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PRESBYTERIAN HEALTHCARE SERVICES

General Acute Care Hospital, Rural·ESPANOLA, NM·NPI: 1154307593Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$40.9M

$40,915,607

Total Claims

649K

Beneficiaries

581K

1.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$6.2M
-16%
2019
$5.2M
-33%
2020
$3.5M
+17%
2021
$4.1M
+45%
2022
$6.0M
+40%
2023
$8.4M
-11%
2024
$7.4M

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 19% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$7.8M

48K claims · 19.0%

Your Cost: $162.63/claim|Median: $69.51
2.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$7.3M

55K claims · 17.9%

Your Cost: $133.75/claim|Median: $42.48
3.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$5.8M

26K claims · 14.1%

Your Cost: $226.40/claim|Median: $85.65
2.6× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$1.7M

12K claims · 4.0%

Your Cost: $135.06/claim|Median: $97.61
1.4× median
A0429Top 25%

Ambulance, BLS emergency transport

$1.4M

5,242 claims · 3.3%

Your Cost: $259.80/claim|Median: $138.19
1.9× median
74177Top 10%

CT abdomen and pelvis with contrast

$1.3M

3,766 claims · 3.2%

Your Cost: $344.79/claim|Median: $65.76
5.2× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$1.1M

4,415 claims · 2.6%

Your Cost: $240.35/claim|Median: $164.22
1.5× median
70450Top 25%

CT head/brain without contrast

$775K

4,571 claims · 1.9%

Your Cost: $169.60/claim|Median: $45.53
3.7× median
99282Top 25%

Emergency dept visit, low complexity

$661K

6,900 claims · 1.6%

Your Cost: $95.83/claim|Median: $37.72
2.5× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$626K

11K claims · 1.5%

Your Cost: $55.25/claim|Median: $7.50
7.4× median
87631Top 10%

Respiratory virus detection, 3-5 targets, multiplex

$623K

4,423 claims · 1.5%

Your Cost: $140.91/claim|Median: $65.45
2.2× median
G0463Normal range

Hospital outpatient clinic visit

$597K

13K claims · 1.5%

Your Cost: $45.21/claim|Median: $26.41
1.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$595K

13K claims · 1.5%

Your Cost: $46.33/claim|Median: $24.49
1.9× median
80053Top 25%

Comprehensive metabolic panel

$418K

32K claims · 1.0%

Your Cost: $13.14/claim|Median: $7.24
1.8× median
0241UTop 10%

Proprietary lab analysis, genomic sequencing

$415K

2,714 claims · 1.0%

Your Cost: $152.95/claim|Median: $91.47
1.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$413K

8,232 claims · 1.0%

Your Cost: $50.11/claim|Median: $35.43
1.4× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$384K

7,179 claims · 0.9%

Your Cost: $53.47/claim|Median: $14.92
3.6× median
96365Top 25%

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

$378K

3,456 claims · 0.9%

Your Cost: $109.29/claim|Median: $54.77
2.0× median
71046Top 5%

Chest X-ray, 2 views

$376K

6,826 claims · 0.9%

Your Cost: $55.12/claim|Median: $8.92
6.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$363K

8,959 claims · 0.9%

Your Cost: $40.51/claim|Median: $21.76
1.9× median
G0378Top 25%

Hospital observation service, per hour

$350K

774 claims · 0.9%

Your Cost: $452.04/claim|Median: $99.39
4.5× median
73562Top 5%

$341K

3,873 claims · 0.8%

Your Cost: $88.15/claim|Median: $12.28
7.2× median
A0425Top 25%

Ground mileage, per statute mile

$325K

5,198 claims · 0.8%

Your Cost: $62.59/claim|Median: $23.36
2.7× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$294K

3,026 claims · 0.7%

Your Cost: $97.18/claim|Median: $10.88
8.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$269K

33K claims · 0.7%

Your Cost: $8.18/claim|Median: $4.71
1.7× median
71045Top 5%

Chest X-ray, single view

$241K

4,700 claims · 0.6%

Your Cost: $51.38/claim|Median: $4.93
10.4× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$218K

8,754 claims · 0.5%

Your Cost: $24.92/claim|Median: $9.56
2.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$202K

955 claims · 0.5%

Your Cost: $211.63/claim|Median: $60.19
3.5× median
71275Top 10%

CT angiography, chest, with contrast

$195K

589 claims · 0.5%

Your Cost: $331.46/claim|Median: $92.96
3.6× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$174K

1,805 claims · 0.4%

Your Cost: $96.56/claim|Median: $13.55
7.1× median
72125Top 10%

CT cervical spine without contrast

$168K

814 claims · 0.4%

Your Cost: $205.97/claim|Median: $32.30
6.4× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$167K

4,470 claims · 0.4%

Your Cost: $37.30/claim|Median: $23.39
1.6× median
96361Normal range

IV infusion, hydration, each additional hour

$161K

4,357 claims · 0.4%

Your Cost: $36.88/claim|Median: $38.92
0.9× median
73030Top 5%

$161K

2,129 claims · 0.4%

Your Cost: $75.44/claim|Median: $10.94
6.9× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$160K

4,465 claims · 0.4%

Your Cost: $35.88/claim|Median: $24.95
1.4× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$124K

7,767 claims · 0.3%

Your Cost: $15.96/claim|Median: $9.87
1.6× median
81513Top 25%

$123K

938 claims · 0.3%

Your Cost: $131.23/claim|Median: $71.32
1.8× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$120K

1,967 claims · 0.3%

Your Cost: $61.05/claim|Median: $12.06
5.1× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$119K

6,594 claims · 0.3%

Your Cost: $18.06/claim|Median: $11.48
1.6× median
73110Top 5%

X-ray of wrist, complete, minimum three views

$116K

1,587 claims · 0.3%

Your Cost: $72.95/claim|Median: $12.64
5.8× median
A0428Top 25%

Ambulance service, BLS, non-emergency transport

$105K

752 claims · 0.3%

Your Cost: $139.23/claim|Median: $58.05
2.4× median
84484Top 25%

Troponin, quantitative

$91K

6,646 claims · 0.2%

Your Cost: $13.71/claim|Median: $4.84
2.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$90K

3,494 claims · 0.2%

Your Cost: $25.84/claim|Median: $16.79
1.5× median
77067Top 5%

Screening mammography, bilateral, including CAD

$90K

610 claims · 0.2%

Your Cost: $146.74/claim|Median: $39.33
3.7× median
73130Top 5%

$89K

1,238 claims · 0.2%

Your Cost: $71.92/claim|Median: $10.69
6.7× median
87086Top 25%

Urine culture, colony count, with identification

$85K

9,396 claims · 0.2%

Your Cost: $9.04/claim|Median: $5.31
1.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$84K

254 claims · 0.2%

Your Cost: $332.55/claim|Median: $54.68
6.1× median
82306Normal range

Vitamin D, 25 hydroxy

$80K

3,056 claims · 0.2%

Your Cost: $26.07/claim|Median: $18.18
1.4× median
U0002Normal range

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

$78K

1,761 claims · 0.2%

Your Cost: $44.03/claim|Median: $34.62
1.3× median
81025Top 5%

Urine pregnancy test

$76K

6,676 claims · 0.2%

Your Cost: $11.40/claim|Median: $4.81
2.4× median

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