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KALEIDA HEALTH

General Acute Care Hospital·BUFFALO, NY·NPI: 1366473183Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-02(70 months)
Billing appears to have stoppedLast active: 2024-02

Total Paid

$22.0M

$22,023,173

Total Claims

423K

Beneficiaries

392K

1.1 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$17K
+21134%
2019
$3.6M
+224%
2020
$11.6M
-42%
2021
$6.7M
-100%
2022
$29K
+62%
2023
$46K
-94%
2024
$3K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0378 (Hospital observation service, per hour)) accounts for 12% of total spending.

G0378Top 5%

Hospital observation service, per hour

$2.6M

1,729 claims · 11.8%

Your Cost: $1,503.37/claim|Median: $99.39
15.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.9M

15K claims · 8.7%

Your Cost: $129.40/claim|Median: $42.48
3.0× median
99213Top 5%

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

$1.7M

16K claims · 7.7%

Your Cost: $103.94/claim|Median: $37.81
2.7× median
99284Top 25%

Emergency dept visit, high complexity

$1.1M

9,746 claims · 5.1%

Your Cost: $115.40/claim|Median: $69.51
1.7× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$993K

1,287 claims · 4.5%

Your Cost: $771.31/claim|Median: $120.85
6.4× median
99214Top 10%

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

$795K

7,313 claims · 3.6%

Your Cost: $108.73/claim|Median: $53.41
2.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$707K

10K claims · 3.2%

Your Cost: $69.67/claim|Median: $63.08
1.1× median
96361Top 25%

IV infusion, hydration, each additional hour

$689K

3,170 claims · 3.1%

Your Cost: $217.27/claim|Median: $38.92
5.6× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$521K

411 claims · 2.4%

Your Cost: $1,268.67/claim|Median: $331.68
3.8× median
59025Top 10%

Fetal non-stress test

$472K

2,889 claims · 2.1%

Your Cost: $163.53/claim|Median: $26.45
6.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$452K

4,468 claims · 2.1%

Your Cost: $101.19/claim|Median: $85.65
1.2× median
69436Top 10%

Tympanostomy, general anesthesia

$415K

354 claims · 1.9%

Your Cost: $1,172.14/claim|Median: $205.50
5.7× median
70450Top 5%

CT head/brain without contrast

$360K

1,437 claims · 1.6%

Your Cost: $250.83/claim|Median: $45.53
5.5× median
99282Top 25%

Emergency dept visit, low complexity

$357K

3,064 claims · 1.6%

Your Cost: $116.38/claim|Median: $37.72
3.1× median
99203Top 10%

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

$342K

3,254 claims · 1.6%

Your Cost: $104.96/claim|Median: $57.85
1.8× median
52000Top 1%

$341K

251 claims · 1.5%

Your Cost: $1,356.63/claim|Median: $89.88
15.1× median
43239Top 5%

Upper GI endoscopy with biopsy

$327K

454 claims · 1.5%

Your Cost: $719.32/claim|Median: $151.68
4.7× median
80053Top 25%

Comprehensive metabolic panel

$312K

17K claims · 1.4%

Your Cost: $18.67/claim|Median: $7.24
2.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$259K

8,459 claims · 1.2%

Your Cost: $30.60/claim|Median: $24.95
1.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$259K

921 claims · 1.2%

Your Cost: $280.76/claim|Median: $65.76
4.3× median
99204Top 25%

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

$249K

2,089 claims · 1.1%

Your Cost: $119.30/claim|Median: $84.03
1.4× median
93975Top 5%

Duplex scan of arterial inflow and venous outflow, complete

$216K

533 claims · 1.0%

Your Cost: $404.83/claim|Median: $79.28
5.1× median
96360Top 25%

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

$210K

1,315 claims · 1.0%

Your Cost: $159.96/claim|Median: $61.57
2.6× median
99212Top 5%

Office/outpatient visit, low complexity

$205K

1,635 claims · 0.9%

Your Cost: $125.59/claim|Median: $25.06
5.0× median
99215Normal range

Office/outpatient visit, high complexity

$190K

1,803 claims · 0.9%

Your Cost: $105.19/claim|Median: $74.09
1.4× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$180K

2,114 claims · 0.8%

Your Cost: $85.10/claim|Median: $36.79
2.3× median
96415Top 5%

Chemotherapy infusion, each additional hour

$176K

356 claims · 0.8%

Your Cost: $495.33/claim|Median: $43.68
11.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$161K

8,408 claims · 0.7%

Your Cost: $19.18/claim|Median: $23.39
0.8× median
D3220Top 5%

Therapeutic pulpotomy

$161K

808 claims · 0.7%

Your Cost: $198.76/claim|Median: $81.27
2.4× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$140K

436 claims · 0.6%

Your Cost: $320.52/claim|Median: $57.39
5.6× median
90847Top 10%

Family psychotherapy with patient, 50 min

$137K

777 claims · 0.6%

Your Cost: $176.20/claim|Median: $77.33
2.3× median
96365Top 25%

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

$135K

1,238 claims · 0.6%

Your Cost: $109.31/claim|Median: $54.77
2.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$135K

1,940 claims · 0.6%

Your Cost: $69.34/claim|Median: $58.55
1.2× median
70553Normal range

MRI brain without contrast, then with contrast

$129K

505 claims · 0.6%

Your Cost: $256.22/claim|Median: $133.68
1.9× median
90834Top 10%

Psychotherapy, 45 minutes

$127K

973 claims · 0.6%

Your Cost: $130.92/claim|Median: $63.65
2.1× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$127K

1,151 claims · 0.6%

Your Cost: $110.54/claim|Median: $22.44
4.9× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$127K

6,765 claims · 0.6%

Your Cost: $18.74/claim|Median: $21.08
0.9× median
70551Top 25%

MRI brain without contrast

$123K

524 claims · 0.6%

Your Cost: $234.42/claim|Median: $85.39
2.7× median
76770Top 5%

Ultrasound, retroperitoneal, complete

$115K

521 claims · 0.5%

Your Cost: $220.90/claim|Median: $37.35
5.9× median
74176Top 10%

CT abdomen and pelvis without contrast

$115K

368 claims · 0.5%

Your Cost: $311.99/claim|Median: $60.19
5.2× median
12001Top 5%

$107K

271 claims · 0.5%

Your Cost: $394.76/claim|Median: $64.99
6.1× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$104K

863 claims · 0.5%

Your Cost: $121.00/claim|Median: $72.71
1.7× median
42830Top 25%

$104K

81 claims · 0.5%

Your Cost: $1,289.10/claim|Median: $341.04
3.8× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$100K

1,675 claims · 0.5%

Your Cost: $59.79/claim|Median: $35.80
1.7× median
Q5103Normal range

$99K

80 claims · 0.4%

Your Cost: $1,233.90/claim|Median: $1,075.28
1.1× median
88175Top 25%

Cytopathology, cervical or vaginal, ThinPrep

$98K

3,280 claims · 0.4%

Your Cost: $29.98/claim|Median: $19.06
1.6× median
12011Top 5%

$97K

259 claims · 0.4%

Your Cost: $376.35/claim|Median: $67.02
5.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$94K

856 claims · 0.4%

Your Cost: $109.96/claim|Median: $111.09
1.0× median
96112Normal range

Developmental test administration

$86K

647 claims · 0.4%

Your Cost: $133.64/claim|Median: $102.95
1.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$84K

1,448 claims · 0.4%

Your Cost: $57.79/claim|Median: $24.49
2.4× median

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$1.08B

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$961.1M

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$863.5M

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$777.5M

Boston Medical Center Corporation

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$768.5M

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