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

⚖️ Compare🖨️ Print Report

LODI MEMORIAL HOSPITAL ASSOCIATION INC

General Acute Care Hospital·LODI, CA·NPI: 1316938301Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$36.8M

$36,784,295

Total Claims

1.3M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$4.7M
+1%
2019
$4.7M
-24%
2020
$3.6M
+25%
2021
$4.5M
+41%
2022
$6.4M
+4%
2023
$6.6M
-5%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 16% of total spending.

0450Normal range

Emergency room visit

$5.9M

127K claims · 16.1%

Your Cost: $46.57/claim|Median: $44.95
1.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.7M

7,607 claims · 4.7%

Your Cost: $229.15/claim|Median: $65.76
3.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.3M

18K claims · 3.5%

Your Cost: $73.89/claim|Median: $63.08
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$1.2M

17K claims · 3.3%

Your Cost: $72.14/claim|Median: $65.64
1.1× median
87637Top 10%

Respiratory virus detection, 3-5 targets, nucleic acid

$1.0M

6,874 claims · 2.8%

Your Cost: $151.74/claim|Median: $100.62
1.5× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$979K

15K claims · 2.7%

Your Cost: $67.22/claim|Median: $21.76
3.1× median
70450Top 25%

CT head/brain without contrast

$787K

8,170 claims · 2.1%

Your Cost: $96.29/claim|Median: $45.53
2.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$644K

32K claims · 1.8%

Your Cost: $20.05/claim|Median: $7.50
2.7× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$634K

11K claims · 1.7%

Your Cost: $59.07/claim|Median: $39.70
1.5× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$611K

9,474 claims · 1.7%

Your Cost: $64.44/claim|Median: $35.43
1.8× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$606K

12K claims · 1.6%

Your Cost: $48.72/claim|Median: $14.92
3.3× median
0250Top 25%

$590K

46K claims · 1.6%

Your Cost: $12.87/claim|Median: $3.70
3.5× median
93010Top 5%

Electrocardiogram, interpretation and report only

$574K

48K claims · 1.6%

Your Cost: $11.97/claim|Median: $5.60
2.1× median
J0131Top 1%

$564K

1,975 claims · 1.5%

Your Cost: $285.60/claim|Median: $5.78
49.4× median
80053Normal range

Comprehensive metabolic panel

$563K

65K claims · 1.5%

Your Cost: $8.64/claim|Median: $7.24
1.2× median
97597Normal range

$532K

17K claims · 1.4%

Your Cost: $31.18/claim|Median: $21.22
1.5× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$506K

17K claims · 1.4%

Your Cost: $29.18/claim|Median: $9.56
3.1× median
0516Top 25%

$498K

17K claims · 1.4%

Your Cost: $29.74/claim|Median: $22.37
1.3× median
74176Normal range

CT abdomen and pelvis without contrast

$473K

4,007 claims · 1.3%

Your Cost: $118.01/claim|Median: $60.19
2.0× median
71046Top 25%

Chest X-ray, 2 views

$463K

22K claims · 1.3%

Your Cost: $21.44/claim|Median: $8.92
2.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$432K

68K claims · 1.2%

Your Cost: $6.35/claim|Median: $4.71
1.3× median
96365Normal range

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

$417K

5,165 claims · 1.1%

Your Cost: $80.78/claim|Median: $54.77
1.5× median
0241UTop 5%

Proprietary lab analysis, genomic sequencing

$412K

2,494 claims · 1.1%

Your Cost: $165.32/claim|Median: $91.47
1.8× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$412K

5,941 claims · 1.1%

Your Cost: $69.39/claim|Median: $37.56
1.8× median
97598Top 10%

$397K

1,567 claims · 1.1%

Your Cost: $253.49/claim|Median: $35.30
7.2× median
97110Normal range

Therapeutic exercises, each 15 min

$395K

21K claims · 1.1%

Your Cost: $18.57/claim|Median: $24.49
0.8× median
0360Normal range

$379K

2,595 claims · 1.0%

Your Cost: $146.11/claim|Median: $95.40
1.5× median
96361Normal range

IV infusion, hydration, each additional hour

$368K

13K claims · 1.0%

Your Cost: $28.92/claim|Median: $38.92
0.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$356K

12K claims · 1.0%

Your Cost: $28.88/claim|Median: $12.93
2.2× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$355K

12K claims · 1.0%

Your Cost: $29.93/claim|Median: $26.72
1.1× median
0510Normal range

Revenue code, clinic services

$337K

11K claims · 0.9%

Your Cost: $29.59/claim|Median: $28.38
1.0× median
99199Top 10%

Unlisted special service, procedure, or report

$336K

5,096 claims · 0.9%

Your Cost: $66.01/claim|Median: $5.39
12.2× median
Z7502Normal range

$314K

8,464 claims · 0.9%

Your Cost: $37.08/claim|Median: $37.17
1.0× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$301K

11K claims · 0.8%

Your Cost: $26.85/claim|Median: $16.79
1.6× median
99213Normal range

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

$294K

7,099 claims · 0.8%

Your Cost: $41.40/claim|Median: $37.81
1.1× median
J3490Normal range

Unclassified drugs

$289K

19K claims · 0.8%

Your Cost: $15.25/claim|Median: $5.70
2.7× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$280K

16K claims · 0.8%

Your Cost: $17.49/claim|Median: $20.04
0.9× median
0761Normal range

$238K

8,258 claims · 0.6%

Your Cost: $28.83/claim|Median: $24.10
1.2× median
97530Normal range

Therapeutic activities, each 15 min

$235K

14K claims · 0.6%

Your Cost: $16.33/claim|Median: $33.11
0.5× median
99284Normal range

Emergency dept visit, high complexity

$226K

4,880 claims · 0.6%

Your Cost: $46.39/claim|Median: $69.51
0.7× median
C9803Top 25%

$224K

8,464 claims · 0.6%

Your Cost: $26.47/claim|Median: $13.20
2.0× median
96360Normal range

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

$224K

3,254 claims · 0.6%

Your Cost: $68.76/claim|Median: $61.57
1.1× median
71260Top 25%

CT chest with contrast

$223K

1,320 claims · 0.6%

Your Cost: $168.91/claim|Median: $48.36
3.5× median
76856Normal range

Ultrasound, pelvic, complete

$220K

3,810 claims · 0.6%

Your Cost: $57.79/claim|Median: $47.58
1.2× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$220K

14K claims · 0.6%

Your Cost: $16.25/claim|Median: $28.63
0.6× median
72125Top 25%

CT cervical spine without contrast

$213K

1,647 claims · 0.6%

Your Cost: $129.34/claim|Median: $32.30
4.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$205K

6,700 claims · 0.6%

Your Cost: $30.56/claim|Median: $28.46
1.1× median
Z7500Normal range

$203K

6,040 claims · 0.6%

Your Cost: $33.69/claim|Median: $33.71
1.0× median
76830Normal range

Ultrasound, transvaginal

$195K

3,307 claims · 0.5%

Your Cost: $59.05/claim|Median: $57.47
1.0× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$195K

10K claims · 0.5%

Your Cost: $19.03/claim|Median: $0.58
32.8× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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 California →How we detect fraud →