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ATHOL MEMORIAL HOSPITAL INCORPORATED

General Acute Care Hospital, Critical Access·ATHOL, MA·NPI: 1336120047Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$30.8M

$30,769,782

Total Claims

546K

Beneficiaries

439K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+34%
2019
$3.8M
+16%
2020
$4.4M
+16%
2021
$5.1M
+6%
2022
$5.4M
-2%
2023
$5.3M
-27%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 16% of total spending.

99214Top 1%

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

$4.8M

17K claims · 15.7%

Your Cost: $283.44/claim|Median: $53.41
5.3× median
99213Top 1%

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

$4.3M

15K claims · 13.8%

Your Cost: $279.06/claim|Median: $37.81
7.4× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.5M

19K claims · 11.3%

Your Cost: $182.37/claim|Median: $42.48
4.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.3M

20K claims · 10.8%

Your Cost: $169.08/claim|Median: $85.65
2.0× median
99284Top 25%

Emergency dept visit, high complexity

$3.1M

21K claims · 10.1%

Your Cost: $151.26/claim|Median: $69.51
2.2× median
97110Top 5%

Therapeutic exercises, each 15 min

$1.9M

15K claims · 6.1%

Your Cost: $121.86/claim|Median: $24.49
5.0× median
96361Top 5%

IV infusion, hydration, each additional hour

$1.7M

4,212 claims · 5.5%

Your Cost: $400.74/claim|Median: $38.92
10.3× median
99282Top 5%

Emergency dept visit, low complexity

$731K

3,787 claims · 2.4%

Your Cost: $193.13/claim|Median: $37.72
5.1× median
96365Top 25%

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

$547K

4,247 claims · 1.8%

Your Cost: $128.81/claim|Median: $54.77
2.4× median
G0463Top 10%

Hospital outpatient clinic visit

$529K

5,061 claims · 1.7%

Your Cost: $104.61/claim|Median: $26.41
4.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$484K

8,244 claims · 1.6%

Your Cost: $58.70/claim|Median: $63.08
0.9× median
70450Top 25%

CT head/brain without contrast

$468K

3,020 claims · 1.5%

Your Cost: $154.90/claim|Median: $45.53
3.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$429K

2,181 claims · 1.4%

Your Cost: $196.62/claim|Median: $65.76
3.0× median
96366Top 5%

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

$306K

1,041 claims · 1.0%

Your Cost: $294.19/claim|Median: $40.12
7.3× median
99203Top 1%

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

$291K

1,243 claims · 0.9%

Your Cost: $234.20/claim|Median: $57.85
4.0× median
71046Top 10%

Chest X-ray, 2 views

$242K

6,689 claims · 0.8%

Your Cost: $36.14/claim|Median: $8.92
4.1× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$210K

2,957 claims · 0.7%

Your Cost: $70.99/claim|Median: $10.88
6.5× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$205K

5,859 claims · 0.7%

Your Cost: $34.99/claim|Median: $16.79
2.1× median
G0378Normal range

Hospital observation service, per hour

$203K

1,319 claims · 0.7%

Your Cost: $153.54/claim|Median: $99.39
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$195K

6,737 claims · 0.6%

Your Cost: $28.95/claim|Median: $35.43
0.8× median
99204Top 5%

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

$164K

766 claims · 0.5%

Your Cost: $214.38/claim|Median: $84.03
2.6× median
G2023Top 1%

Specimen collection for COVID-19 testing

$150K

1,698 claims · 0.5%

Your Cost: $88.22/claim|Median: $17.15
5.1× median
77067Top 5%

Screening mammography, bilateral, including CAD

$143K

1,072 claims · 0.5%

Your Cost: $133.41/claim|Median: $39.33
3.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$135K

2,889 claims · 0.4%

Your Cost: $46.82/claim|Median: $65.64
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$131K

30K claims · 0.4%

Your Cost: $4.43/claim|Median: $4.71
0.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$121K

6,839 claims · 0.4%

Your Cost: $17.62/claim|Median: $15.76
1.1× median
96360Top 25%

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

$103K

671 claims · 0.3%

Your Cost: $153.39/claim|Median: $61.57
2.5× median
97161Top 10%

Physical therapy evaluation, low complexity

$84K

702 claims · 0.3%

Your Cost: $119.32/claim|Median: $47.89
2.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$83K

9,265 claims · 0.3%

Your Cost: $8.91/claim|Median: $21.76
0.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$83K

3,580 claims · 0.3%

Your Cost: $23.06/claim|Median: $28.46
0.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$82K

471 claims · 0.3%

Your Cost: $174.42/claim|Median: $60.19
2.9× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$81K

2,956 claims · 0.3%

Your Cost: $27.32/claim|Median: $3.67
7.4× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$79K

580 claims · 0.3%

Your Cost: $136.04/claim|Median: $54.68
2.5× median
43239Top 1%

Upper GI endoscopy with biopsy

$73K

55 claims · 0.2%

Your Cost: $1,330.41/claim|Median: $151.68
8.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$69K

13K claims · 0.2%

Your Cost: $5.34/claim|Median: $7.50
0.7× median
80053Normal range

Comprehensive metabolic panel

$68K

25K claims · 0.2%

Your Cost: $2.67/claim|Median: $7.24
0.4× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$61K

945 claims · 0.2%

Your Cost: $64.24/claim|Median: $64.72
1.0× median
ATP14Normal range

$58K

13K claims · 0.2%

Your Cost: $4.56/claim|Median: $6.69
0.7× median
82306Normal range

Vitamin D, 25 hydroxy

$57K

3,308 claims · 0.2%

Your Cost: $17.08/claim|Median: $18.18
0.9× median
92507Top 1%

Speech/hearing/language treatment

$56K

280 claims · 0.2%

Your Cost: $198.37/claim|Median: $49.45
4.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$52K

4,108 claims · 0.2%

Your Cost: $12.55/claim|Median: $9.56
1.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$45K

5,618 claims · 0.1%

Your Cost: $7.98/claim|Median: $9.87
0.8× median
99212Top 5%

Office/outpatient visit, low complexity

$45K

432 claims · 0.1%

Your Cost: $103.76/claim|Median: $25.06
4.1× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$44K

1,602 claims · 0.1%

Your Cost: $27.41/claim|Median: $12.06
2.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$41K

6,701 claims · 0.1%

Your Cost: $6.14/claim|Median: $5.50
1.1× median
97162Top 10%

PT evaluation, moderate complexity

$37K

363 claims · 0.1%

Your Cost: $101.71/claim|Median: $46.10
2.2× median
84484Normal range

Troponin, quantitative

$35K

6,983 claims · 0.1%

Your Cost: $5.07/claim|Median: $4.84
1.0× median
99406Top 5%

$33K

911 claims · 0.1%

Your Cost: $36.74/claim|Median: $6.53
5.6× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$32K

326 claims · 0.1%

Your Cost: $99.41/claim|Median: $7.18
13.8× median
80050Normal range

General health panel

$32K

2,101 claims · 0.1%

Your Cost: $15.00/claim|Median: $25.59
0.6× median

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