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DANVILLE REGIONAL MEDICAL CENTER, LLC

General Acute Care Hospital, Rural·DANVILLE, VA·NPI: 1154419737Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$65.1M

$65,113,143

Total Claims

2.3M

Beneficiaries

1.8M

1.3 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$4.7M
+33%
2019
$6.2M
+25%
2020
$7.8M
+4%
2021
$8.1M
-1%
2022
$8.0M
+100%
2023
$16.1M
-12%
2024
$14.2M

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 25%

Emergency dept visit, high complexity

$8.6M

65K claims · 13.2%

Your Cost: $130.98/claim|Median: $69.51
1.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$8.3M

62K claims · 12.8%

Your Cost: $134.46/claim|Median: $42.48
3.2× median
96361Top 25%

IV infusion, hydration, each additional hour

$8.2M

35K claims · 12.6%

Your Cost: $231.39/claim|Median: $38.92
5.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$4.3M

37K claims · 6.7%

Your Cost: $118.15/claim|Median: $85.65
1.4× median
70450Top 25%

CT head/brain without contrast

$2.7M

20K claims · 4.1%

Your Cost: $131.36/claim|Median: $45.53
2.9× median
99282Top 25%

Emergency dept visit, low complexity

$2.6M

18K claims · 4.0%

Your Cost: $141.80/claim|Median: $37.72
3.8× median
96365Normal range

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

$2.3M

26K claims · 3.5%

Your Cost: $89.00/claim|Median: $54.77
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$1.8M

11K claims · 2.7%

Your Cost: $158.63/claim|Median: $65.76
2.4× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.5M

24K claims · 2.3%

Your Cost: $62.88/claim|Median: $91.47
0.7× median
G0378Normal range

Hospital observation service, per hour

$1.4M

9,920 claims · 2.1%

Your Cost: $140.09/claim|Median: $99.39
1.4× median
96366Top 25%

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

$1.3M

10K claims · 2.1%

Your Cost: $129.18/claim|Median: $40.12
3.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.3M

8,736 claims · 2.0%

Your Cost: $148.62/claim|Median: $60.19
2.5× median
99281Top 25%

Emergency dept visit, minimal complexity

$1.3M

8,404 claims · 2.0%

Your Cost: $153.23/claim|Median: $52.03
2.9× median
71275Top 25%

CT angiography, chest, with contrast

$718K

4,364 claims · 1.1%

Your Cost: $164.59/claim|Median: $92.96
1.8× median
96360Normal range

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

$679K

7,731 claims · 1.0%

Your Cost: $87.85/claim|Median: $61.57
1.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$616K

2,042 claims · 0.9%

Your Cost: $301.47/claim|Median: $151.68
2.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$612K

3,052 claims · 0.9%

Your Cost: $200.46/claim|Median: $54.68
3.7× median
80053Normal range

Comprehensive metabolic panel

$571K

138K claims · 0.9%

Your Cost: $4.13/claim|Median: $7.24
0.6× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$558K

1,457 claims · 0.9%

Your Cost: $383.16/claim|Median: $106.14
3.6× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$551K

272 claims · 0.8%

Your Cost: $2,025.02/claim|Median: $331.68
6.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$535K

25K claims · 0.8%

Your Cost: $21.65/claim|Median: $35.43
0.6× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$512K

13K claims · 0.8%

Your Cost: $39.52/claim|Median: $10.88
3.6× median
36475Top 25%

$511K

388 claims · 0.8%

Your Cost: $1,316.61/claim|Median: $902.80
1.5× median
C9803Normal range

$440K

20K claims · 0.7%

Your Cost: $21.60/claim|Median: $13.20
1.6× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$407K

3,071 claims · 0.6%

Your Cost: $132.37/claim|Median: $36.13
3.7× median
P9016Normal range

$402K

2,658 claims · 0.6%

Your Cost: $151.11/claim|Median: $122.26
1.2× median
96367Top 25%

$351K

6,379 claims · 0.5%

Your Cost: $55.05/claim|Median: $29.27
1.9× median
69436Top 25%

Tympanostomy, general anesthesia

$315K

336 claims · 0.5%

Your Cost: $937.35/claim|Median: $205.50
4.6× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$288K

3,315 claims · 0.4%

Your Cost: $86.89/claim|Median: $43.07
2.0× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$281K

3,730 claims · 0.4%

Your Cost: $75.45/claim|Median: $25.43
3.0× median
G0463Normal range

Hospital outpatient clinic visit

$275K

9,115 claims · 0.4%

Your Cost: $30.16/claim|Median: $26.41
1.1× median
78815Top 25%

PET imaging for limited area

$270K

385 claims · 0.4%

Your Cost: $702.01/claim|Median: $325.10
2.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$261K

155K claims · 0.4%

Your Cost: $1.68/claim|Median: $4.71
0.4× median
82306Normal range

Vitamin D, 25 hydroxy

$255K

16K claims · 0.4%

Your Cost: $16.02/claim|Median: $18.18
0.9× median
76705Top 25%

Ultrasound, abdominal, limited

$254K

3,311 claims · 0.4%

Your Cost: $76.61/claim|Median: $23.81
3.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$250K

4,869 claims · 0.4%

Your Cost: $51.44/claim|Median: $75.28
0.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$240K

37K claims · 0.4%

Your Cost: $6.42/claim|Median: $14.92
0.4× median
97110Normal range

Therapeutic exercises, each 15 min

$225K

8,848 claims · 0.3%

Your Cost: $25.43/claim|Median: $24.49
1.0× median
45380Normal range

Colonoscopy with biopsy

$219K

687 claims · 0.3%

Your Cost: $319.33/claim|Median: $200.68
1.6× median
76700Top 25%

Ultrasound, abdominal, complete

$210K

1,961 claims · 0.3%

Your Cost: $107.17/claim|Median: $50.69
2.1× median
36430Normal range

Transfusion of whole blood

$203K

2,665 claims · 0.3%

Your Cost: $76.04/claim|Median: $111.66
0.7× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$195K

396 claims · 0.3%

Your Cost: $491.37/claim|Median: $255.17
1.9× median
10060Normal range

Incision and drainage of abscess, simple

$181K

1,436 claims · 0.3%

Your Cost: $125.81/claim|Median: $75.72
1.7× median
76830Top 25%

Ultrasound, transvaginal

$179K

2,081 claims · 0.3%

Your Cost: $85.79/claim|Median: $57.47
1.5× median
70551Normal range

MRI brain without contrast

$168K

1,145 claims · 0.3%

Your Cost: $146.84/claim|Median: $85.39
1.7× median
80050Top 25%

General health panel

$165K

2,968 claims · 0.3%

Your Cost: $55.53/claim|Median: $25.59
2.2× median
80061Normal range

Lipid panel

$164K

24K claims · 0.3%

Your Cost: $6.86/claim|Median: $8.41
0.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$164K

32K claims · 0.3%

Your Cost: $5.17/claim|Median: $9.87
0.5× median
G0121Top 25%

Colorectal cancer screening; colonoscopy

$161K

214 claims · 0.2%

Your Cost: $752.09/claim|Median: $332.07
2.3× median
12001Top 25%

$159K

813 claims · 0.2%

Your Cost: $195.64/claim|Median: $64.99
3.0× median

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