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KNOX COMMUNITY HOSPITAL

General Acute Care Hospital·MOUNT VERNON, OH·NPI: 1295761963Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$29.2M

$29,187,978

Total Claims

749K

Beneficiaries

625K

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+5%
2019
$2.9M
+26%
2020
$3.7M
+9%
2021
$4.0M
-10%
2022
$3.6M
+92%
2023
$6.9M
-21%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 17% of total spending.

99213Top 10%

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

$5.1M

63K claims · 17.4%

Your Cost: $81.03/claim|Median: $37.81
2.1× median
99212Top 10%

Office/outpatient visit, low complexity

$4.9M

64K claims · 16.7%

Your Cost: $75.59/claim|Median: $25.06
3.0× median
99284Top 25%

Emergency dept visit, high complexity

$2.8M

23K claims · 9.5%

Your Cost: $121.65/claim|Median: $69.51
1.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.3M

20K claims · 8.0%

Your Cost: $116.07/claim|Median: $42.48
2.7× median
G0463Normal range

Hospital outpatient clinic visit

$1.4M

46K claims · 4.9%

Your Cost: $30.58/claim|Median: $26.41
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.3M

10K claims · 4.3%

Your Cost: $123.37/claim|Median: $85.65
1.4× median
31231Top 25%

Nasal endoscopy, diagnostic

$738K

3,890 claims · 2.5%

Your Cost: $189.62/claim|Median: $98.77
1.9× median
74177Top 10%

CT abdomen and pelvis with contrast

$593K

1,992 claims · 2.0%

Your Cost: $297.52/claim|Median: $65.76
4.5× median
92507Top 25%

Speech/hearing/language treatment

$582K

7,256 claims · 2.0%

Your Cost: $80.17/claim|Median: $49.45
1.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$522K

8,759 claims · 1.8%

Your Cost: $59.61/claim|Median: $24.49
2.4× median
70450Top 10%

CT head/brain without contrast

$475K

2,251 claims · 1.6%

Your Cost: $211.08/claim|Median: $45.53
4.6× median
99214Top 25%

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

$464K

5,117 claims · 1.6%

Your Cost: $90.61/claim|Median: $53.41
1.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$461K

1,118 claims · 1.6%

Your Cost: $412.64/claim|Median: $233.73
1.8× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$449K

3,463 claims · 1.5%

Your Cost: $129.63/claim|Median: $169.17
0.8× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$408K

2,748 claims · 1.4%

Your Cost: $148.44/claim|Median: $29.03
5.1× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$347K

2,997 claims · 1.2%

Your Cost: $115.72/claim|Median: $36.13
3.2× median
80053Normal range

Comprehensive metabolic panel

$335K

35K claims · 1.1%

Your Cost: $9.71/claim|Median: $7.24
1.3× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$270K

607 claims · 0.9%

Your Cost: $444.15/claim|Median: $255.03
1.7× median
74176Top 10%

CT abdomen and pelvis without contrast

$269K

936 claims · 0.9%

Your Cost: $287.87/claim|Median: $60.19
4.8× median
97530Top 10%

Therapeutic activities, each 15 min

$262K

3,064 claims · 0.9%

Your Cost: $85.49/claim|Median: $33.11
2.6× median
99215Top 25%

Office/outpatient visit, high complexity

$232K

2,086 claims · 0.8%

Your Cost: $111.40/claim|Median: $74.09
1.5× median
43239Top 25%

Upper GI endoscopy with biopsy

$216K

549 claims · 0.7%

Your Cost: $392.65/claim|Median: $151.68
2.6× median
95117Top 5%

$194K

7,968 claims · 0.7%

Your Cost: $24.30/claim|Median: $8.34
2.9× median
76856Top 5%

Ultrasound, pelvic, complete

$169K

901 claims · 0.6%

Your Cost: $187.43/claim|Median: $47.58
3.9× median
71275Top 10%

CT angiography, chest, with contrast

$163K

547 claims · 0.6%

Your Cost: $297.65/claim|Median: $92.96
3.2× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$152K

2,679 claims · 0.5%

Your Cost: $56.89/claim|Median: $20.04
2.8× median
99211Top 5%

Office/outpatient visit, minimal complexity

$126K

1,559 claims · 0.4%

Your Cost: $81.10/claim|Median: $12.93
6.3× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$125K

3,271 claims · 0.4%

Your Cost: $38.19/claim|Median: $16.79
2.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$112K

3,569 claims · 0.4%

Your Cost: $31.28/claim|Median: $24.95
1.3× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$111K

437 claims · 0.4%

Your Cost: $253.45/claim|Median: $54.68
4.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$106K

19K claims · 0.4%

Your Cost: $5.65/claim|Median: $5.60
1.0× median
96110Top 1%

Developmental screening, per standardized instrument

$105K

888 claims · 0.4%

Your Cost: $117.97/claim|Median: $9.10
13.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$102K

35K claims · 0.4%

Your Cost: $2.93/claim|Median: $4.71
0.6× median
51798Top 10%

$101K

3,832 claims · 0.3%

Your Cost: $26.30/claim|Median: $6.59
4.0× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$99K

822 claims · 0.3%

Your Cost: $120.53/claim|Median: $74.78
1.6× median
80048Top 25%

Basic metabolic panel

$98K

6,539 claims · 0.3%

Your Cost: $14.93/claim|Median: $5.78
2.6× median
59025Top 5%

Fetal non-stress test

$97K

548 claims · 0.3%

Your Cost: $177.16/claim|Median: $26.45
6.7× median
36415Normal range

Collection of venous blood by venipuncture

$94K

56K claims · 0.3%

Your Cost: $1.67/claim|Median: $1.57
1.1× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$84K

1,236 claims · 0.3%

Your Cost: $67.93/claim|Median: $10.88
6.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$79K

6,373 claims · 0.3%

Your Cost: $12.38/claim|Median: $9.87
1.3× median
96366Top 10%

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

$75K

294 claims · 0.3%

Your Cost: $254.67/claim|Median: $40.12
6.3× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$69K

612 claims · 0.2%

Your Cost: $112.60/claim|Median: $47.65
2.4× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$68K

5,426 claims · 0.2%

Your Cost: $12.44/claim|Median: $5.50
2.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$62K

7,003 claims · 0.2%

Your Cost: $8.83/claim|Median: $39.70
0.2× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$62K

190 claims · 0.2%

Your Cost: $325.44/claim|Median: $106.14
3.1× median
G0378Normal range

Hospital observation service, per hour

$62K

963 claims · 0.2%

Your Cost: $63.94/claim|Median: $99.39
0.6× median
87086Top 25%

Urine culture, colony count, with identification

$60K

6,536 claims · 0.2%

Your Cost: $9.21/claim|Median: $5.31
1.7× median
99282Top 25%

Emergency dept visit, low complexity

$59K

496 claims · 0.2%

Your Cost: $118.58/claim|Median: $37.72
3.1× median
97535Top 25%

Self-care/home management training, per 15 minutes

$56K

1,623 claims · 0.2%

Your Cost: $34.57/claim|Median: $18.18
1.9× median
96365Top 25%

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

$54K

491 claims · 0.2%

Your Cost: $110.82/claim|Median: $54.77
2.0× median