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STC OPCO LLC

General Acute Care Hospital, Children·PHILADELPHIA, PA·NPI: 1194368167Share
Active Billing Period:2019-12→2024-12(61 months)

Total Paid

$69.2M

$69,201,608

Total Claims

456K

Beneficiaries

397K

1.1 claims/patient

Avg Cost/Claim

$152

Monthly Spending Trend

Yearly Spending

2019
$25K
+18470%
2020
$4.7M
+264%
2021
$17.1M
-28%
2022
$12.3M
+19%
2023
$14.6M
+40%
2024
$20.5M

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 26% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$17.7M

75K claims · 25.6%

Your Cost: $236.94/claim|Median: $42.48
5.6× median
99284Top 5%

Emergency dept visit, high complexity

$15.0M

61K claims · 21.7%

Your Cost: $247.99/claim|Median: $69.51
3.6× median
G0378Top 1%

Hospital observation service, per hour

$13.6M

7,063 claims · 19.7%

Your Cost: $1,929.37/claim|Median: $99.39
19.4× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$3.2M

1,097 claims · 4.6%

Your Cost: $2,903.38/claim|Median: $331.68
8.8× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$1.9M

1,035 claims · 2.8%

Your Cost: $1,874.14/claim|Median: $763.43
2.5× median
69436Top 1%

Tympanostomy, general anesthesia

$1.9M

827 claims · 2.8%

Your Cost: $2,312.75/claim|Median: $205.50
11.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.4M

15K claims · 2.0%

Your Cost: $92.38/claim|Median: $63.08
1.5× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.2M

2,900 claims · 1.8%

Your Cost: $418.53/claim|Median: $54.68
7.7× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$941K

16K claims · 1.4%

Your Cost: $60.16/claim|Median: $121.16
0.5× median
97530Top 5%

Therapeutic activities, each 15 min

$853K

7,825 claims · 1.2%

Your Cost: $109.03/claim|Median: $33.11
3.3× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$790K

668 claims · 1.1%

Your Cost: $1,182.58/claim|Median: $57.39
20.6× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$660K

1,372 claims · 1.0%

Your Cost: $481.06/claim|Median: $120.85
4.0× median
93325Top 5%

$608K

3,482 claims · 0.9%

Your Cost: $174.63/claim|Median: $14.61
12.0× median
94010Top 5%

$555K

6,159 claims · 0.8%

Your Cost: $90.12/claim|Median: $18.11
5.0× median
99282Top 25%

Emergency dept visit, low complexity

$545K

5,826 claims · 0.8%

Your Cost: $93.62/claim|Median: $37.72
2.5× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$537K

788 claims · 0.8%

Your Cost: $682.04/claim|Median: $1,587.53
0.4× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$505K

843 claims · 0.7%

Your Cost: $598.87/claim|Median: $233.73
2.6× median
99218Top 1%

$438K

271 claims · 0.6%

Your Cost: $1,615.23/claim|Median: $51.50
31.4× median
92507Top 25%

Speech/hearing/language treatment

$403K

4,724 claims · 0.6%

Your Cost: $85.41/claim|Median: $49.45
1.7× median
D1120Top 1%

Prophylaxis, adult

$380K

824 claims · 0.5%

Your Cost: $461.15/claim|Median: $33.86
13.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$353K

2,024 claims · 0.5%

Your Cost: $174.32/claim|Median: $85.65
2.0× median
43239Top 1%

Upper GI endoscopy with biopsy

$310K

212 claims · 0.4%

Your Cost: $1,462.10/claim|Median: $151.68
9.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$265K

11K claims · 0.4%

Your Cost: $24.47/claim|Median: $39.70
0.6× median
93303Top 5%

Echocardiography, transthoracic, limited

$238K

465 claims · 0.3%

Your Cost: $512.27/claim|Median: $112.83
4.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$217K

4,407 claims · 0.3%

Your Cost: $49.18/claim|Median: $169.17
0.3× median
D2934Top 1%

$209K

126 claims · 0.3%

Your Cost: $1,659.10/claim|Median: $143.67
11.5× median
95782Top 25%

$207K

229 claims · 0.3%

Your Cost: $902.56/claim|Median: $216.35
4.2× median
D1208Top 1%

Topical application of fluoride, excluding varnish

$194K

166 claims · 0.3%

Your Cost: $1,169.38/claim|Median: $14.36
81.4× median
97110Top 5%

Therapeutic exercises, each 15 min

$166K

1,959 claims · 0.2%

Your Cost: $84.95/claim|Median: $24.49
3.5× median
92567Top 25%

$158K

7,926 claims · 0.2%

Your Cost: $19.97/claim|Median: $11.50
1.7× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$157K

16K claims · 0.2%

Your Cost: $10.01/claim|Median: $4.71
2.1× median
92579Top 25%

$142K

2,252 claims · 0.2%

Your Cost: $63.16/claim|Median: $30.58
2.1× median
72082Top 25%

$117K

1,705 claims · 0.2%

Your Cost: $68.77/claim|Median: $31.02
2.2× median
93304Top 25%

$116K

537 claims · 0.2%

Your Cost: $215.80/claim|Median: $54.29
4.0× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$115K

1,532 claims · 0.2%

Your Cost: $75.18/claim|Median: $37.35
2.0× median
D1351Top 1%

Sealant, per tooth

$110K

428 claims · 0.2%

Your Cost: $257.26/claim|Median: $26.10
9.9× median
80053Top 25%

Comprehensive metabolic panel

$105K

5,201 claims · 0.2%

Your Cost: $20.11/claim|Median: $7.24
2.8× median
97161Top 5%

Physical therapy evaluation, low complexity

$103K

608 claims · 0.1%

Your Cost: $168.69/claim|Median: $47.89
3.5× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$103K

3,142 claims · 0.1%

Your Cost: $32.63/claim|Median: $7.50
4.4× median
96365Top 25%

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

$99K

961 claims · 0.1%

Your Cost: $102.90/claim|Median: $54.77
1.9× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$97K

438 claims · 0.1%

Your Cost: $220.92/claim|Median: $75.28
2.9× median
OP370Normal range

$93K

3,059 claims · 0.1%

Your Cost: $30.34/claim|Median: $82.47
0.4× median
95812Normal range

$84K

527 claims · 0.1%

Your Cost: $159.41/claim|Median: $104.99
1.5× median
67311Top 10%

$76K

30 claims · 0.1%

Your Cost: $2,539.58/claim|Median: $610.94
4.2× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$72K

1,335 claims · 0.1%

Your Cost: $53.88/claim|Median: $14.92
3.6× median
93308Top 10%

$68K

369 claims · 0.1%

Your Cost: $183.66/claim|Median: $20.08
9.1× median
70551Top 10%

MRI brain without contrast

$66K

214 claims · 0.1%

Your Cost: $310.27/claim|Median: $85.39
3.6× median
92552Top 10%

Pure tone audiometry, air only, each ear

$64K

2,227 claims · 0.1%

Your Cost: $28.57/claim|Median: $12.63
2.3× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$58K

958 claims · 0.1%

Your Cost: $60.46/claim|Median: $65.45
0.9× median
93320Top 5%

$57K

390 claims · 0.1%

Your Cost: $146.50/claim|Median: $28.68
5.1× median

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