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FALMOUTH HOSPITAL ASSOCIATION INC

General Acute Care Hospital·FALMOUTH, MA·NPI: 1336106806Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$25.4M

$25,404,439

Total Claims

614K

Beneficiaries

512K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-8%
2019
$3.7M
-31%
2020
$2.6M
+29%
2021
$3.3M
+25%
2022
$4.1M
+2%
2023
$4.2M
-20%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 15% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$3.9M

25K claims · 15.3%

Your Cost: $156.01/claim|Median: $85.65
1.8× median
96361Top 5%

IV infusion, hydration, each additional hour

$3.2M

8,945 claims · 12.6%

Your Cost: $356.64/claim|Median: $38.92
9.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.5M

16K claims · 10.0%

Your Cost: $153.98/claim|Median: $42.48
3.6× median
99284Top 25%

Emergency dept visit, high complexity

$2.3M

15K claims · 9.0%

Your Cost: $150.75/claim|Median: $69.51
2.2× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.3M

19K claims · 5.2%

Your Cost: $69.08/claim|Median: $24.49
2.8× median
96365Top 25%

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

$787K

7,734 claims · 3.1%

Your Cost: $101.79/claim|Median: $54.77
1.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$685K

13K claims · 2.7%

Your Cost: $51.25/claim|Median: $63.08
0.8× median
70450Top 25%

CT head/brain without contrast

$669K

5,676 claims · 2.6%

Your Cost: $117.78/claim|Median: $45.53
2.6× median
74177Normal range

CT abdomen and pelvis with contrast

$652K

4,312 claims · 2.6%

Your Cost: $151.26/claim|Median: $65.76
2.3× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$516K

2,787 claims · 2.0%

Your Cost: $185.18/claim|Median: $36.13
5.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$348K

4,692 claims · 1.4%

Your Cost: $74.26/claim|Median: $39.33
1.9× median
71046Top 10%

Chest X-ray, 2 views

$344K

10K claims · 1.4%

Your Cost: $34.02/claim|Median: $8.92
3.8× median
99282Top 10%

Emergency dept visit, low complexity

$338K

2,293 claims · 1.3%

Your Cost: $147.57/claim|Median: $37.72
3.9× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$305K

7,093 claims · 1.2%

Your Cost: $42.93/claim|Median: $16.79
2.6× median
99213Top 1%

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

$275K

1,663 claims · 1.1%

Your Cost: $165.49/claim|Median: $37.81
4.4× median
96360Top 25%

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

$273K

2,195 claims · 1.1%

Your Cost: $124.55/claim|Median: $61.57
2.0× median
76856Top 10%

Ultrasound, pelvic, complete

$268K

2,260 claims · 1.1%

Your Cost: $118.67/claim|Median: $47.58
2.5× median
96366Top 25%

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

$244K

1,178 claims · 1.0%

Your Cost: $206.71/claim|Median: $40.12
5.2× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$240K

8,691 claims · 0.9%

Your Cost: $27.59/claim|Median: $37.56
0.7× median
73721Top 25%

MRI joint of lower extremity without contrast

$226K

881 claims · 0.9%

Your Cost: $256.12/claim|Median: $127.34
2.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$222K

1,646 claims · 0.9%

Your Cost: $134.69/claim|Median: $54.68
2.5× median
72148Normal range

MRI lumbar spine without contrast

$207K

1,177 claims · 0.8%

Your Cost: $175.49/claim|Median: $101.03
1.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$206K

6,502 claims · 0.8%

Your Cost: $31.65/claim|Median: $35.43
0.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$199K

1,509 claims · 0.8%

Your Cost: $131.91/claim|Median: $60.19
2.2× median
76830Top 25%

Ultrasound, transvaginal

$196K

2,110 claims · 0.8%

Your Cost: $92.97/claim|Median: $57.47
1.6× median
76700Top 10%

Ultrasound, abdominal, complete

$187K

1,230 claims · 0.7%

Your Cost: $152.16/claim|Median: $50.69
3.0× median
45385Top 5%

Colonoscopy with polyp removal, snare technique

$185K

214 claims · 0.7%

Your Cost: $864.31/claim|Median: $255.17
3.4× median
93971Top 5%

Duplex scan of extremity veins, unilateral or limited

$176K

1,058 claims · 0.7%

Your Cost: $166.39/claim|Median: $25.43
6.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$160K

4,398 claims · 0.6%

Your Cost: $36.31/claim|Median: $91.47
0.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$152K

33K claims · 0.6%

Your Cost: $4.61/claim|Median: $4.71
1.0× median
76705Top 25%

Ultrasound, abdominal, limited

$141K

1,604 claims · 0.6%

Your Cost: $87.94/claim|Median: $23.81
3.7× median
J0131Top 25%

$139K

3,743 claims · 0.5%

Your Cost: $37.12/claim|Median: $5.78
6.4× median
76642Top 25%

$137K

1,575 claims · 0.5%

Your Cost: $87.29/claim|Median: $32.06
2.7× median
J3490Top 25%

Unclassified drugs

$127K

3,884 claims · 0.5%

Your Cost: $32.70/claim|Median: $5.70
5.7× median
G2023Normal range

Specimen collection for COVID-19 testing

$120K

6,701 claims · 0.5%

Your Cost: $17.90/claim|Median: $17.15
1.0× median
71275Normal range

CT angiography, chest, with contrast

$113K

834 claims · 0.4%

Your Cost: $135.57/claim|Median: $92.96
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$110K

3,335 claims · 0.4%

Your Cost: $33.11/claim|Median: $39.70
0.8× median
S9485Normal range

Crisis intervention mental health services, per diem

$109K

221 claims · 0.4%

Your Cost: $491.51/claim|Median: $501.33
1.0× median
99214Top 5%

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

$87K

670 claims · 0.3%

Your Cost: $129.26/claim|Median: $53.41
2.4× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$80K

2,705 claims · 0.3%

Your Cost: $29.68/claim|Median: $12.06
2.5× median
G0378Normal range

Hospital observation service, per hour

$77K

4,514 claims · 0.3%

Your Cost: $17.03/claim|Median: $99.39
0.2× median
97162Normal range

PT evaluation, moderate complexity

$74K

1,286 claims · 0.3%

Your Cost: $57.88/claim|Median: $46.10
1.3× median
72100Top 25%

$73K

2,422 claims · 0.3%

Your Cost: $30.32/claim|Median: $15.14
2.0× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$73K

4,662 claims · 0.3%

Your Cost: $15.74/claim|Median: $21.41
0.7× median
76801Top 5%

Ultrasound, pregnant uterus, single fetus, first trimester

$69K

497 claims · 0.3%

Your Cost: $139.81/claim|Median: $58.16
2.4× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$65K

1,908 claims · 0.3%

Your Cost: $34.26/claim|Median: $13.55
2.5× median
73030Top 25%

$65K

2,093 claims · 0.3%

Your Cost: $30.92/claim|Median: $10.94
2.8× median
76536Top 25%

$63K

610 claims · 0.2%

Your Cost: $103.80/claim|Median: $44.06
2.4× median
45380Top 5%

Colonoscopy with biopsy

$62K

78 claims · 0.2%

Your Cost: $793.80/claim|Median: $200.68
4.0× median
ATP15Top 25%

$62K

7,003 claims · 0.2%

Your Cost: $8.84/claim|Median: $6.66
1.3× median

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