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RIVERSIDE HEALTHCARE SYSTEM, L.P.

General Acute Care Hospital·RIVERSIDE, CA·NPI: 1154368116Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $65.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$65.6M

$65,583,791

Total Claims

1.7M

Beneficiaries

1.5M

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$11.8M
-7%
2019
$10.9M
-35%
2020
$7.1M
+9%
2021
$7.8M
+17%
2022
$9.1M
+9%
2023
$9.9M
-10%
2024
$8.9M

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 43% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$27.9M

118K claims · 42.5%

Your Cost: $235.77/claim|Median: $42.48
5.6× median
0450Top 10%

Emergency room visit

$26.6M

116K claims · 40.5%

Your Cost: $229.13/claim|Median: $44.95
5.1× median
99284Top 10%

Emergency dept visit, high complexity

$2.0M

10K claims · 3.0%

Your Cost: $190.01/claim|Median: $69.51
2.7× median
G0383Top 5%

$1.5M

6,221 claims · 2.3%

Your Cost: $239.11/claim|Median: $108.78
2.2× median
0360Normal range

$726K

6,327 claims · 1.1%

Your Cost: $114.68/claim|Median: $95.40
1.2× median
99282Top 5%

Emergency dept visit, low complexity

$584K

2,482 claims · 0.9%

Your Cost: $235.35/claim|Median: $37.72
6.2× median
Z7502Normal range

$565K

15K claims · 0.9%

Your Cost: $37.26/claim|Median: $37.17
1.0× median
99070Normal range

$509K

92K claims · 0.8%

Your Cost: $5.54/claim|Median: $8.08
0.7× median
93458Top 25%

Left heart catheterization with imaging

$460K

515 claims · 0.7%

Your Cost: $892.77/claim|Median: $183.33
4.9× median
G0382Top 5%

$406K

1,706 claims · 0.6%

Your Cost: $237.99/claim|Median: $80.53
3.0× median
0272Top 25%

$395K

6,179 claims · 0.6%

Your Cost: $63.92/claim|Median: $6.04
10.6× median
99281Top 5%

Emergency dept visit, minimal complexity

$311K

1,295 claims · 0.5%

Your Cost: $239.85/claim|Median: $52.03
4.6× median
99221Top 5%

Initial hospital care, straightforward/low

$302K

2,041 claims · 0.5%

Your Cost: $148.13/claim|Median: $39.96
3.7× median
0710Top 25%

$296K

3,975 claims · 0.5%

Your Cost: $74.46/claim|Median: $18.49
4.0× median
G0384Top 25%

$245K

1,017 claims · 0.4%

Your Cost: $240.42/claim|Median: $128.12
1.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$215K

1,603 claims · 0.3%

Your Cost: $134.13/claim|Median: $85.65
1.6× median
0370Top 1%

$209K

122 claims · 0.3%

Your Cost: $1,711.33/claim|Median: $12.04
142.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$186K

5,334 claims · 0.3%

Your Cost: $34.89/claim|Median: $35.80
1.0× median
77067Top 5%

Screening mammography, bilateral, including CAD

$175K

1,088 claims · 0.3%

Your Cost: $160.95/claim|Median: $39.33
4.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$151K

6,047 claims · 0.2%

Your Cost: $25.00/claim|Median: $30.04
0.8× median
G0381Top 1%

$131K

547 claims · 0.2%

Your Cost: $239.22/claim|Median: $59.47
4.0× median
J3490Normal range

Unclassified drugs

$103K

15K claims · 0.2%

Your Cost: $6.97/claim|Median: $5.70
1.2× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$81K

1,494 claims · 0.1%

Your Cost: $54.43/claim|Median: $16.77
3.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$77K

1,794 claims · 0.1%

Your Cost: $42.92/claim|Median: $39.70
1.1× median
99218Top 25%

$77K

509 claims · 0.1%

Your Cost: $151.01/claim|Median: $51.50
2.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$72K

2,100 claims · 0.1%

Your Cost: $34.28/claim|Median: $37.22
0.9× median
Q9967Normal range

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$68K

33K claims · 0.1%

Your Cost: $2.07/claim|Median: $3.42
0.6× median
99152Top 5%

$61K

1,223 claims · 0.1%

Your Cost: $50.29/claim|Median: $7.34
6.9× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$56K

1,013 claims · 0.1%

Your Cost: $55.66/claim|Median: $23.99
2.3× median
77336Top 1%

$51K

82 claims · 0.1%

Your Cost: $617.39/claim|Median: $55.04
11.2× median
74177Normal range

CT abdomen and pelvis with contrast

$49K

18K claims · 0.1%

Your Cost: $2.76/claim|Median: $65.76
0.0× median
88312Normal range

$47K

2,353 claims · 0.1%

Your Cost: $19.99/claim|Median: $24.56
0.8× median
80053Normal range

Comprehensive metabolic panel

$40K

103K claims · 0.1%

Your Cost: $0.38/claim|Median: $7.24
0.1× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$39K

854 claims · 0.1%

Your Cost: $45.77/claim|Median: $59.38
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$38K

1,351 claims · 0.1%

Your Cost: $27.77/claim|Median: $151.68
0.2× median
85027Normal range

Complete blood count (CBC), automated

$33K

125K claims · 0.0%

Your Cost: $0.26/claim|Median: $3.72
0.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$31K

58K claims · 0.0%

Your Cost: $0.54/claim|Median: $7.50
0.1× median
93798Normal range

Cardiac rehabilitation with continuous ECG monitoring, per session

$30K

1,347 claims · 0.0%

Your Cost: $22.03/claim|Median: $44.45
0.5× median
0762Normal range

$26K

1,506 claims · 0.0%

Your Cost: $17.08/claim|Median: $102.28
0.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$26K

33K claims · 0.0%

Your Cost: $0.77/claim|Median: $21.76
0.0× median
99217Top 25%

$24K

522 claims · 0.0%

Your Cost: $45.66/claim|Median: $31.89
1.4× median
99153Top 10%

$23K

822 claims · 0.0%

Your Cost: $28.15/claim|Median: $5.60
5.0× median
80048Normal range

Basic metabolic panel

$23K

19K claims · 0.0%

Your Cost: $1.16/claim|Median: $5.78
0.2× median
71045Normal range

Chest X-ray, single view

$22K

48K claims · 0.0%

Your Cost: $0.45/claim|Median: $4.93
0.1× median
70450Normal range

CT head/brain without contrast

$21K

15K claims · 0.0%

Your Cost: $1.40/claim|Median: $45.53
0.0× median
99224Top 25%

$20K

358 claims · 0.0%

Your Cost: $55.96/claim|Median: $17.79
3.1× median
0250Normal range

$20K

69K claims · 0.0%

Your Cost: $0.29/claim|Median: $3.70
0.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$20K

627 claims · 0.0%

Your Cost: $31.61/claim|Median: $54.68
0.6× median
82803Normal range

$19K

2,053 claims · 0.0%

Your Cost: $9.40/claim|Median: $8.90
1.1× median
99214Normal range

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

$18K

343 claims · 0.0%

Your Cost: $51.65/claim|Median: $53.41
1.0× median