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DOCTORS MEDICAL CENTER OF MODESTO, INC.

General Acute Care Hospital·TURLOCK, CA·NPI: 1396087672Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$61.4M

$61,424,060

Total Claims

1.4M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$8.6M
-15%
2019
$7.3M
-8%
2020
$6.7M
+27%
2021
$8.5M
+20%
2022
$10.2M
+7%
2023
$10.9M
-16%
2024
$9.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 32% of total spending.

0450Top 25%

Emergency room visit

$19.7M

128K claims · 32.1%

Your Cost: $154.37/claim|Median: $44.95
3.4× median
99281Normal range

Emergency dept visit, minimal complexity

$3.7M

65K claims · 6.0%

Your Cost: $56.21/claim|Median: $52.03
1.1× median
J2505Top 1%

$1.8M

225 claims · 3.0%

Your Cost: $8,205.82/claim|Median: $1,842.27
4.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.5M

7,226 claims · 2.5%

Your Cost: $209.00/claim|Median: $65.76
3.2× median
J1453Top 5%

$1.5M

3,296 claims · 2.4%

Your Cost: $453.88/claim|Median: $65.90
6.9× median
78815Top 5%

PET imaging for limited area

$1.3M

810 claims · 2.1%

Your Cost: $1,616.78/claim|Median: $325.10
5.0× median
J0897Top 10%

Injection, denosumab, one milligram

$1.3M

724 claims · 2.0%

Your Cost: $1,738.93/claim|Median: $493.25
3.5× median
87637Top 10%

Respiratory virus detection, 3-5 targets, nucleic acid

$1.1M

7,348 claims · 1.8%

Your Cost: $151.55/claim|Median: $100.62
1.5× median
80053Top 25%

Comprehensive metabolic panel

$1.1M

100K claims · 1.8%

Your Cost: $10.99/claim|Median: $7.24
1.5× median
70450Top 25%

CT head/brain without contrast

$1.1M

8,259 claims · 1.8%

Your Cost: $131.49/claim|Median: $45.53
2.9× median
77067Top 10%

Screening mammography, bilateral, including CAD

$1.0M

9,363 claims · 1.6%

Your Cost: $107.85/claim|Median: $39.33
2.7× median
J1642Top 5%

$888K

6,959 claims · 1.4%

Your Cost: $127.62/claim|Median: $1.11
115.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$786K

13K claims · 1.3%

Your Cost: $62.40/claim|Median: $21.76
2.9× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$728K

14K claims · 1.2%

Your Cost: $53.71/claim|Median: $39.70
1.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$714K

106K claims · 1.2%

Your Cost: $6.74/claim|Median: $4.71
1.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$673K

28K claims · 1.1%

Your Cost: $24.43/claim|Median: $7.50
3.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$650K

17K claims · 1.1%

Your Cost: $38.51/claim|Median: $14.92
2.6× median
Z7502Normal range

$582K

16K claims · 0.9%

Your Cost: $37.27/claim|Median: $37.17
1.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$577K

19K claims · 0.9%

Your Cost: $29.79/claim|Median: $9.56
3.1× median
97139Normal range

$567K

26K claims · 0.9%

Your Cost: $22.11/claim|Median: $28.71
0.8× median
J3490Normal range

Unclassified drugs

$555K

22K claims · 0.9%

Your Cost: $25.35/claim|Median: $5.70
4.4× median
74176Normal range

CT abdomen and pelvis without contrast

$523K

4,654 claims · 0.9%

Your Cost: $112.39/claim|Median: $60.19
1.9× median
71045Top 10%

Chest X-ray, single view

$513K

21K claims · 0.8%

Your Cost: $24.72/claim|Median: $4.93
5.0× median
99213Top 1%

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

$506K

1,597 claims · 0.8%

Your Cost: $316.64/claim|Median: $37.81
8.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$503K

6,629 claims · 0.8%

Your Cost: $75.84/claim|Median: $65.64
1.2× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$477K

7,006 claims · 0.8%

Your Cost: $68.15/claim|Median: $35.43
1.9× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$453K

48K claims · 0.7%

Your Cost: $9.35/claim|Median: $28.63
0.3× median
J9271Top 5%

Injection, pembrolizumab, 1 mg

$418K

31 claims · 0.7%

Your Cost: $13,495.27/claim|Median: $5,391.55
2.5× median
96365Normal range

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

$413K

5,956 claims · 0.7%

Your Cost: $69.34/claim|Median: $54.77
1.3× median
97799Normal range

$411K

17K claims · 0.7%

Your Cost: $24.42/claim|Median: $16.72
1.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$385K

3,185 claims · 0.6%

Your Cost: $120.82/claim|Median: $42.48
2.8× median
71046Top 25%

Chest X-ray, 2 views

$356K

14K claims · 0.6%

Your Cost: $25.62/claim|Median: $8.92
2.9× median
97530Normal range

Therapeutic activities, each 15 min

$353K

7,503 claims · 0.6%

Your Cost: $47.03/claim|Median: $33.11
1.4× median
J1100Top 5%

$328K

11K claims · 0.5%

Your Cost: $29.27/claim|Median: $0.52
56.3× median
76705Top 25%

Ultrasound, abdominal, limited

$324K

4,826 claims · 0.5%

Your Cost: $67.08/claim|Median: $23.81
2.8× median
96360Normal range

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

$315K

4,911 claims · 0.5%

Your Cost: $64.13/claim|Median: $61.57
1.0× median
99284Normal range

Emergency dept visit, high complexity

$309K

3,494 claims · 0.5%

Your Cost: $88.57/claim|Median: $69.51
1.3× median
72125Top 10%

CT cervical spine without contrast

$295K

1,761 claims · 0.5%

Your Cost: $167.67/claim|Median: $32.30
5.2× median
71275Top 25%

CT angiography, chest, with contrast

$277K

1,506 claims · 0.5%

Your Cost: $184.14/claim|Median: $92.96
2.0× median
96361Normal range

IV infusion, hydration, each additional hour

$272K

11K claims · 0.4%

Your Cost: $24.62/claim|Median: $38.92
0.6× median
97110Normal range

Therapeutic exercises, each 15 min

$260K

9,671 claims · 0.4%

Your Cost: $26.94/claim|Median: $24.49
1.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$253K

4,619 claims · 0.4%

Your Cost: $54.86/claim|Median: $63.08
0.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$249K

8,520 claims · 0.4%

Your Cost: $29.24/claim|Median: $75.28
0.4× median
77065Top 10%

$247K

2,268 claims · 0.4%

Your Cost: $108.71/claim|Median: $35.39
3.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$243K

7,505 claims · 0.4%

Your Cost: $32.33/claim|Median: $12.93
2.5× median
A9552Top 25%

$240K

773 claims · 0.4%

Your Cost: $309.96/claim|Median: $89.01
3.5× median
84484Top 25%

Troponin, quantitative

$233K

24K claims · 0.4%

Your Cost: $9.85/claim|Median: $4.84
2.0× median
83735Top 25%

Magnesium blood level test

$228K

33K claims · 0.4%

Your Cost: $6.89/claim|Median: $2.77
2.5× median
J7050Top 25%

Normal saline solution infusion, 250 cc

$225K

29K claims · 0.4%

Your Cost: $7.65/claim|Median: $0.82
9.3× median
96367Normal range

$223K

5,034 claims · 0.4%

Your Cost: $44.22/claim|Median: $29.27
1.5× median

Other Top Providers in California

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Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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