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Vanderbilt University Medical Center

Psychiatric Unit·Nashville, TN·NPI: 1396882205Share

Compared to Psychiatric Unit Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $137.6M is at the 25th percentile among 8 Psychiatric Unit providers.

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

Total Paid

$137.6M

$137,587,877

Total Claims

2.4M

Beneficiaries

2.1M

1.1 claims/patient

Avg Cost/Claim

$58

#813 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Vanderbilt University Medical Center is a Psychiatric Unit provider based in Nashville, TN. From the 2018–2024 period, this provider received $137.6M in Medicaid payments across 2.4M claims.

Why This Matters

This provider received $137.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,198 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 20% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.9M
+8%
2019
$19.3M
-17%
2020
$16.1M
+22%
2021
$19.7M
+5%
2022
$20.7M
+8%
2023
$22.4M
-5%
2024
$21.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 29% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$39.7M

529K claims · 28.8%

Your Cost: $75.02/claim|Median: $26.41
2.8× median
99283Top 10%

Emergency dept visit, moderate complexity

$14.0M

89K claims · 10.2%

Your Cost: $157.83/claim|Median: $42.48
3.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$12.8M

33K claims · 9.3%

Your Cost: $388.10/claim|Median: $85.65
4.5× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$12.8M

4,255 claims · 9.3%

Your Cost: $3,004.20/claim|Median: $331.68
9.1× median
99284Top 5%

Emergency dept visit, high complexity

$6.1M

24K claims · 4.4%

Your Cost: $257.74/claim|Median: $69.51
3.7× median
69436Top 10%

Tympanostomy, general anesthesia

$4.4M

3,775 claims · 3.2%

Your Cost: $1,153.18/claim|Median: $205.50
5.6× median
J0475Top 25%

Injection, baclofen, ten milligrams

$3.7M

5,178 claims · 2.7%

Your Cost: $723.35/claim|Median: $384.42
1.9× median
U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$1.8M

24K claims · 1.3%

Your Cost: $74.19/claim|Median: $60.05
1.2× median
G0378Top 25%

Hospital observation service, per hour

$1.6M

3,500 claims · 1.2%

Your Cost: $460.59/claim|Median: $99.39
4.6× median
70553Top 5%

MRI brain without contrast, then with contrast

$1.6M

2,108 claims · 1.2%

Your Cost: $755.42/claim|Median: $133.68
5.7× median
93303Top 25%

Echocardiography, transthoracic, limited

$1.6M

5,196 claims · 1.1%

Your Cost: $298.44/claim|Median: $112.83
2.6× median
70551Top 5%

MRI brain without contrast

$1.5M

3,272 claims · 1.1%

Your Cost: $456.12/claim|Median: $85.39
5.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.4M

3,780 claims · 1.0%

Your Cost: $364.68/claim|Median: $54.68
6.7× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$1.3M

2,493 claims · 0.9%

Your Cost: $504.34/claim|Median: $233.73
2.2× median
95782Normal range

$1.2M

1,666 claims · 0.9%

Your Cost: $739.47/claim|Median: $216.35
3.4× median
43239Top 10%

Upper GI endoscopy with biopsy

$1.2M

2,003 claims · 0.8%

Your Cost: $579.19/claim|Median: $151.68
3.8× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$1.1M

8,588 claims · 0.8%

Your Cost: $132.13/claim|Median: $97.61
1.4× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$1.1M

1,306 claims · 0.8%

Your Cost: $864.83/claim|Median: $763.43
1.1× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$976K

40K claims · 0.7%

Your Cost: $24.25/claim|Median: $9.80
2.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$822K

120K claims · 0.6%

Your Cost: $6.84/claim|Median: $4.71
1.5× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$816K

1,082 claims · 0.6%

Your Cost: $754.43/claim|Median: $470.36
1.6× median
74177Top 1%

CT abdomen and pelvis with contrast

$695K

696 claims · 0.5%

Your Cost: $999.03/claim|Median: $65.76
15.2× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$690K

4,068 claims · 0.5%

Your Cost: $169.63/claim|Median: $75.28
2.3× median
97530Top 25%

Therapeutic activities, each 15 min

$674K

8,453 claims · 0.5%

Your Cost: $79.73/claim|Median: $33.11
2.4× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$614K

5,697 claims · 0.4%

Your Cost: $107.85/claim|Median: $100.62
1.1× median
80053Normal range

Comprehensive metabolic panel

$612K

61K claims · 0.4%

Your Cost: $10.09/claim|Median: $7.24
1.4× median
A0425Top 10%

Ground mileage, per statute mile

$611K

4,799 claims · 0.4%

Your Cost: $127.32/claim|Median: $23.36
5.5× median
41010Top 10%

$529K

471 claims · 0.4%

Your Cost: $1,123.70/claim|Median: $143.34
7.8× median
99282Normal range

Emergency dept visit, low complexity

$495K

5,758 claims · 0.4%

Your Cost: $85.99/claim|Median: $37.72
2.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$474K

27K claims · 0.3%

Your Cost: $17.86/claim|Median: $24.95
0.7× median

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