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Berkshire Medical Center, INC

General Acute Care Hospital·Pittsfield, MA·NPI: 1295765261Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $150.1M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$150.1M

$150,130,541

Total Claims

3.9M

Beneficiaries

3.3M

1.2 claims/patient

Avg Cost/Claim

$39

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

🔍 Analysis

Provider Overview

Berkshire Medical Center, INC is a General Acute Care Hospital provider based in Pittsfield, MA. From the 2018–2024 period, this provider received $150.1M in Medicaid payments across 3.9M claims.

Why This Matters

This provider received $150.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,766 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 39% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$25.9M
-19%
2019
$20.9M
-15%
2020
$17.8M
+25%
2021
$22.3M
+6%
2022
$23.7M
+0%
2023
$23.8M
-34%
2024
$15.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 16% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$23.8M

184K claims · 15.8%

Your Cost: $129.35/claim|Median: $69.51
1.9× median
99214Top 5%

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

$11.8M

91K claims · 7.8%

Your Cost: $130.19/claim|Median: $53.41
2.4× median
99213Top 5%

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

$6.7M

58K claims · 4.4%

Your Cost: $115.40/claim|Median: $37.81
3.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$5.7M

41K claims · 3.8%

Your Cost: $141.10/claim|Median: $85.65
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.2M

32K claims · 2.8%

Your Cost: $132.00/claim|Median: $42.48
3.1× median
G0463Normal range

Hospital outpatient clinic visit

$3.7M

153K claims · 2.5%

Your Cost: $24.25/claim|Median: $26.41
0.9× median
99212Top 5%

Office/outpatient visit, low complexity

$3.3M

31K claims · 2.2%

Your Cost: $105.23/claim|Median: $25.06
4.2× median
64405Top 10%

$3.1M

12K claims · 2.1%

Your Cost: $253.46/claim|Median: $48.36
5.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$3.0M

14K claims · 2.0%

Your Cost: $217.42/claim|Median: $65.76
3.3× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$2.9M

5K claims · 2.0%

Your Cost: $569.84/claim|Median: $369.55
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$2.6M

18K claims · 1.7%

Your Cost: $143.73/claim|Median: $74.09
1.9× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$2.5M

8K claims · 1.7%

Your Cost: $314.57/claim|Median: $169.17
1.9× median
H0011Top 5%

Alcohol and/or drug services, acute detoxification, per diem

$2.3M

788 claims · 1.6%

Your Cost: $2,973.62/claim|Median: $317.54
9.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$2.2M

57K claims · 1.5%

Your Cost: $38.76/claim|Median: $39.70
1.0× median
96361Top 10%

IV infusion, hydration, each additional hour

$1.9M

7K claims · 1.3%

Your Cost: $289.89/claim|Median: $38.92
7.5× median
43239Top 10%

Upper GI endoscopy with biopsy

$1.9M

4K claims · 1.3%

Your Cost: $460.64/claim|Median: $151.68
3.0× median
96365Top 25%

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

$1.8M

17K claims · 1.2%

Your Cost: $109.32/claim|Median: $54.77
2.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.8M

4K claims · 1.2%

Your Cost: $415.40/claim|Median: $470.36
0.9× median
45380Top 25%

Colonoscopy with biopsy

$1.8M

3K claims · 1.2%

Your Cost: $515.07/claim|Median: $200.68
2.6× median
96366Top 10%

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

$1.6M

7K claims · 1.1%

Your Cost: $241.21/claim|Median: $40.12
6.0× median
70450Top 25%

CT head/brain without contrast

$1.4M

11K claims · 1.0%

Your Cost: $128.57/claim|Median: $45.53
2.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.4M

26K claims · 0.9%

Your Cost: $52.23/claim|Median: $24.49
2.1× median
45385Top 10%

Colonoscopy with polyp removal, snare technique

$1.3M

2K claims · 0.9%

Your Cost: $620.36/claim|Median: $255.17
2.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.1M

51K claims · 0.7%

Your Cost: $21.35/claim|Median: $23.99
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$1.0M

216K claims · 0.7%

Your Cost: $4.66/claim|Median: $4.71
1.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$961K

7K claims · 0.6%

Your Cost: $146.19/claim|Median: $54.68
2.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$956K

10K claims · 0.6%

Your Cost: $93.20/claim|Median: $72.71
1.3× median
S9485Normal range

Crisis intervention mental health services, per diem

$931K

2K claims · 0.6%

Your Cost: $440.47/claim|Median: $501.33
0.9× median
76856Top 10%

Ultrasound, pelvic, complete

$925K

6K claims · 0.6%

Your Cost: $148.65/claim|Median: $47.58
3.1× median
99204Top 10%

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

$881K

6K claims · 0.6%

Your Cost: $144.05/claim|Median: $84.03
1.7× median

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