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METHODIST HEALTHCARE - MEMPHIS HOSPITALS

General Acute Care Hospital, Children·MEMPHIS, TN·NPI: 1386709871Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$84.4M

$84,414,193

Total Claims

1.1M

Beneficiaries

950K

1.2 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$8.9M
+37%
2019
$12.2M
-13%
2020
$10.6M
+24%
2021
$13.2M
+8%
2022
$14.2M
+1%
2023
$14.4M
-25%
2024
$10.8M

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 25% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$21.3M

132K claims · 25.2%

Your Cost: $161.30/claim|Median: $42.48
3.8× median
99284Top 5%

Emergency dept visit, high complexity

$13.6M

51K claims · 16.1%

Your Cost: $264.78/claim|Median: $69.51
3.8× median
G0378Top 25%

Hospital observation service, per hour

$6.5M

11K claims · 7.7%

Your Cost: $578.33/claim|Median: $99.39
5.8× median
99213Top 25%

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

$5.1M

74K claims · 6.1%

Your Cost: $69.23/claim|Median: $37.81
1.8× median
G0463Top 5%

Hospital outpatient clinic visit

$4.8M

37K claims · 5.7%

Your Cost: $130.47/claim|Median: $26.41
4.9× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$3.0M

6,180 claims · 3.6%

Your Cost: $492.54/claim|Median: $763.43
0.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.5M

9,491 claims · 2.9%

Your Cost: $260.72/claim|Median: $85.65
3.0× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$2.4M

1,050 claims · 2.8%

Your Cost: $2,261.59/claim|Median: $331.68
6.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.8M

41K claims · 2.1%

Your Cost: $42.92/claim|Median: $39.70
1.1× median
99282Normal range

Emergency dept visit, low complexity

$1.5M

19K claims · 1.8%

Your Cost: $78.95/claim|Median: $37.72
2.1× median
69436Top 25%

Tympanostomy, general anesthesia

$1.5M

1,534 claims · 1.8%

Your Cost: $982.88/claim|Median: $205.50
4.8× median
99214Top 25%

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

$1.3M

17K claims · 1.6%

Your Cost: $78.36/claim|Median: $53.41
1.5× median
93303Top 10%

Echocardiography, transthoracic, limited

$1.2M

3,302 claims · 1.4%

Your Cost: $358.30/claim|Median: $112.83
3.2× median
92587Top 5%

$994K

8,535 claims · 1.2%

Your Cost: $116.49/claim|Median: $19.24
6.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$974K

30K claims · 1.2%

Your Cost: $32.72/claim|Median: $30.04
1.1× median
54161Top 25%

$797K

888 claims · 0.9%

Your Cost: $897.80/claim|Median: $252.63
3.6× median
92567Top 10%

$676K

22K claims · 0.8%

Your Cost: $31.42/claim|Median: $11.50
2.7× median
93304Top 25%

$658K

2,418 claims · 0.8%

Your Cost: $272.10/claim|Median: $54.29
5.0× median
97530Top 25%

Therapeutic activities, each 15 min

$647K

7,796 claims · 0.8%

Your Cost: $83.03/claim|Median: $33.11
2.5× median
87400Normal range

$634K

45K claims · 0.8%

Your Cost: $13.96/claim|Median: $8.40
1.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$618K

1,452 claims · 0.7%

Your Cost: $425.71/claim|Median: $54.68
7.8× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$542K

15K claims · 0.6%

Your Cost: $37.17/claim|Median: $10.88
3.4× median
92579Top 10%

$430K

5,979 claims · 0.5%

Your Cost: $71.93/claim|Median: $30.58
2.4× median
95812Normal range

$412K

2,921 claims · 0.5%

Your Cost: $141.01/claim|Median: $104.99
1.3× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$405K

9,050 claims · 0.5%

Your Cost: $44.77/claim|Median: $91.47
0.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$376K

5,117 claims · 0.4%

Your Cost: $73.56/claim|Median: $100.62
0.7× median
36415Top 10%

Collection of venous blood by venipuncture

$371K

73K claims · 0.4%

Your Cost: $5.08/claim|Median: $1.57
3.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$371K

12K claims · 0.4%

Your Cost: $30.53/claim|Median: $7.50
4.1× median
29705Top 25%

$362K

3,038 claims · 0.4%

Your Cost: $119.32/claim|Median: $40.76
2.9× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$348K

4,252 claims · 0.4%

Your Cost: $81.81/claim|Median: $37.35
2.2× median
71046Top 25%

Chest X-ray, 2 views

$336K

12K claims · 0.4%

Your Cost: $28.25/claim|Median: $8.92
3.2× median
93325Normal range

$316K

12K claims · 0.4%

Your Cost: $26.72/claim|Median: $14.61
1.8× median
43239Top 5%

Upper GI endoscopy with biopsy

$308K

462 claims · 0.4%

Your Cost: $667.61/claim|Median: $151.68
4.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$287K

3,097 claims · 0.3%

Your Cost: $92.81/claim|Median: $21.76
4.3× median
64430Top 1%

$237K

752 claims · 0.3%

Your Cost: $314.77/claim|Median: $57.64
5.5× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$227K

33K claims · 0.3%

Your Cost: $6.99/claim|Median: $4.71
1.5× median
94010Top 5%

$220K

2,431 claims · 0.3%

Your Cost: $90.66/claim|Median: $18.11
5.0× median
70553Top 25%

MRI brain without contrast, then with contrast

$214K

624 claims · 0.3%

Your Cost: $343.03/claim|Median: $133.68
2.6× median
74230Top 25%

$207K

2,270 claims · 0.2%

Your Cost: $91.07/claim|Median: $19.67
4.6× median
92507Normal range

Speech/hearing/language treatment

$206K

3,445 claims · 0.2%

Your Cost: $59.84/claim|Median: $49.45
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$194K

7,826 claims · 0.2%

Your Cost: $24.85/claim|Median: $18.18
1.4× median
74018Top 5%

$194K

3,123 claims · 0.2%

Your Cost: $62.24/claim|Median: $7.00
8.9× median
70551Top 25%

MRI brain without contrast

$192K

794 claims · 0.2%

Your Cost: $242.36/claim|Median: $85.39
2.8× median
80053Normal range

Comprehensive metabolic panel

$187K

26K claims · 0.2%

Your Cost: $7.08/claim|Median: $7.24
1.0× median
92508Top 10%

Treatment of speech/language disorder, group, 2+ patients

$173K

6,649 claims · 0.2%

Your Cost: $25.98/claim|Median: $13.22
2.0× median
72082Top 25%

$168K

2,458 claims · 0.2%

Your Cost: $68.42/claim|Median: $31.02
2.2× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$164K

244 claims · 0.2%

Your Cost: $672.45/claim|Median: $233.73
2.9× median
74019Top 25%

$163K

4,083 claims · 0.2%

Your Cost: $40.00/claim|Median: $9.82
4.1× median
72170Top 5%

$160K

2,628 claims · 0.2%

Your Cost: $60.82/claim|Median: $7.99
7.6× median
93320Normal range

$151K

3,402 claims · 0.2%

Your Cost: $44.31/claim|Median: $28.68
1.5× median

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