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PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC

General Acute Care Hospital·RIVERDALE, GA·NPI: 1154795581Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$26.0M

$25,962,934

Total Claims

704K

Beneficiaries

558K

1.3 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+23%
2019
$5.1M
-34%
2020
$3.3M
-2%
2021
$3.3M
+8%
2022
$3.5M
+26%
2023
$4.4M
-49%
2024
$2.2M

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 20% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$5.3M

26K claims · 20.4%

Your Cost: $206.89/claim|Median: $69.51
3.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.6M

29K claims · 13.8%

Your Cost: $125.43/claim|Median: $42.48
3.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$3.3M

12K claims · 12.9%

Your Cost: $288.31/claim|Median: $85.65
3.4× median
74177Top 10%

CT abdomen and pelvis with contrast

$1000K

3,250 claims · 3.8%

Your Cost: $307.56/claim|Median: $65.76
4.7× median
99282Normal range

Emergency dept visit, low complexity

$985K

13K claims · 3.8%

Your Cost: $77.63/claim|Median: $37.72
2.1× median
70450Top 25%

CT head/brain without contrast

$951K

5,984 claims · 3.7%

Your Cost: $158.97/claim|Median: $45.53
3.5× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$752K

12K claims · 2.9%

Your Cost: $61.51/claim|Median: $21.76
2.8× median
74176Top 10%

CT abdomen and pelvis without contrast

$659K

2,150 claims · 2.5%

Your Cost: $306.41/claim|Median: $60.19
5.1× median
59025Top 25%

Fetal non-stress test

$547K

6,918 claims · 2.1%

Your Cost: $79.07/claim|Median: $26.45
3.0× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$426K

16K claims · 1.6%

Your Cost: $25.97/claim|Median: $7.50
3.5× median
G0378Normal range

Hospital observation service, per hour

$412K

3,570 claims · 1.6%

Your Cost: $115.51/claim|Median: $99.39
1.2× median
96361Normal range

IV infusion, hydration, each additional hour

$408K

9,421 claims · 1.6%

Your Cost: $43.35/claim|Median: $38.92
1.1× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$390K

11K claims · 1.5%

Your Cost: $35.37/claim|Median: $14.92
2.4× median
71046Top 10%

Chest X-ray, 2 views

$374K

9,428 claims · 1.4%

Your Cost: $39.70/claim|Median: $8.92
4.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$350K

8,692 claims · 1.3%

Your Cost: $40.28/claim|Median: $35.43
1.1× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$344K

13K claims · 1.3%

Your Cost: $26.60/claim|Median: $9.56
2.8× median
96365Normal range

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

$322K

5,098 claims · 1.2%

Your Cost: $63.23/claim|Median: $54.77
1.2× median
71045Top 10%

Chest X-ray, single view

$262K

8,970 claims · 1.0%

Your Cost: $29.24/claim|Median: $4.93
5.9× median
99281Normal range

Emergency dept visit, minimal complexity

$233K

4,105 claims · 0.9%

Your Cost: $56.68/claim|Median: $52.03
1.1× median
99291Top 10%

Critical care, first 30-74 minutes

$228K

1,072 claims · 0.9%

Your Cost: $213.04/claim|Median: $101.24
2.1× median
72125Top 10%

CT cervical spine without contrast

$227K

1,137 claims · 0.9%

Your Cost: $199.89/claim|Median: $32.30
6.2× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$225K

3,124 claims · 0.9%

Your Cost: $72.09/claim|Median: $58.16
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$223K

43K claims · 0.9%

Your Cost: $5.16/claim|Median: $4.71
1.1× median
71275Top 25%

CT angiography, chest, with contrast

$217K

962 claims · 0.8%

Your Cost: $225.76/claim|Median: $92.96
2.4× median
76819Top 25%

Fetal biophysical profile with non-stress test

$210K

2,324 claims · 0.8%

Your Cost: $90.37/claim|Median: $49.45
1.8× median
80053Normal range

Comprehensive metabolic panel

$205K

28K claims · 0.8%

Your Cost: $7.32/claim|Median: $7.24
1.0× median
96360Normal range

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

$202K

3,424 claims · 0.8%

Your Cost: $58.88/claim|Median: $61.57
1.0× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$190K

2,519 claims · 0.7%

Your Cost: $75.63/claim|Median: $47.65
1.6× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$171K

2,353 claims · 0.7%

Your Cost: $72.68/claim|Median: $36.79
2.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$169K

3,696 claims · 0.6%

Your Cost: $45.61/claim|Median: $10.88
4.2× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$166K

2,317 claims · 0.6%

Your Cost: $71.45/claim|Median: $36.13
2.0× median
97110Normal range

Therapeutic exercises, each 15 min

$151K

3,785 claims · 0.6%

Your Cost: $40.00/claim|Median: $24.49
1.6× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$121K

2,459 claims · 0.5%

Your Cost: $49.32/claim|Median: $37.56
1.3× median
96366Normal range

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

$116K

1,963 claims · 0.4%

Your Cost: $59.17/claim|Median: $40.12
1.5× median
80048Normal range

Basic metabolic panel

$109K

20K claims · 0.4%

Your Cost: $5.47/claim|Median: $5.78
0.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$99K

1,814 claims · 0.4%

Your Cost: $54.59/claim|Median: $35.80
1.5× median
84484Normal range

Troponin, quantitative

$99K

13K claims · 0.4%

Your Cost: $7.60/claim|Median: $4.84
1.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$84K

1,493 claims · 0.3%

Your Cost: $56.08/claim|Median: $63.08
0.9× median
96376Top 25%

$81K

3,891 claims · 0.3%

Your Cost: $20.84/claim|Median: $3.19
6.5× median
73030Top 5%

$78K

1,194 claims · 0.3%

Your Cost: $65.33/claim|Median: $10.94
6.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$72K

722 claims · 0.3%

Your Cost: $100.21/claim|Median: $74.78
1.3× median
83880Top 25%

$72K

3,150 claims · 0.3%

Your Cost: $22.70/claim|Median: $11.81
1.9× median
81001Normal range

Urinalysis, automated, with microscopy

$69K

31K claims · 0.3%

Your Cost: $2.20/claim|Median: $2.03
1.1× median
73562Top 10%

$64K

1,264 claims · 0.2%

Your Cost: $50.86/claim|Median: $12.28
4.1× median
72100Top 10%

$64K

1,221 claims · 0.2%

Your Cost: $52.47/claim|Median: $15.14
3.5× median
Q9967Top 25%

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

$60K

4,261 claims · 0.2%

Your Cost: $14.06/claim|Median: $3.42
4.1× median
80320Normal range

$56K

5,313 claims · 0.2%

Your Cost: $10.51/claim|Median: $4.02
2.6× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$55K

758 claims · 0.2%

Your Cost: $72.01/claim|Median: $13.55
5.3× median
83690Normal range

$43K

8,891 claims · 0.2%

Your Cost: $4.82/claim|Median: $3.35
1.4× median
84702Normal range

$42K

7,020 claims · 0.2%

Your Cost: $6.01/claim|Median: $8.25
0.7× median

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Similar Providers

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Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

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$863.5M

Nationwide Children's Hospital

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$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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