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DHHS IHS PHOENIX AREA

General Acute Care Hospital, Critical Access·POLACCA, AZ·NPI: 1356628028Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$29.9M

$29,912,524

Total Claims

69K

Beneficiaries

51K

1.3 claims/patient

Avg Cost/Claim

$432

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+231%
2019
$4.1M
+5%
2020
$4.3M
+16%
2021
$5.0M
+16%
2022
$5.8M
-16%
2023
$4.9M
-3%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99211 (Office/outpatient visit, minimal complexity)) accounts for 86% of total spending.

99211Top 1%

Office/outpatient visit, minimal complexity

$25.6M

56K claims · 85.7%

Your Cost: $458.91/claim|Median: $12.93
35.5× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$4.2M

8,027 claims · 13.9%

Your Cost: $518.92/claim|Median: $13.30
39.0× median
99213Normal range

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

$67K

1,815 claims · 0.2%

Your Cost: $37.18/claim|Median: $37.81
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$16K

834 claims · 0.1%

Your Cost: $19.29/claim|Median: $24.49
0.8× median
71046Normal range

Chest X-ray, 2 views

$13K

1,135 claims · 0.0%

Your Cost: $11.05/claim|Median: $8.92
1.2× median
99212Top 1%

Office/outpatient visit, low complexity

$12K

50 claims · 0.0%

Your Cost: $242.14/claim|Median: $25.06
9.7× median
99214Top 10%

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

$6K

57 claims · 0.0%

Your Cost: $102.25/claim|Median: $53.41
1.9× median
99283Normal range

Emergency dept visit, moderate complexity

$3K

124 claims · 0.0%

Your Cost: $21.03/claim|Median: $42.48
0.5× median
70450Normal range

CT head/brain without contrast

$1K

42 claims · 0.0%

Your Cost: $34.78/claim|Median: $45.53
0.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1K

50 claims · 0.0%

Your Cost: $28.22/claim|Median: $47.08
0.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1K

94 claims · 0.0%

Your Cost: $12.89/claim|Median: $16.79
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$1K

14 claims · 0.0%

Your Cost: $77.29/claim|Median: $60.19
1.3× median
71045Normal range

Chest X-ray, single view

$846

117 claims · 0.0%

Your Cost: $7.23/claim|Median: $4.93
1.5× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$436

28 claims · 0.0%

Your Cost: $15.58/claim|Median: $7.18
2.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$311

12 claims · 0.0%

Your Cost: $25.88/claim|Median: $17.85
1.4× median
99282Normal range

Emergency dept visit, low complexity

$221

13 claims · 0.0%

Your Cost: $17.02/claim|Median: $37.72
0.5× median
97530Normal range

Therapeutic activities, each 15 min

$192

12 claims · 0.0%

Your Cost: $15.98/claim|Median: $33.11
0.5× median
98966Normal range

$36

12 claims · 0.0%

Your Cost: $2.97/claim|Median: $6.84
0.4× median
90656Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
0.0× median
91320Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.65
90653Normal range

$0

94 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.85
91312Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
90688Normal range

$0

72 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
Q2035Normal range

$0

229 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.13
90662Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.55
0124ANormal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.32
97535Normal range

Self-care/home management training, per 15 minutes

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.18
G0008Normal range

$0

442 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
90694Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.60
90480Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.29

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