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MANIILAQ ASSOCIATION

General Acute Care Hospital, Critical Access·KOTZEBUE, AK·NPI: 1316995210Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$55.1M

$55,064,501

Total Claims

283K

Beneficiaries

225K

1.3 claims/patient

Avg Cost/Claim

$194

Monthly Spending Trend

Yearly Spending

2018
$4.9M
+37%
2019
$6.7M
+1%
2020
$6.7M
+109%
2021
$14.1M
-31%
2022
$9.7M
-37%
2023
$6.1M
+11%
2024
$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (C9803) accounts for 16% of total spending.

C9803Top 1%

$8.8M

17K claims · 15.9%

Your Cost: $527.21/claim|Median: $13.20
39.9× median
G0463Top 1%

Hospital outpatient clinic visit

$6.0M

15K claims · 10.9%

Your Cost: $398.31/claim|Median: $26.41
15.1× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$5.1M

19K claims · 9.3%

Your Cost: $271.07/claim|Median: $39.70
6.8× median
99211Top 1%

Office/outpatient visit, minimal complexity

$4.2M

22K claims · 7.6%

Your Cost: $191.67/claim|Median: $12.93
14.8× median
80053Top 1%

Comprehensive metabolic panel

$3.7M

11K claims · 6.7%

Your Cost: $325.16/claim|Median: $7.24
44.9× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.3M

14K claims · 4.1%

Your Cost: $158.65/claim|Median: $42.48
3.7× median
90471Top 1%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$1.9M

6,862 claims · 3.4%

Your Cost: $274.87/claim|Median: $9.80
28.0× median
99213Top 5%

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

$1.9M

15K claims · 3.4%

Your Cost: $127.61/claim|Median: $37.81
3.4× median
U0002Top 1%

COVID-19 lab test, non-CDC, nucleic acid

$1.8M

4,279 claims · 3.3%

Your Cost: $422.95/claim|Median: $34.62
12.2× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$1.6M

4,244 claims · 2.9%

Your Cost: $378.02/claim|Median: $9.56
39.5× median
97110Top 1%

Therapeutic exercises, each 15 min

$1.2M

1,890 claims · 2.2%

Your Cost: $646.92/claim|Median: $24.49
26.4× median
87491Top 1%

Chlamydia detection, nucleic acid, amplified probe

$1.0M

4,059 claims · 1.9%

Your Cost: $253.68/claim|Median: $24.95
10.2× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$940K

1,985 claims · 1.7%

Your Cost: $473.70/claim|Median: $11.48
41.3× median
99282Top 5%

Emergency dept visit, low complexity

$919K

3,416 claims · 1.7%

Your Cost: $269.05/claim|Median: $37.72
7.1× median
0241UTop 1%

Proprietary lab analysis, genomic sequencing

$854K

2,235 claims · 1.6%

Your Cost: $381.91/claim|Median: $91.47
4.2× median
92015Top 1%

Determination of refractive state

$807K

2,378 claims · 1.5%

Your Cost: $339.31/claim|Median: $10.36
32.8× median
85018Top 1%

$732K

1,126 claims · 1.3%

Your Cost: $650.44/claim|Median: $1.71
380.4× median
81001Top 1%

Urinalysis, automated, with microscopy

$619K

5,914 claims · 1.1%

Your Cost: $104.66/claim|Median: $2.03
51.6× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$613K

938 claims · 1.1%

Your Cost: $653.95/claim|Median: $47.08
13.9× median
99214Top 25%

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

$564K

5,912 claims · 1.0%

Your Cost: $95.43/claim|Median: $53.41
1.8× median
80048Top 1%

Basic metabolic panel

$490K

1,676 claims · 0.9%

Your Cost: $292.46/claim|Median: $5.78
50.6× median
86592Top 1%

$462K

2,338 claims · 0.8%

Your Cost: $197.68/claim|Median: $3.35
59.0× median
99212Top 5%

Office/outpatient visit, low complexity

$446K

3,147 claims · 0.8%

Your Cost: $141.80/claim|Median: $25.06
5.7× median
99284Normal range

Emergency dept visit, high complexity

$392K

8,744 claims · 0.7%

Your Cost: $44.82/claim|Median: $69.51
0.6× median
87210Top 1%

$336K

1,195 claims · 0.6%

Your Cost: $280.78/claim|Median: $3.65
76.9× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$322K

