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

MERCY HOSPITAL OF BUFFALO

General Acute Care Hospital·BUFFALO, NY·NPI: 1164464921Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$29.9M

$29,859,635

Total Claims

813K

Beneficiaries

671K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$922K
+195%
2019
$2.7M
+74%
2020
$4.7M
+18%
2021
$5.6M
-0%
2022
$5.6M
+7%
2023
$6.0M
-26%
2024
$4.4M

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 19% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$5.8M

31K claims · 19.3%

Your Cost: $184.51/claim|Median: $42.48
4.3× median
99284Top 10%

Emergency dept visit, high complexity

$4.1M

20K claims · 13.6%

Your Cost: $205.42/claim|Median: $69.51
3.0× median
G0378Top 10%

Hospital observation service, per hour

$3.5M

3,677 claims · 11.7%

Your Cost: $949.54/claim|Median: $99.39
9.6× median
99282Top 10%

Emergency dept visit, low complexity

$1.6M

10K claims · 5.5%

Your Cost: $158.91/claim|Median: $37.72
4.2× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.1M

7,271 claims · 3.9%

Your Cost: $158.14/claim|Median: $38.92
4.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$994K

5,034 claims · 3.3%

Your Cost: $197.45/claim|Median: $65.76
3.0× median
36415Top 10%

Collection of venous blood by venipuncture

$836K

107K claims · 2.8%

Your Cost: $7.84/claim|Median: $1.57
5.0× median
70450Top 10%

CT head/brain without contrast

$770K

3,945 claims · 2.6%

Your Cost: $195.19/claim|Median: $45.53
4.3× median
G0463Top 10%

Hospital outpatient clinic visit

$711K

6,916 claims · 2.4%

Your Cost: $102.79/claim|Median: $26.41
3.9× median
99213Normal range

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

$670K

17K claims · 2.2%

Your Cost: $39.65/claim|Median: $37.81
1.0× median
C1713Top 5%

Anchor or screw for tissue to bone fixation

$568K

327 claims · 1.9%

Your Cost: $1,735.73/claim|Median: $123.40
14.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$538K

2,994 claims · 1.8%

Your Cost: $179.79/claim|Median: $85.65
2.1× median
99214Normal range

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

$534K

9,796 claims · 1.8%

Your Cost: $54.47/claim|Median: $53.41
1.0× median
76700Top 5%

Ultrasound, abdominal, complete

$529K

1,873 claims · 1.8%

Your Cost: $282.19/claim|Median: $50.69
5.6× median
76856Top 5%

Ultrasound, pelvic, complete

$524K

1,664 claims · 1.8%

Your Cost: $314.64/claim|Median: $47.58
6.6× median
93976Top 5%

$444K

1,710 claims · 1.5%

Your Cost: $259.51/claim|Median: $42.06
6.2× median
80053Top 25%

Comprehensive metabolic panel

$418K

30K claims · 1.4%

Your Cost: $13.73/claim|Median: $7.24
1.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$411K

2,055 claims · 1.4%

Your Cost: $199.79/claim|Median: $60.19
3.3× median
93458Top 25%

Left heart catheterization with imaging

$313K

250 claims · 1.0%

Your Cost: $1,251.90/claim|Median: $183.33
6.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$289K

5,730 claims · 1.0%

Your Cost: $50.42/claim|Median: $63.08
0.8× median
71275Top 25%

CT angiography, chest, with contrast

$274K

1,452 claims · 0.9%

Your Cost: $188.95/claim|Median: $92.96
2.0× median
97110Normal range

Therapeutic exercises, each 15 min

$219K

7,795 claims · 0.7%

Your Cost: $28.08/claim|Median: $24.49
1.1× median
96360Normal range

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

$201K

1,869 claims · 0.7%

Your Cost: $107.70/claim|Median: $61.57
1.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$197K

7,520 claims · 0.7%

Your Cost: $26.15/claim|Median: $12.93
2.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$184K

25K claims · 0.6%

Your Cost: $7.33/claim|Median: $5.60
1.3× median
80048Top 25%

Basic metabolic panel

$178K

13K claims · 0.6%

Your Cost: $14.07/claim|Median: $5.78
2.4× median
47562Top 25%

$171K

52 claims · 0.6%

Your Cost: $3,293.34/claim|Median: $731.87
4.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$158K

4,633 claims · 0.5%

Your Cost: $34.04/claim|Median: $65.64
0.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$138K

5,168 claims · 0.5%

Your Cost: $26.77/claim|Median: $24.95
1.1× median
96365Normal range

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

$128K

1,463 claims · 0.4%

Your Cost: $87.32/claim|Median: $54.77
1.6× median
C1821Top 1%

$123K

25 claims · 0.4%

Your Cost: $4,932.75/claim|Median: $2,736.69
1.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$112K

3,183 claims · 0.4%

Your Cost: $35.07/claim|Median: $58.55
0.6× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$91K

1,415 claims · 0.3%

Your Cost: $64.19/claim|Median: $58.16
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$89K

3,769 claims · 0.3%

Your Cost: $23.66/claim|Median: $35.43
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$88K

8,358 claims · 0.3%

Your Cost: $10.49/claim|Median: $9.56
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$88K

4,796 claims · 0.3%

Your Cost: $18.27/claim|Median: $23.39
0.8× median
97161Normal range

Physical therapy evaluation, low complexity

$86K

1,531 claims · 0.3%

Your Cost: $56.42/claim|Median: $47.89
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$80K

20K claims · 0.3%

Your Cost: $4.00/claim|Median: $21.76
0.2× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$76K

1,878 claims · 0.3%

Your Cost: $40.61/claim|Median: $65.45
0.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$76K

2,916 claims · 0.3%

Your Cost: $26.13/claim|Median: $28.46
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$75K

4,228 claims · 0.2%

Your Cost: $17.63/claim|Median: $39.70
0.4× median
86850Top 25%

$74K

4,537 claims · 0.2%

Your Cost: $16.27/claim|Median: $5.44
3.0× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$69K

3,868 claims · 0.2%

Your Cost: $17.81/claim|Median: $15.76
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$68K

2,147 claims · 0.2%

Your Cost: $31.90/claim|Median: $35.80
0.9× median
97140Normal range

Manual therapy techniques, per 15 minutes

$64K

3,372 claims · 0.2%

Your Cost: $18.98/claim|Median: $16.79
1.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$64K

1,950 claims · 0.2%

Your Cost: $32.58/claim|Median: $49.45
0.7× median
93970Top 5%

Duplex scan of extremity veins, complete, bilateral

$60K

230 claims · 0.2%

Your Cost: $261.70/claim|Median: $43.07
6.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$60K

896 claims · 0.2%

Your Cost: $66.74/claim|Median: $75.18
0.9× median
87481Normal range

$59K

1,831 claims · 0.2%

Your Cost: $32.41/claim|Median: $22.38
1.4× median
12001Top 10%

$59K

209 claims · 0.2%

Your Cost: $282.07/claim|Median: $64.99
4.3× median