: $101.35/claim|Median: $37.72
2.7× median
80053Normal range

Comprehensive metabolic panel

$840K

97K claims · 1.9%

Your Cost: $8.67/claim|Median: $7.24
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$714K

14K claims · 1.6%

Your Cost: $51.04/claim|Median: $33.11
1.5× median
G0378Normal range

Hospital observation service, per hour

$712K

12K claims · 1.6%

Your Cost: $61.67/claim|Median: $99.39
0.6× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$694K

187 claims · 1.6%

Your Cost: $3,712.91/claim|Median: $5,391.55
0.7× median
92507Top 25%

Speech/hearing/language treatment

$680K

9,647 claims · 1.6%

Your Cost: $70.45/claim|Median: $49.45
1.4× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$630K

6,652 claims · 1.4%

Your Cost: $94.77/claim|Median: $36.13
2.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$585K

10K claims · 1.3%

Your Cost: $58.35/claim|Median: $24.49
2.4× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$573K

2,705 claims · 1.3%

Your Cost: $211.72/claim|Median: $40.12
5.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$517K

2,290 claims · 1.2%

Your Cost: $225.56/claim|Median: $60.19
3.7× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$481K

4,733 claims · 1.1%

Your Cost: $101.63/claim|Median: $10.88
9.3× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$459K

750 claims · 1.0%

Your Cost: $611.48/claim|Median: $233.73
2.6× median
96365Top 25%

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

$458K

4,348 claims · 1.0%

Your Cost: $105.33/claim|Median: $54.77
1.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$387K

4,481 claims · 0.9%

Your Cost: $86.38/claim|Median: $75.28
1.1× median
U0003Top 1%

Infectious disease detection (COVID-19)

$374K

2,026 claims · 0.9%

Your Cost: $184.47/claim|Median: $63.08
2.9× median
43239Top 25%

Upper GI endoscopy with biopsy

$349K

1,047 claims · 0.8%

Your Cost: $333.80/claim|Median: $151.68
2.2× median
11045Top 10%

$327K

932 claims · 0.7%

Your Cost: $350.65/claim|Median: $27.04
13.0× median
71275Top 25%

CT angiography, chest, with contrast

$305K

1,460 claims · 0.7%

Your Cost: $209.24/claim|Median: $92.96
2.3× median
G0382Normal range

$215K

2,409 claims · 0.5%

Your Cost: $89.24/claim|Median: $80.53
1.1× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$209K

1,637 claims · 0.5%

Your Cost: $127.61/claim|Median: $144.30
0.9× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$190K

331 claims · 0.4%

Your Cost: $572.78/claim|Median: $255.03
2.2× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$185K

480 claims · 0.4%

Your Cost: $384.71/claim|Median: $255.17
1.5× median
93458Normal range

Left heart catheterization with imaging

$183K

241 claims · 0.4%

Your Cost: $759.87/claim|Median: $183.33
4.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$181K

101K claims · 0.4%

Your Cost: $1.79/claim|Median: $4.71
0.4× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$163K

4,457 claims · 0.4%

Your Cost: $36.62/claim|Median: $20.04
1.8× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$163K

1,497 claims · 0.4%

Your Cost: $108.56/claim|Median: $79.28
1.4× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$161K

852 claims · 0.4%

Your Cost: $188.98/claim|Median: $54.68
3.5× median
71046Normal range

Chest X-ray, 2 views

$160K

10K claims · 0.4%

Your Cost: $15.67/claim|Median: $8.92
1.8× median
70496Top 25%

$149K

769 claims · 0.3%

Your Cost: $194.36/claim|Median: $78.92
2.5× median
45380Top 25%

Colonoscopy with biopsy

$149K

406 claims · 0.3%

Your Cost: $367.10/claim|Median: $200.68
1.8× median
78815Normal range

PET imaging for limited area

$149K

366 claims · 0.3%

Your Cost: $406.37/claim|Median: $325.10
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$123K

10K claims · 0.3%

Your Cost: $12.24/claim|Median: $35.43
0.3× median
96360Normal range

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

$122K

1,146 claims · 0.3%

Your Cost: $106.16/claim|Median: $61.57
1.7× median
84484Normal range

Troponin, quantitative

$121K

27K claims · 0.3%

Your Cost: $4.50/claim|Median: $4.84
0.9× median
76705Top 25%

Ultrasound, abdominal, limited

$99K

1,248 claims · 0.2%

Your Cost: $79.72/claim|Median: $23.81
3.3× median
80061Top 25%

Lipid panel

$97K

6,227 claims · 0.2%

Your Cost: $15.55/claim|Median: $8.41
1.8× median
96367Top 25%

$92K

1,817 claims · 0.2%

Your Cost: $50.37/claim|Median: $29.27
1.7× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$89K

3,265 claims · 0.2%

Your Cost: $27.20/claim|Median: $16.79
1.6× median
71260Normal range

CT chest with contrast

$85K

1,024 claims · 0.2%

Your Cost: $83.12/claim|Median: $48.36
1.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$85K

9,146 claims · 0.2%

Your Cost: $9.27/claim|Median: $9.87
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$83K

63K claims · 0.2%

Your Cost: $1.33/claim|Median: $1.57
0.8× median
29581Top 25%

$83K

853 claims · 0.2%

Your Cost: $97.64/claim|Median: $41.19
2.4× median
80048Normal range

Basic metabolic panel

$76K

9,075 claims · 0.2%

Your Cost: $8.39/claim|Median: $5.78
1.5× median

Other Top Providers in Ohio

View all →

The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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