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DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS

General Acute Care Hospital, Critical Access·CASS LAKE, MN·NPI: 1194754382Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.6M

$25,617,089

Total Claims

148K

Beneficiaries

125K

1.2 claims/patient

Avg Cost/Claim

$173

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-5%
2019
$3.8M
-20%
2020
$3.0M
+44%
2021
$4.4M
+7%
2022
$4.7M
-34%
2023
$3.1M
-18%
2024
$2.6M

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 31% of total spending.

99283Top 1%

Emergency dept visit, moderate complexity

$7.9M

16K claims · 30.9%

Your Cost: $484.32/claim|Median: $42.48
11.4× median
99282Top 1%

Emergency dept visit, low complexity

$5.3M

13K claims · 20.6%

Your Cost: $409.90/claim|Median: $37.72
10.9× median
99213Top 1%

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

$4.4M

11K claims · 17.3%

Your Cost: $391.25/claim|Median: $37.81
10.3× median
99212Top 1%

Office/outpatient visit, low complexity

$1.8M

4,286 claims · 7.2%

Your Cost: $430.50/claim|Median: $25.06
17.2× median
99214Top 1%

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

$1.5M

4,420 claims · 5.9%

Your Cost: $343.70/claim|Median: $53.41
6.4× median
97110Top 1%

Therapeutic exercises, each 15 min

$490K

2,323 claims · 1.9%

Your Cost: $210.91/claim|Median: $24.49
8.6× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$437K

1,621 claims · 1.7%

Your Cost: $269.30/claim|Median: $13.30
20.2× median
99211Top 1%

Office/outpatient visit, minimal complexity

$427K

1,001 claims · 1.7%

Your Cost: $427.05/claim|Median: $12.93
33.0× median
97140Top 1%

Manual therapy techniques, per 15 minutes

$422K

2,350 claims · 1.6%

Your Cost: $179.49/claim|Median: $16.79
10.7× median
99284Top 5%

Emergency dept visit, high complexity

$345K

900 claims · 1.3%

Your Cost: $382.83/claim|Median: $69.51
5.5× median
99215Top 1%

Office/outpatient visit, high complexity

$334K

838 claims · 1.3%

Your Cost: $399.13/claim|Median: $74.09
5.4× median
99174Top 1%

$291K

2,079 claims · 1.1%

Your Cost: $140.10/claim|Median: $5.27
26.6× median
97530Top 1%

Therapeutic activities, each 15 min

$286K

709 claims · 1.1%

Your Cost: $402.79/claim|Median: $33.11
12.2× median
92015Top 1%

Determination of refractive state

$267K

1,452 claims · 1.0%

Your Cost: $184.14/claim|Median: $10.36
17.8× median
90471Top 1%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$259K

4,345 claims · 1.0%

Your Cost: $59.65/claim|Median: $9.80
6.1× median
99281Top 1%

Emergency dept visit, minimal complexity

$147K

417 claims · 0.6%

Your Cost: $353.16/claim|Median: $52.03
6.8× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$137K

261 claims · 0.5%

Your Cost: $523.85/claim|Median: $59.72
8.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$130K

3,789 claims · 0.5%

Your Cost: $34.20/claim|Median: $9.56
3.6× median
90832Top 1%

Psychotherapy, 30 minutes

$72K

250 claims · 0.3%

Your Cost: $286.52/claim|Median: $41.28
6.9× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$64K

172 claims · 0.3%

Your Cost: $374.16/claim|Median: $33.72
11.1× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$63K

499 claims · 0.2%

Your Cost: $126.98/claim|Median: $47.08
2.7× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$54K

161 claims · 0.2%

Your Cost: $338.48/claim|Median: $36.70
9.2× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$52K

176 claims · 0.2%

Your Cost: $293.41/claim|Median: $22.44
13.1× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$49K

173 claims · 0.2%

Your Cost: $283.71/claim|Median: $74.82
3.8× median
92552Top 1%

Pure tone audiometry, air only, each ear

$30K

129 claims · 0.1%

Your Cost: $234.09/claim|Median: $12.63
18.5× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$28K

160 claims · 0.1%

Your Cost: $178.08/claim|Median: $75.18
2.4× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$26K

805 claims · 0.1%

Your Cost: $31.93/claim|Median: $3.67
8.7× median
0071ATop 1%

$20K

62 claims · 0.1%

Your Cost: $326.47/claim|Median: $38.71
8.4× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$20K

62 claims · 0.1%

Your Cost: $318.84/claim|Median: $72.71
4.4× median
90472Normal range

Immunization administration, each additional vaccine

$19K

1,720 claims · 0.1%

Your Cost: $11.03/claim|Median: $11.79
0.9× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$19K

39 claims · 0.1%

Your Cost: $479.00/claim|Median: $32.55
14.7× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$17K

51 claims · 0.1%

Your Cost: $341.49/claim|Median: $40.11
8.5× median
92551Top 1%

Screening audiometry, pure tone, air only

$17K

54 claims · 0.1%

Your Cost: $311.50/claim|Median: $6.61
47.1× median
0072ATop 1%

$11K

44 claims · 0.0%

Your Cost: $259.50/claim|Median: $39.57
6.6× median
92587Top 1%

$10K

29 claims · 0.0%

Your Cost: $331.03/claim|Median: $19.24
17.2× median
97161Top 1%

Physical therapy evaluation, low complexity

$9K

28 claims · 0.0%

Your Cost: $305.25/claim|Median: $47.89
6.4× median
99203Top 1%

Office/outpatient visit, new patient, low-mod complexity

$9K

13 claims · 0.0%

Your Cost: $654.00/claim|Median: $57.85
11.3× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$7K

464 claims · 0.0%

Your Cost: $15.95/claim|Median: $9.70
1.6× median
99382Top 25%

Preventive visit, new patient, early childhood (1-4 yr)

$7K

63 claims · 0.0%

Your Cost: $105.22/claim|Median: $79.89
1.3× median
99606Top 1%

$6K

30 claims · 0.0%

Your Cost: $199.27/claim|Median: $29.91
6.7× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$6K

55 claims · 0.0%

Your Cost: $108.22/claim|Median: $80.15
1.4× median
92002Top 1%

Intermediate eye exam, new patient

$6K

34 claims · 0.0%

Your Cost: $169.18/claim|Median: $41.61
4.1× median
99381Top 5%

Preventive visit, new patient, infant (<1 yr)

$5K

24 claims · 0.0%

Your Cost: $208.92/claim|Median: $73.46
2.8× median
96365Normal range

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

$4K

92 claims · 0.0%

Your Cost: $48.85/claim|Median: $54.77
0.9× median
12001Top 10%

$4K

14 claims · 0.0%

Your Cost: $274.50/claim|Median: $64.99
4.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$3K

458 claims · 0.0%

Your Cost: $7.03/claim|Median: $21.76
0.3× median
90732Top 10%

Pneumococcal vaccine (PPSV23)

$3K

24 claims · 0.0%

Your Cost: $106.75/claim|Median: $36.96
2.9× median
90651Normal range

HPV vaccine, 9-valent

$2K

104 claims · 0.0%

Your Cost: $21.61/claim|Median: $8.93
2.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

921 claims · 0.0%

Your Cost: $1.74/claim|Median: $7.18
0.2× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$2K

18 claims · 0.0%

Your Cost: $85.33/claim|Median: $38.23
2.2× median

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