12K claims · 0.6%

Your Cost: $27.66/claim|Median: $4.71
5.9× median
71046Top 1%

Chest X-ray, 2 views

$307K

2,065 claims · 0.6%

Your Cost: $148.77/claim|Median: $8.92
16.7× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$294K

1,871 claims · 0.5%

Your Cost: $156.92/claim|Median: $21.76
7.2× median
87804Top 1%

Influenza virus detection, rapid test

$278K

886 claims · 0.5%

Your Cost: $314.19/claim|Median: $12.59
25.0× median
99281Top 5%

Emergency dept visit, minimal complexity

$275K

1,258 claims · 0.5%

Your Cost: $218.37/claim|Median: $52.03
4.2× median
81025Top 1%

Urine pregnancy test

$260K

2,160 claims · 0.5%

Your Cost: $120.24/claim|Median: $4.81
25.0× median
83540Top 1%

Iron blood level test

$252K

377 claims · 0.5%

Your Cost: $668.48/claim|Median: $2.93
228.2× median
96361Top 25%

IV infusion, hydration, each additional hour

$246K

1,472 claims · 0.4%

Your Cost: $167.23/claim|Median: $38.92
4.3× median
J7030Top 1%

Normal saline solution infusion, 1000 cc

$245K

595 claims · 0.4%

Your Cost: $412.34/claim|Median: $1.53
269.5× median
J1885Top 1%

Injection, ketorolac tromethamine, fifteen milligrams

$223K

1,336 claims · 0.4%

Your Cost: $166.73/claim|Median: $0.91
183.2× median
86580Top 1%

Tuberculosis (TB) skin test

$218K

395 claims · 0.4%

Your Cost: $551.70/claim|Median: $4.46
123.7× median
96360Top 1%

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

$208K

529 claims · 0.4%

Your Cost: $392.74/claim|Median: $61.57
6.4× median
80306Top 5%

$188K

2,104 claims · 0.3%

Your Cost: $89.21/claim|Median: $10.29
8.7× median
96365Top 25%

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

$187K

1,379 claims · 0.3%

Your Cost: $135.41/claim|Median: $54.77
2.5× median
87661Top 5%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$186K

3,570 claims · 0.3%

Your Cost: $52.06/claim|Median: $21.08
2.5× median
85610Top 1%

Prothrombin time (PT) blood clotting test

$180K

1,605 claims · 0.3%

Your Cost: $112.07/claim|Median: $2.14
52.4× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$176K

461 claims · 0.3%

Your Cost: $382.02/claim|Median: $80.15
4.8× median
Q9967Top 1%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$171K

656 claims · 0.3%

Your Cost: $260.61/claim|Median: $3.42
76.2× median
36415Top 5%

Collection of venous blood by venipuncture

$167K

7,584 claims · 0.3%

Your Cost: $22.02/claim|Median: $1.57
14.0× median
80061Top 1%

Lipid panel

$162K

2,289 claims · 0.3%

Your Cost: $70.65/claim|Median: $8.41
8.4× median
87086Top 1%

Urine culture, colony count, with identification

$142K

416 claims · 0.3%

Your Cost: $341.49/claim|Median: $5.31
64.3× median
87070Top 1%

Bacterial culture, any source except blood or urine

$140K

226 claims · 0.3%

Your Cost: $617.97/claim|Median: $5.89
104.9× median
83036Top 1%

Hemoglobin A1c (glycated hemoglobin)

$137K

3,364 claims · 0.2%

Your Cost: $40.69/claim|Median: $5.50
7.4× median
85027Top 5%

Complete blood count (CBC), automated

$130K

2,781 claims · 0.2%

Your Cost: $46.59/claim|Median: $3.72
12.5× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$118K

311 claims · 0.2%

Your Cost: $379.76/claim|Median: $74.82
5.1× median