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NIAGARA FALLS MEMORIAL MEDICAL CENTER

General Acute Care Hospital·NIAGARA FALLS, NY·NPI: 1285717298Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$59.9M

$59,863,458

Total Claims

966K

Beneficiaries

862K

1.1 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$281K
+2287%
2019
$6.7M
+145%
2020
$16.4M
-16%
2021
$13.8M
-39%
2022
$8.4M
-3%
2023
$8.2M
-26%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G9005 (Coordinated care fee, risk-adjusted, ESRD)) accounts for 34% of total spending.

G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$20.3M

78K claims · 33.9%

Your Cost: $259.15/claim|Median: $47.08
5.5× median
99213Top 25%

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

$7.4M

107K claims · 12.3%

Your Cost: $69.22/claim|Median: $37.81
1.8× median
90834Top 10%

Psychotherapy, 45 minutes

$3.7M

33K claims · 6.2%

Your Cost: $110.84/claim|Median: $63.65
1.7× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.1M

15K claims · 3.6%

Your Cost: $141.09/claim|Median: $42.48
3.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.9M

13K claims · 3.1%

Your Cost: $144.22/claim|Median: $38.92
3.7× median
99284Top 25%

Emergency dept visit, high complexity

$1.7M

13K claims · 2.8%

Your Cost: $122.92/claim|Median: $69.51
1.8× median
90832Top 10%

Psychotherapy, 30 minutes

$1.5M

17K claims · 2.5%

Your Cost: $85.90/claim|Median: $41.28
2.1× median
99214Normal range

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

$1.5M

19K claims · 2.4%

Your Cost: $74.72/claim|Median: $53.41
1.4× median
70450Top 5%

CT head/brain without contrast

$1.1M

3,918 claims · 1.9%

Your Cost: $290.37/claim|Median: $45.53
6.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.0M

8,216 claims · 1.7%

Your Cost: $127.03/claim|Median: $85.65
1.5× median
G9001Normal range

$1.0M

14K claims · 1.7%

Your Cost: $74.23/claim|Median: $53.98
1.4× median
G0378Top 5%

Hospital observation service, per hour

$850K

809 claims · 1.4%

Your Cost: $1,050.27/claim|Median: $99.39
10.6× median
99282Top 25%

Emergency dept visit, low complexity

$848K

6,358 claims · 1.4%

Your Cost: $133.34/claim|Median: $37.72
3.5× median
80053Top 25%

Comprehensive metabolic panel

$741K

38K claims · 1.2%

Your Cost: $19.44/claim|Median: $7.24
2.7× median
96365Top 25%

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

$707K

5,319 claims · 1.2%

Your Cost: $132.97/claim|Median: $54.77
2.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$664K

7,876 claims · 1.1%

Your Cost: $84.30/claim|Median: $76.06
1.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$593K

8,248 claims · 1.0%

Your Cost: $71.87/claim|Median: $24.49
2.9× median
97602Top 5%

$561K

1,315 claims · 0.9%

Your Cost: $426.48/claim|Median: $51.00
8.4× median
T2022Normal range

Case management, per month

$506K

1,831 claims · 0.8%

Your Cost: $276.46/claim|Median: $202.77
1.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$500K

1,933 claims · 0.8%

Your Cost: $258.68/claim|Median: $65.76
3.9× median
90791Top 25%

Psychiatric diagnostic evaluation

$493K

3,162 claims · 0.8%

Your Cost: $155.91/claim|Median: $99.21
1.6× median
99212Top 10%

Office/outpatient visit, low complexity

$491K

8,142 claims · 0.8%

Your Cost: $60.30/claim|Median: $25.06
2.4× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$488K

5,225 claims · 0.8%

Your Cost: $93.41/claim|Median: $72.71
1.3× median
74176Top 10%

CT abdomen and pelvis without contrast

$480K

1,760 claims · 0.8%

Your Cost: $272.80/claim|Median: $60.19
4.5× median
96360Top 10%

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

$361K

2,063 claims · 0.6%

Your Cost: $175.12/claim|Median: $61.57
2.8× median
G0463Normal range

Hospital outpatient clinic visit

$361K

7,535 claims · 0.6%

Your Cost: $47.88/claim|Median: $26.41
1.8× median
43239Top 10%

Upper GI endoscopy with biopsy

$358K

677 claims · 0.6%

Your Cost: $529.42/claim|Median: $151.68
3.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$317K

4,394 claims · 0.5%

Your Cost: $72.11/claim|Median: $63.08
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$300K

2,601 claims · 0.5%

Your Cost: $115.34/claim|Median: $108.91
1.1× median
G0444Top 1%

Annual depression screening, fifteen minutes

$296K

7,641 claims · 0.5%

Your Cost: $38.74/claim|Median: $4.23
9.2× median
99203Top 25%

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

$280K

3,052 claims · 0.5%

Your Cost: $91.74/claim|Median: $57.85
1.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$271K

1,934 claims · 0.5%

Your Cost: $140.00/claim|Median: $54.68
2.6× median
82306Top 25%

Vitamin D, 25 hydroxy

$256K

8,571 claims · 0.4%

Your Cost: $29.83/claim|Median: $18.18
1.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$249K

3,993 claims · 0.4%

Your Cost: $62.44/claim|Median: $58.55
1.1× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$243K

6,661 claims · 0.4%

Your Cost: $36.42/claim|Median: $24.95
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$222K

7,324 claims · 0.4%

Your Cost: $30.31/claim|Median: $35.43
0.9× median
90853Normal range

Group psychotherapy

$202K

9,727 claims · 0.3%

Your Cost: $20.81/claim|Median: $25.02
0.8× median
71275Top 10%

CT angiography, chest, with contrast

$179K

618 claims · 0.3%

Your Cost: $290.01/claim|Median: $92.96
3.1× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$174K

489 claims · 0.3%

Your Cost: $356.05/claim|Median: $36.13
9.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$167K

10K claims · 0.3%

Your Cost: $15.95/claim|Median: $9.56
1.7× median
45378Top 10%

Colonoscopy, diagnostic

$158K

221 claims · 0.3%

Your Cost: $714.21/claim|Median: $225.49
3.2× median
88305Normal range

Surgical pathology, gross and microscopic examination

$139K

3,349 claims · 0.2%

Your Cost: $41.59/claim|Median: $35.80
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$132K

6,498 claims · 0.2%

Your Cost: $20.35/claim|Median: $23.99
0.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$129K

6,626 claims · 0.2%

Your Cost: $19.51/claim|Median: $23.39
0.8× median
99204Normal range

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

$126K

1,316 claims · 0.2%

Your Cost: $95.56/claim|Median: $84.03
1.1× median
80061Normal range

Lipid panel

$122K

15K claims · 0.2%

Your Cost: $8.32/claim|Median: $8.41
1.0× median
97161Top 25%

Physical therapy evaluation, low complexity

$119K

1,431 claims · 0.2%

Your Cost: $82.82/claim|Median: $47.89
1.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$118K

2,074 claims · 0.2%

Your Cost: $56.68/claim|Median: $39.33
1.4× median
1159FTop 1%

$113K

5,149 claims · 0.2%

Your Cost: $21.90/claim|Median: $0.01
2190.1× median
83880Top 25%

$110K

4,083 claims · 0.2%

Your Cost: $27.01/claim|Median: $11.81
2.3× median

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$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

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$863.5M

Nationwide Children's Hospital

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$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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