Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

ENLOE MEDICAL CENTER

General Acute Care Hospital·CHICO, CA·NPI: 1417901091Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $57.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$57.6M

$57,627,098

Total Claims

1.8M

Beneficiaries

1.5M

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$5.2M
+15%
2019
$6.0M
-7%
2020
$5.5M
+39%
2021
$7.7M
+16%
2022
$9.0M
+37%
2023
$12.3M
-2%
2024
$12.0M

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 10% of total spending.

0450Normal range

Emergency room visit

$5.9M

106K claims · 10.2%

Your Cost: $55.41/claim|Median: $44.95
1.2× median
0510Top 25%

Revenue code, clinic services

$4.0M

99K claims · 6.9%

Your Cost: $40.11/claim|Median: $28.38
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$2.1M

38K claims · 3.6%

Your Cost: $54.69/claim|Median: $40.11
1.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.9M

9,242 claims · 3.3%

Your Cost: $207.45/claim|Median: $65.76
3.2× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$1.9M

248 claims · 3.3%

Your Cost: $7,604.30/claim|Median: $5,391.55
1.4× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$1.8M

10K claims · 3.2%

Your Cost: $181.92/claim|Median: $164.22
1.1× median
G0378Normal range

Hospital observation service, per hour

$1.8M

50K claims · 3.1%

Your Cost: $35.59/claim|Median: $99.39
0.4× median
97110Normal range

Therapeutic exercises, each 15 min

$1.6M

43K claims · 2.8%

Your Cost: $37.94/claim|Median: $24.49
1.5× median
99281Normal range

Emergency dept visit, minimal complexity

$1.5M

24K claims · 2.6%

Your Cost: $62.14/claim|Median: $52.03
1.2× median
0250Top 25%

$1.2M

100K claims · 2.1%

Your Cost: $11.95/claim|Median: $3.70
3.2× median
80053Top 25%

Comprehensive metabolic panel

$1.2M

100K claims · 2.1%

Your Cost: $11.86/claim|Median: $7.24
1.6× median
A0429Normal range

Ambulance, BLS emergency transport

$1.1M

6,289 claims · 2.0%

Your Cost: $180.02/claim|Median: $138.19
1.3× median
70450Top 25%

CT head/brain without contrast

$1.1M

9,129 claims · 1.9%

Your Cost: $121.21/claim|Median: $45.53
2.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$980K

36K claims · 1.7%

Your Cost: $27.33/claim|Median: $7.50
3.6× median
99199Top 25%

Unlisted special service, procedure, or report

$897K

18K claims · 1.6%

Your Cost: $50.70/claim|Median: $5.39
9.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$890K

105K claims · 1.5%

Your Cost: $8.49/claim|Median: $4.71
1.8× median
A0431Normal range

Ambulance service, conventional air, transport, one way

$882K

581 claims · 1.5%

Your Cost: $1,518.64/claim|Median: $1,650.68
0.9× median
A0436Top 25%

ALS mileage, per mile, level 2

$680K

566 claims · 1.2%

Your Cost: $1,201.46/claim|Median: $705.08
1.7× median
0762Normal range

$650K

9,656 claims · 1.1%

Your Cost: $67.30/claim|Median: $102.28
0.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$637K

11K claims · 1.1%

Your Cost: $56.15/claim|Median: $21.76
2.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$634K

3,720 claims · 1.1%

Your Cost: $170.56/claim|Median: $54.68
3.1× median
74176Normal range

CT abdomen and pelvis without contrast

$611K

5,913 claims · 1.1%

Your Cost: $103.28/claim|Median: $60.19
1.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$598K

13K claims · 1.0%

Your Cost: $47.69/claim|Median: $14.92
3.2× median
87428Normal range

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

$595K

12K claims · 1.0%

Your Cost: $48.20/claim|Median: $39.63
1.2× median
0750Normal range

$581K

3,470 claims · 1.0%

Your Cost: $167.52/claim|Median: $136.43
1.2× median
87633Top 10%

Respiratory virus detection, 12-25 targets, nucleic acid

$578K

1,462 claims · 1.0%

Your Cost: $395.66/claim|Median: $169.17
2.3× median
96361Normal range

IV infusion, hydration, each additional hour

$537K

15K claims · 0.9%

Your Cost: $35.55/claim|Median: $38.92
0.9× median
96365Normal range

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

$525K

7,470 claims · 0.9%

Your Cost: $70.30/claim|Median: $54.77
1.3× median
72125Top 10%

CT cervical spine without contrast

$523K

2,956 claims · 0.9%

Your Cost: $177.04/claim|Median: $32.30
5.5× median
A0425Normal range

Ground mileage, per statute mile

$504K

20K claims · 0.9%

Your Cost: $25.33/claim|Median: $23.36
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$496K

12K claims · 0.9%

Your Cost: $40.07/claim|Median: $42.48
0.9× median
78815Top 5%

PET imaging for limited area

$476K

332 claims · 0.8%

Your Cost: $1,432.28/claim|Median: $325.10
4.4× median
97139Normal range

$459K

10K claims · 0.8%

Your Cost: $43.78/claim|Median: $28.71
1.5× median
0761Top 5%

$421K

3,580 claims · 0.7%

Your Cost: $117.61/claim|Median: $24.10
4.9× median
71260Top 25%

CT chest with contrast

$384K

2,286 claims · 0.7%

Your Cost: $167.88/claim|Median: $48.36
3.5× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$324K

11K claims · 0.6%

Your Cost: $28.71/claim|Median: $9.56
3.0× median
G0463Normal range

Hospital outpatient clinic visit

$311K

27K claims · 0.5%

Your Cost: $11.37/claim|Median: $26.41
0.4× median
70553Top 10%

MRI brain without contrast, then with contrast

$302K

641 claims · 0.5%

Your Cost: $471.48/claim|Median: $133.68
3.5× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$301K

5,614 claims · 0.5%

Your Cost: $53.67/claim|Median: $39.70
1.4× median
71275Top 25%

CT angiography, chest, with contrast

$267K

1,441 claims · 0.5%

Your Cost: $185.38/claim|Median: $92.96
2.0× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$266K

6,381 claims · 0.5%

Your Cost: $41.76/claim|Median: $24.95
1.7× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$264K

6,382 claims · 0.5%

Your Cost: $41.44/claim|Median: $23.39
1.8× median
93971Top 10%

Duplex scan of extremity veins, unilateral or limited

$263K

2,256 claims · 0.5%

Your Cost: $116.46/claim|Median: $25.43
4.6× median
59025Normal range

Fetal non-stress test

$253K

9,387 claims · 0.4%

Your Cost: $26.93/claim|Median: $26.45
1.0× median
76705Top 25%

Ultrasound, abdominal, limited

$251K

4,240 claims · 0.4%

Your Cost: $59.12/claim|Median: $23.81
2.5× median
76856Normal range

Ultrasound, pelvic, complete

$249K

3,666 claims · 0.4%

Your Cost: $68.04/claim|Median: $47.58
1.4× median
96360Normal range

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

$244K

4,233 claims · 0.4%

Your Cost: $57.69/claim|Median: $61.57
0.9× median
82077Top 5%

$238K

6,168 claims · 0.4%

Your Cost: $38.61/claim|Median: $4.44
8.7× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$237K

20K claims · 0.4%

Your Cost: $12.09/claim|Median: $1.53
7.9× median
71045Top 25%

Chest X-ray, single view

$235K

20K claims · 0.4%

Your Cost: $12.00/claim|Median: $4.93
2.4× median

Other Top Providers in California

View all →

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

← All providersAll providers in California →How we detect fraud →