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Jamaica Hospital

General Acute Care Hospital·Richmond Hill, NY·NPI: 1245370717Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $178.1M is at the 50th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$178.1M

$178,141,487

Total Claims

3.6M

Beneficiaries

3.0M

1.2 claims/patient

Avg Cost/Claim

$50

#538 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Jamaica Hospital is a General Acute Care Hospital provider based in Richmond Hill, NY. From the 2018–2024 period, this provider received $178.1M in Medicaid payments across 3.6M claims.

Why This Matters

This provider received $178.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,267 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 1853% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+634%
2019
$9.8M
+125%
2020
$22.2M
+30%
2021
$28.8M
+68%
2022
$48.3M
-14%
2023
$41.6M
-37%
2024
$26.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 18% of total spending.

99213Top 5%

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

$32.1M

257K claims · 18.0%

Your Cost: $124.89/claim|Median: $37.81
3.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$15.8M

79K claims · 8.9%

Your Cost: $199.88/claim|Median: $42.48
4.7× median
99282Top 5%

Emergency dept visit, low complexity

$11.0M

45K claims · 6.2%

Your Cost: $244.11/claim|Median: $37.72
6.5× median
36415Top 5%

Collection of venous blood by venipuncture

$8.2M

433K claims · 4.6%

Your Cost: $18.85/claim|Median: $1.57
12.0× median
99214Top 5%

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

$7.8M

56K claims · 4.4%

Your Cost: $138.37/claim|Median: $53.41
2.6× median
99212Top 5%

Office/outpatient visit, low complexity

$7.4M

78K claims · 4.2%

Your Cost: $95.45/claim|Median: $25.06
3.8× median
90791Top 1%

Psychiatric diagnostic evaluation

$7.0M

8K claims · 3.9%

Your Cost: $867.31/claim|Median: $99.21
8.7× median
90832Top 5%

Psychotherapy, 30 minutes

$6.1M

48K claims · 3.4%

Your Cost: $127.42/claim|Median: $41.28
3.1× median
99284Top 10%

Emergency dept visit, high complexity

$5.0M

29K claims · 2.8%

Your Cost: $176.67/claim|Median: $69.51
2.5× median
G0378Top 5%

Hospital observation service, per hour

$3.6M

3K claims · 2.0%

Your Cost: $1,137.91/claim|Median: $99.39
11.4× median
80053Top 10%

Comprehensive metabolic panel

$3.2M

150K claims · 1.8%

Your Cost: $21.51/claim|Median: $7.24
3.0× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$3.2M

27K claims · 1.8%

Your Cost: $119.41/claim|Median: $69.35
1.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$3.0M

19K claims · 1.7%

Your Cost: $157.57/claim|Median: $38.92
4.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$2.5M

68K claims · 1.4%

Your Cost: $36.88/claim|Median: $17.85
2.1× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.5M

24K claims · 1.4%

Your Cost: $105.00/claim|Median: $75.18
1.4× median
S9485Top 10%

Crisis intervention mental health services, per diem

$2.2M

2K claims · 1.2%

Your Cost: $1,194.50/claim|Median: $501.33
2.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$2.1M

22K claims · 1.2%

Your Cost: $96.07/claim|Median: $74.82
1.3× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$2.1M

18K claims · 1.2%

Your Cost: $113.05/claim|Median: $72.71
1.6× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$1.9M

16K claims · 1.1%

Your Cost: $119.82/claim|Median: $76.06
1.6× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.8M

18K claims · 1.0%

Your Cost: $100.06/claim|Median: $80.15
1.3× median
70450Top 25%

CT head/brain without contrast

$1.5M

11K claims · 0.8%

Your Cost: $136.31/claim|Median: $45.53
3.0× median
96365Top 25%

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

$1.3M

12K claims · 0.8%

Your Cost: $114.84/claim|Median: $54.77
2.1× median
45378Top 5%

Colonoscopy, diagnostic

$1.3M

1K claims · 0.7%

Your Cost: $929.05/claim|Median: $225.49
4.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.2M

16K claims · 0.7%

Your Cost: $75.72/claim|Median: $91.47
0.8× median
92551Top 5%

Screening audiometry, pure tone, air only

$1.2M

38K claims · 0.7%

Your Cost: $31.99/claim|Median: $6.61
4.8× median
80050Normal range

General health panel

$1.1M

52K claims · 0.6%

Your Cost: $21.92/claim|Median: $25.59
0.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.1M

6K claims · 0.6%

Your Cost: $196.73/claim|Median: $85.65
2.3× median
76856Top 10%

Ultrasound, pelvic, complete

$960K

6K claims · 0.5%

Your Cost: $173.50/claim|Median: $47.58
3.6× median
90461Top 10%

Immunization admin, additional vaccine, counseling

$948K

24K claims · 0.5%

Your Cost: $39.09/claim|Median: $6.93
5.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$938K

7K claims · 0.5%

Your Cost: $136.99/claim|Median: $54.68
2.5× median

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