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DOCTORS MEDICAL CENTER OF MODESTO, INC.

General Acute Care Hospital·MODESTO, CA·NPI: 1184654923Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $101.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$101.3M

$101,262,274

Total Claims

1.4M

Beneficiaries

1.2M

1.1 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$17.2M
-3%
2019
$16.8M
-13%
2020
$14.6M
-13%
2021
$12.7M
+16%
2022
$14.8M
-6%
2023
$13.8M
-17%
2024
$11.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 37% of total spending.

0450Top 10%

Emergency room visit

$37.4M

207K claims · 36.9%

Your Cost: $180.78/claim|Median: $44.95
4.0× median
99283Top 10%

Emergency dept visit, moderate complexity

$7.4M

43K claims · 7.3%

Your Cost: $174.42/claim|Median: $42.48
4.1× median
99284Top 25%

Emergency dept visit, high complexity

$3.7M

35K claims · 3.7%

Your Cost: $107.51/claim|Median: $69.51
1.5× median
99218Top 1%

$3.1M

2,238 claims · 3.1%

Your Cost: $1,394.62/claim|Median: $51.50
27.1× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$3.1M

8,776 claims · 3.1%

Your Cost: $352.75/claim|Median: $54.68
6.5× median
71046Top 1%

Chest X-ray, 2 views

$2.7M

22K claims · 2.7%

Your Cost: $123.26/claim|Median: $8.92
13.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.7M

16K claims · 2.6%

Your Cost: $169.73/claim|Median: $85.65
2.0× median
74177Top 10%

CT abdomen and pelvis with contrast

$2.5M

7,084 claims · 2.5%

Your Cost: $356.79/claim|Median: $65.76
5.4× median
99282Top 5%

Emergency dept visit, low complexity

$2.5M

10K claims · 2.5%

Your Cost: $250.05/claim|Median: $37.72
6.6× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$2.4M

4,117 claims · 2.4%

Your Cost: $579.91/claim|Median: $106.14
5.5× median
0762Top 25%

$2.0M

2,136 claims · 1.9%

Your Cost: $921.25/claim|Median: $102.28
9.0× median
70450Top 25%

CT head/brain without contrast

$1.8M

11K claims · 1.8%

Your Cost: $174.47/claim|Median: $45.53
3.8× median
71045Top 5%

Chest X-ray, single view

$1.8M

19K claims · 1.8%

Your Cost: $93.21/claim|Median: $4.93
18.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$1.7M

27K claims · 1.7%

Your Cost: $64.31/claim|Median: $9.56
6.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.5M

21K claims · 1.5%

Your Cost: $70.38/claim|Median: $63.08
1.1× median
Z7502Normal range

$1.1M

31K claims · 1.1%

Your Cost: $37.38/claim|Median: $37.17
1.0× median
80053Top 25%

Comprehensive metabolic panel

$1.0M

70K claims · 1.0%

Your Cost: $14.92/claim|Median: $7.24
2.1× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$899K

17K claims · 0.9%

Your Cost: $53.64/claim|Median: $35.43
1.5× median
72125Top 5%

CT cervical spine without contrast

$897K

3,419 claims · 0.9%

Your Cost: $262.43/claim|Median: $32.30
8.1× median
71260Top 1%

CT chest with contrast

$790K

1,432 claims · 0.8%

Your Cost: $551.38/claim|Median: $48.36
11.4× median
0270Top 10%

$789K

18K claims · 0.8%

Your Cost: $44.34/claim|Median: $5.50
8.1× median
93458Top 5%

Left heart catheterization with imaging

$707K

401 claims · 0.7%

Your Cost: $1,762.55/claim|Median: $183.33
9.6× median
93017Top 25%

$645K

5,349 claims · 0.6%

Your Cost: $120.54/claim|Median: $56.03
2.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$634K

86K claims · 0.6%

Your Cost: $7.37/claim|Median: $4.71
1.6× median
99281Normal range

Emergency dept visit, minimal complexity

$630K

8,216 claims · 0.6%

Your Cost: $76.69/claim|Median: $52.03
1.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$625K

42K claims · 0.6%

Your Cost: $14.94/claim|Median: $7.50
2.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$606K

4,251 claims · 0.6%

Your Cost: $142.48/claim|Median: $60.19
2.4× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$533K

14K claims · 0.5%

Your Cost: $37.03/claim|Median: $14.92
2.5× median
0510Normal range

Revenue code, clinic services

$492K

19K claims · 0.5%

Your Cost: $26.27/claim|Median: $28.38
0.9× median
Q9967Top 10%

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

$469K

9,630 claims · 0.5%

Your Cost: $48.69/claim|Median: $3.42
14.2× median
A9502Top 25%

$454K

3,594 claims · 0.4%

Your Cost: $126.28/claim|Median: $54.60
2.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$450K

16K claims · 0.4%

Your Cost: $27.90/claim|Median: $21.76
1.3× median
J3490Top 25%

Unclassified drugs

$421K

15K claims · 0.4%

Your Cost: $28.88/claim|Median: $5.70
5.1× median
J2785Top 25%

$405K

2,555 claims · 0.4%

Your Cost: $158.44/claim|Median: $61.83
2.6× median
76801Top 5%

Ultrasound, pregnant uterus, single fetus, first trimester

$390K

2,620 claims · 0.4%

Your Cost: $148.91/claim|Median: $58.16
2.6× median
0360Normal range

$387K

2,854 claims · 0.4%

Your Cost: $135.71/claim|Median: $95.40
1.4× median
Z9725Normal range

$363K

8,427 claims · 0.4%

Your Cost: $43.02/claim|Median: $42.99
1.0× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$361K

6,713 claims · 0.4%

Your Cost: $53.75/claim|Median: $39.70
1.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$357K

7,925 claims · 0.4%

Your Cost: $45.06/claim|Median: $65.64
0.7× median
96365Normal range

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

$336K

7,339 claims · 0.3%

Your Cost: $45.83/claim|Median: $54.77
0.8× median
93880Top 10%

Duplex ultrasound scan of carotid arteries, bilateral

$331K

2,217 claims · 0.3%

Your Cost: $149.22/claim|Median: $49.03
3.0× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$304K

2,745 claims · 0.3%

Your Cost: $110.78/claim|Median: $13.55
8.2× median
76700Top 10%

Ultrasound, abdominal, complete

$273K

2,095 claims · 0.3%

Your Cost: $130.29/claim|Median: $50.69
2.6× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$245K

2,843 claims · 0.2%

Your Cost: $86.34/claim|Median: $12.06
7.2× median
0760Normal range

$232K

7,447 claims · 0.2%

Your Cost: $31.17/claim|Median: $22.01
1.4× median
L8699Normal range

Prosthetic implant, not otherwise classified

$229K

155 claims · 0.2%

Your Cost: $1,478.31/claim|Median: $389.88
3.8× median
0121Normal range

Revenue code, all-inclusive room and board

$229K

50 claims · 0.2%

Your Cost: $4,579.02/claim|Median: $2,650.78
1.7× median
73562Top 5%

$226K

2,384 claims · 0.2%

Your Cost: $94.98/claim|Median: $12.28
7.7× median
74018Top 5%

$214K

2,181 claims · 0.2%

Your Cost: $97.90/claim|Median: $7.00
14.0× median
73030Top 5%

$210K

2,323 claims · 0.2%

Your Cost: $90.46/claim|Median: $10.94
8.3× median

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Los Angeles County Department of Mental Health

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$6.78B

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Community/Behavioral Health

$1.73B

County of Riverside

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$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

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$1.13B

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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