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KALEIDA HEALTH

General Acute Care Hospital·BUFFALO, NY·NPI: 1245365196Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $80.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$80.7M

$80,653,778

Total Claims

962K

Beneficiaries

887K

1.1 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$235K
+1285%
2019
$3.3M
+40%
2020
$4.6M
+162%
2021
$12.0M
+42%
2022
$17.0M
+31%
2023
$22.3M
-4%
2024
$21.3M

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 15% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$12.4M

57K claims · 15.3%

Your Cost: $216.14/claim|Median: $42.48
5.1× median
G0378Top 5%

Hospital observation service, per hour

$7.8M

5,321 claims · 9.7%

Your Cost: $1,465.09/claim|Median: $99.39
14.7× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$6.5M

5,357 claims · 8.0%

Your Cost: $1,206.35/claim|Median: $763.43
1.6× median
99213Top 5%

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

$6.2M

56K claims · 7.7%

Your Cost: $109.76/claim|Median: $37.81
2.9× median
99284Top 10%

Emergency dept visit, high complexity

$5.7M

27K claims · 7.1%

Your Cost: $212.85/claim|Median: $69.51
3.1× median
69436Top 10%

Tympanostomy, general anesthesia

$2.6M

2,009 claims · 3.3%

Your Cost: $1,312.61/claim|Median: $205.50
6.4× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$2.3M

1,704 claims · 2.9%

Your Cost: $1,354.42/claim|Median: $331.68
4.1× median
99214Top 5%

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

$1.9M

16K claims · 2.4%

Your Cost: $121.75/claim|Median: $53.41
2.3× median
99282Top 5%

Emergency dept visit, low complexity

$1.6M

8,385 claims · 2.0%

Your Cost: $188.90/claim|Median: $37.72
5.0× median
G0463Top 5%

Hospital outpatient clinic visit

$1.6M

12K claims · 1.9%

Your Cost: $127.32/claim|Median: $26.41
4.8× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$1.5M

31K claims · 1.9%

Your Cost: $50.40/claim|Median: $65.45
0.8× median
99215Top 25%

Office/outpatient visit, high complexity

$1.2M

8,777 claims · 1.5%

Your Cost: $133.78/claim|Median: $74.09
1.8× median
59025Top 25%

Fetal non-stress test

$1.2M

9,752 claims · 1.4%

Your Cost: $119.09/claim|Median: $26.45
4.5× median
99203Top 5%

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

$1.1M

8,465 claims · 1.4%

Your Cost: $135.73/claim|Median: $57.85
2.3× median
90834Top 10%

Psychotherapy, 45 minutes

$1.1M

8,777 claims · 1.4%

Your Cost: $124.12/claim|Median: $63.65
2.0× median
42830Top 25%

$978K

808 claims · 1.2%

Your Cost: $1,209.85/claim|Median: $341.04
3.5× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$802K

1,044 claims · 1.0%

Your Cost: $768.20/claim|Median: $120.85
6.4× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$759K

22K claims · 0.9%

Your Cost: $35.09/claim|Median: $24.95
1.4× median
70450Top 10%

CT head/brain without contrast

$749K

3,382 claims · 0.9%

Your Cost: $221.55/claim|Median: $45.53
4.9× median
90847Top 10%

Family psychotherapy with patient, 50 min

$720K

4,057 claims · 0.9%

Your Cost: $177.57/claim|Median: $77.33
2.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$720K

3,907 claims · 0.9%

Your Cost: $184.33/claim|Median: $38.92
4.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$652K

5,426 claims · 0.8%

Your Cost: $120.10/claim|Median: $85.65
1.4× median
54161Top 25%

$633K

609 claims · 0.8%

Your Cost: $1,039.22/claim|Median: $252.63
4.1× median
93975Top 5%

Duplex scan of arterial inflow and venous outflow, complete

$616K

1,662 claims · 0.8%

Your Cost: $370.48/claim|Median: $79.28
4.7× median
99212Top 5%

Office/outpatient visit, low complexity

$596K

4,613 claims · 0.7%

Your Cost: $129.11/claim|Median: $25.06
5.2× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$572K

5,774 claims · 0.7%

Your Cost: $99.01/claim|Median: $36.79
2.7× median
Q5103Normal range

$539K

416 claims · 0.7%

Your Cost: $1,296.27/claim|Median: $1,075.28
1.2× median
96360Top 10%

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

$538K

2,888 claims · 0.7%

Your Cost: $186.14/claim|Median: $61.57
3.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$524K

21K claims · 0.6%

Your Cost: $24.57/claim|Median: $23.39
1.1× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$522K

6,499 claims · 0.6%

Your Cost: $80.34/claim|Median: $58.55
1.4× median
96415Top 5%

Chemotherapy infusion, each additional hour

$502K

983 claims · 0.6%

Your Cost: $510.39/claim|Median: $43.68
11.7× median
J1561Top 25%

$485K

169 claims · 0.6%

Your Cost: $2,868.13/claim|Median: $1,482.84
1.9× median
76770Top 5%

Ultrasound, retroperitoneal, complete

$464K

2,280 claims · 0.6%

Your Cost: $203.65/claim|Median: $37.35
5.5× median
43239Top 5%

Upper GI endoscopy with biopsy

$449K

698 claims · 0.6%

Your Cost: $643.97/claim|Median: $151.68
4.2× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$445K

22K claims · 0.6%

Your Cost: $20.56/claim|Median: $21.08
1.0× median
90832Top 25%

Psychotherapy, 30 minutes

$436K

7,058 claims · 0.5%

Your Cost: $61.80/claim|Median: $41.28
1.5× median
80053Top 10%

Comprehensive metabolic panel

$418K

18K claims · 0.5%

Your Cost: $23.13/claim|Median: $7.24
3.2× median
96112Normal range

Developmental test administration

$413K

2,913 claims · 0.5%

Your Cost: $141.86/claim|Median: $102.95
1.4× median
70551Top 25%

MRI brain without contrast

$390K

1,501 claims · 0.5%

Your Cost: $259.74/claim|Median: $85.39
3.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$387K

2,853 claims · 0.5%

Your Cost: $135.63/claim|Median: $111.09
1.2× median
99204Top 25%

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

$386K

2,789 claims · 0.5%

Your Cost: $138.22/claim|Median: $84.03
1.6× median
70553Top 25%

MRI brain without contrast, then with contrast

$367K

1,026 claims · 0.5%

Your Cost: $357.70/claim|Median: $133.68
2.7× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$354K

2,449 claims · 0.4%

Your Cost: $144.72/claim|Median: $72.71
2.0× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$318K

3,063 claims · 0.4%

Your Cost: $103.80/claim|Median: $74.82
1.4× median
12011Top 5%

$295K

718 claims · 0.4%

Your Cost: $411.19/claim|Median: $67.02
6.1× median
95819Normal range

Electroencephalogram with sleep recording

$278K

1,809 claims · 0.3%

Your Cost: $153.53/claim|Median: $62.75
2.4× median
96365Top 25%

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

$266K

2,606 claims · 0.3%

Your Cost: $102.02/claim|Median: $54.77
1.9× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$248K

3,634 claims · 0.3%

Your Cost: $68.32/claim|Median: $47.65
1.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$232K

9,721 claims · 0.3%

Your Cost: $23.89/claim|Median: $17.85
1.3× median
87481Top 25%

$210K

3,997 claims · 0.3%

Your Cost: $52.49/claim|Median: $22.38
2.3× median

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$1.08B

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$961.1M

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$863.5M

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$777.5M

Boston Medical Center Corporation

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$768.5M

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