Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

SMSJ TUCSON HOLDINGS LLC

General Acute Care Hospital·TUCSON, AZ·NPI: 1265818488Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$29.8M

$29,821,174

Total Claims

933K

Beneficiaries

740K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$6.6M
-7%
2019
$6.1M
-40%
2020
$3.7M
-2%
2021
$3.6M
+2%
2022
$3.7M
-10%
2023
$3.3M
-15%
2024
$2.8M

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 23% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$6.9M

46K claims · 23.3%

Your Cost: $150.27/claim|Median: $42.48
3.5× median
99284Top 10%

Emergency dept visit, high complexity

$6.6M

39K claims · 22.2%

Your Cost: $168.41/claim|Median: $69.51
2.4× median
74177Top 10%

CT abdomen and pelvis with contrast

$2.6M

5,800 claims · 8.9%

Your Cost: $456.51/claim|Median: $65.76
6.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.6M

12K claims · 5.5%

Your Cost: $130.98/claim|Median: $85.65
1.5× median
74176Top 5%

CT abdomen and pelvis without contrast

$1.6M

4,351 claims · 5.3%

Your Cost: $365.16/claim|Median: $60.19
6.1× median
70450Top 10%

CT head/brain without contrast

$1.5M

8,564 claims · 5.1%

Your Cost: $176.62/claim|Median: $45.53
3.9× median
72125Top 5%

CT cervical spine without contrast

$799K

2,536 claims · 2.7%

Your Cost: $315.01/claim|Median: $32.30
9.8× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$691K

4,953 claims · 2.3%

Your Cost: $139.57/claim|Median: $36.13
3.9× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$680K

816 claims · 2.3%

Your Cost: $833.00/claim|Median: $106.14
7.8× median
G0378Normal range

Hospital observation service, per hour

$625K

9,800 claims · 2.1%

Your Cost: $63.78/claim|Median: $99.39
0.6× median
99282Normal range

Emergency dept visit, low complexity

$564K

6,569 claims · 1.9%

Your Cost: $85.88/claim|Median: $37.72
2.3× median
71275Top 5%

CT angiography, chest, with contrast

$538K

1,581 claims · 1.8%

Your Cost: $340.59/claim|Median: $92.96
3.7× median
43239Top 10%

Upper GI endoscopy with biopsy

$484K

941 claims · 1.6%

Your Cost: $514.29/claim|Median: $151.68
3.4× median
96361Normal range

IV infusion, hydration, each additional hour

$438K

17K claims · 1.5%

Your Cost: $26.15/claim|Median: $38.92
0.7× median
47563Top 10%

$367K

110 claims · 1.2%

Your Cost: $3,331.99/claim|Median: $701.74
4.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$320K

6,478 claims · 1.1%

Your Cost: $49.43/claim|Median: $24.49
2.0× median
99281Normal range

Emergency dept visit, minimal complexity

$175K

3,420 claims · 0.6%

Your Cost: $51.11/claim|Median: $52.03
1.0× median
93458Top 10%

Left heart catheterization with imaging

$172K

111 claims · 0.6%

Your Cost: $1,547.25/claim|Median: $183.33
8.4× median
97602Normal range

$170K

2,217 claims · 0.6%

Your Cost: $76.54/claim|Median: $51.00
1.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$157K

3,712 claims · 0.5%

Your Cost: $42.33/claim|Median: $35.80
1.2× median
49083Top 25%

$151K

443 claims · 0.5%

Your Cost: $341.51/claim|Median: $78.44
4.4× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$149K

148 claims · 0.5%

Your Cost: $1,007.14/claim|Median: $123.40
8.2× median
72131Top 25%

$146K

983 claims · 0.5%

Your Cost: $148.20/claim|Median: $42.82
3.5× median
10060Top 25%

Incision and drainage of abscess, simple

$140K

815 claims · 0.5%

Your Cost: $171.82/claim|Median: $75.72
2.3× median
70486Top 5%

$133K

587 claims · 0.4%

Your Cost: $226.23/claim|Median: $44.28
5.1× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$129K

