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EPISCOPAL HEALTH SERVICES INC

General Acute Care Hospital·FAR ROCKAWAY, NY·NPI: 1346274537Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$46.4M

$46,357,732

Total Claims

743K

Beneficiaries

571K

1.3 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$384K
+487%
2019
$2.3M
+120%
2020
$5.0M
+38%
2021
$6.9M
+95%
2022
$13.4M
-12%
2023
$11.8M
-43%
2024
$6.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 15% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$7.0M

31K claims · 15.0%

Your Cost: $226.95/claim|Median: $42.48
5.3× median
99213Top 1%

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

$6.6M

41K claims · 14.2%

Your Cost: $160.88/claim|Median: $37.81
4.3× median
90832Top 5%

Psychotherapy, 30 minutes

$5.5M

31K claims · 11.9%

Your Cost: $178.21/claim|Median: $41.28
4.3× median
99284Top 10%

Emergency dept visit, high complexity

$3.5M

17K claims · 7.6%

Your Cost: $208.68/claim|Median: $69.51
3.0× median
99282Top 5%

Emergency dept visit, low complexity

$3.1M

13K claims · 6.7%

Your Cost: $238.57/claim|Median: $37.72
6.3× median
36415Top 5%

Collection of venous blood by venipuncture

$2.8M

114K claims · 6.1%

Your Cost: $24.96/claim|Median: $1.57
15.9× median
99214Top 5%

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

$1.6M

9,530 claims · 3.4%

Your Cost: $165.82/claim|Median: $53.41
3.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.3M

6,979 claims · 2.9%

Your Cost: $190.58/claim|Median: $85.65
2.2× median
G0378Top 10%

Hospital observation service, per hour

$1.1M

1,468 claims · 2.3%

Your Cost: $726.21/claim|Median: $99.39
7.3× median
11042Top 1%

Debridement, subcutaneous tissue, first 20 sq cm

$757K

1,067 claims · 1.6%

Your Cost: $709.87/claim|Median: $36.13
19.6× median
80053Top 25%

Comprehensive metabolic panel

$751K

48K claims · 1.6%

Your Cost: $15.67/claim|Median: $7.24
2.2× median
96361Top 25%

IV infusion, hydration, each additional hour

$724K

5,684 claims · 1.6%

Your Cost: $127.42/claim|Median: $38.92
3.3× median
99212Top 5%

Office/outpatient visit, low complexity

$717K

6,145 claims · 1.5%

Your Cost: $116.67/claim|Median: $25.06
4.7× median
70450Top 25%

CT head/brain without contrast

$673K

4,283 claims · 1.5%

Your Cost: $157.07/claim|Median: $45.53
3.4× median
90834Top 5%

Psychotherapy, 45 minutes

$581K

2,624 claims · 1.3%

Your Cost: $221.30/claim|Median: $63.65
3.5× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$522K

3,933 claims · 1.1%

Your Cost: $132.61/claim|Median: $69.35
1.9× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$470K

3,914 claims · 1.0%

Your Cost: $120.01/claim|Median: $75.18
1.6× median
99281Top 5%

Emergency dept visit, minimal complexity

$444K

1,466 claims · 1.0%

Your Cost: $302.61/claim|Median: $52.03
5.8× median
90791Top 5%

Psychiatric diagnostic evaluation

$426K

1,572 claims · 0.9%

Your Cost: $270.97/claim|Median: $99.21
2.7× median
96360Top 25%

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

$369K

2,778 claims · 0.8%

Your Cost: $132.96/claim|Median: $61.57
2.2× median
99203Top 5%

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

$337K

1,837 claims · 0.7%

Your Cost: $183.60/claim|Median: $57.85
3.2× median
90853Top 5%

Group psychotherapy

$301K

3,294 claims · 0.6%

Your Cost: $91.47/claim|Median: $25.02
3.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$301K

10K claims · 0.6%

Your Cost: $29.17/claim|Median: $9.56
3.1× median
96365Top 25%

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

$300K

3,083 claims · 0.6%

Your Cost: $97.20/claim|Median: $54.77
1.8× median
G0463Normal range

Hospital outpatient clinic visit

$277K

7,934 claims · 0.6%

Your Cost: $34.94/claim|Median: $26.41
1.3× median
74177Normal range

CT abdomen and pelvis with contrast

$271K

2,108 claims · 0.6%

Your Cost: $128.55/claim|Median: $65.76
2.0× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$271K

8,716 claims · 0.6%

Your Cost: $31.08/claim|Median: $17.85
1.7× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$267K

2,243 claims · 0.6%

Your Cost: $119.08/claim|Median: $74.82
1.6× median
59025Top 25%

Fetal non-stress test

$233K

1,900 claims · 0.5%

Your Cost: $122.46/claim|Median: $26.45
4.6× median
86850Top 5%

$231K

4,594 claims · 0.5%

Your Cost: $50.29/claim|Median: $5.44
9.2× median
81025Top 5%

Urine pregnancy test

$190K

11K claims · 0.4%

Your Cost: $17.64/claim|Median: $4.81
3.7× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$173K

1,238 claims · 0.4%

Your Cost: $139.60/claim|Median: $72.71
1.9× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$149K

1,259 claims · 0.3%

Your Cost: $118.02/claim|Median: $80.15
1.5× median
77067Top 25%

Screening mammography, bilateral, including CAD

$147K

1,700 claims · 0.3%

Your Cost: $86.47/claim|Median: $39.33
2.2× median
76856Top 10%

Ultrasound, pelvic, complete

$141K

954 claims · 0.3%

Your Cost: $147.64/claim|Median: $47.58
3.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$134K

2,572 claims · 0.3%

Your Cost: $51.94/claim|Median: $24.49
2.1× median
99204Top 5%

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

$128K

572 claims · 0.3%

Your Cost: $223.04/claim|Median: $84.03
2.7× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$123K

767 claims · 0.3%

Your Cost: $160.40/claim|Median: $76.06
2.1× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$121K

399 claims · 0.3%

Your Cost: $302.66/claim|Median: $108.91
2.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$108K

778 claims · 0.2%

Your Cost: $138.56/claim|Median: $60.19
2.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$107K

6,005 claims · 0.2%

Your Cost: $17.76/claim|Median: $23.39
0.8× median
U0002Normal range

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

$103K

6,301 claims · 0.2%

Your Cost: $16.38/claim|Median: $34.62
0.5× median
99215Top 25%

Office/outpatient visit, high complexity

$97K

789 claims · 0.2%

Your Cost: $123.31/claim|Median: $74.09
1.7× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$89K

1,447 claims · 0.2%

Your Cost: $61.81/claim|Median: $58.16
1.1× median
99188Top 5%

$85K

2,273 claims · 0.2%

Your Cost: $37.35/claim|Median: $12.80
2.9× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$85K

1,048 claims · 0.2%

Your Cost: $80.71/claim|Median: $32.55
2.5× median
86703Top 10%

$80K

4,233 claims · 0.2%

Your Cost: $18.87/claim|Median: $10.37
1.8× median
82306Normal range

Vitamin D, 25 hydroxy

$79K

4,151 claims · 0.2%

Your Cost: $18.97/claim|Median: $18.18
1.0× median
76641Normal range

Ultrasound imaging of one breast, complete

$77K

1,999 claims · 0.2%

Your Cost: $38.35/claim|Median: $49.03
0.8× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$76K

1,341 claims · 0.2%

Your Cost: $56.40/claim|Median: $38.35
1.5× median

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$1.08B

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$961.1M

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$863.5M

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Boston Medical Center Corporation

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$768.5M

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