2,619 claims · 0.4%

Your Cost: $49.26/claim|Median: $16.79
2.9× median
92507Top 25%

Speech/hearing/language treatment

$114K

1,601 claims · 0.4%

Your Cost: $71.28/claim|Median: $49.45
1.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$102K

9,338 claims · 0.3%

Your Cost: $10.88/claim|Median: $37.56
0.3× median
73564Top 25%

$96K

2,716 claims · 0.3%

Your Cost: $35.18/claim|Median: $15.00
2.3× median
70553Top 10%

MRI brain without contrast, then with contrast

$92K

199 claims · 0.3%

Your Cost: $464.65/claim|Median: $133.68
3.5× median
97113Normal range

$88K

1,441 claims · 0.3%

Your Cost: $61.36/claim|Median: $51.02
1.2× median
C1781Normal range

$88K

352 claims · 0.3%

Your Cost: $251.04/claim|Median: $134.33
1.9× median
12001Top 25%

$86K

507 claims · 0.3%

Your Cost: $169.77/claim|Median: $64.99
2.6× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$81K

1,680 claims · 0.3%

Your Cost: $48.38/claim|Median: $20.04
2.4× median
77067Top 25%

Screening mammography, bilateral, including CAD

$77K

956 claims · 0.3%

Your Cost: $80.18/claim|Median: $39.33
2.0× median
97530Normal range

Therapeutic activities, each 15 min

$70K

1,559 claims · 0.2%

Your Cost: $44.61/claim|Median: $33.11
1.3× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$64K

467 claims · 0.2%

Your Cost: $136.40/claim|Median: $54.68
2.5× median
73030Top 25%

$63K

1,995 claims · 0.2%

Your Cost: $31.58/claim|Median: $10.94
2.9× median
87070Top 25%

Bacterial culture, any source except blood or urine

$46K

4,914 claims · 0.2%

Your Cost: $9.39/claim|Median: $5.89
1.6× median
29581Normal range

$46K

4,086 claims · 0.2%

Your Cost: $11.19/claim|Median: $41.19
0.3× median
29125Top 25%

$45K

301 claims · 0.2%

Your Cost: $150.62/claim|Median: $28.04
5.4× median
97162Normal range

PT evaluation, moderate complexity

$45K

1,044 claims · 0.2%

Your Cost: $43.11/claim|Median: $46.10
0.9× median
71046Normal range

Chest X-ray, 2 views

$41K

9,787 claims · 0.1%

Your Cost: $4.22/claim|Median: $8.92
0.5× median
70498Top 5%

$33K

100 claims · 0.1%

Your Cost: $330.65/claim|Median: $58.88
5.6× median
88304Normal range

$30K

2,723 claims · 0.1%

Your Cost: $11.09/claim|Median: $12.88
0.9× median
93798Normal range

Cardiac rehabilitation with continuous ECG monitoring, per session

$25K

532 claims · 0.1%

Your Cost: $47.33/claim|Median: $44.45
1.1× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$25K

1,702 claims · 0.1%

Your Cost: $14.72/claim|Median: $25.43
0.6× median
71250Top 25%

CT scan of chest without contrast

$24K

268 claims · 0.1%

Your Cost: $91.13/claim|Median: $39.11
2.3× median
12002Top 25%

$24K

134 claims · 0.1%

Your Cost: $178.36/claim|Median: $68.89
2.6× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$22K

2,056 claims · 0.1%

Your Cost: $10.62/claim|Median: $40.12
0.3× median

Other Top Providers in Arizona

View all →

Acumen Fiscal Agent LLC

Community/Behavioral Health

$1.06B

Arion Care Solutions LLC

In Home Supportive Care

$606.7M

Phoenix Children's Hospital

General Acute Care Hospital Children

$555.7M

National Mentor Healthcare

Day Training, Developmentally Disabled Services

$459.7M

El Rio Santa Cruz Neighborhood Health Center, INC

Clinic/Center, Federally Qualified Health Center (

$360.3M

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

← All providersAll providers in Arizona →How we detect fraud →