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ERIE COUNTY MEDICAL CENTER CORPORATION

General Acute Care Hospital·BUFFALO, NY·NPI: 1437197985Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $105.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$105.7M

$105,673,613

Total Claims

1.5M

Beneficiaries

1.2M

1.3 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$449K
+1295%
2019
$6.3M
+178%
2020
$17.4M
+9%
2021
$19.0M
+47%
2022
$27.9M
-31%
2023
$19.4M
-21%
2024
$15.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90791 (Psychiatric diagnostic evaluation)) accounts for 15% of total spending.

90791Top 1%

Psychiatric diagnostic evaluation

$16.2M

24K claims · 15.3%

Your Cost: $669.72/claim|Median: $99.21
6.8× median
G0378Top 5%

Hospital observation service, per hour

$9.2M

7,767 claims · 8.7%

Your Cost: $1,183.06/claim|Median: $99.39
11.9× median
G0463Top 10%

Hospital outpatient clinic visit

$9.1M

87K claims · 8.7%

Your Cost: $105.38/claim|Median: $26.41
4.0× median
99284Top 10%

Emergency dept visit, high complexity

$5.5M

29K claims · 5.2%

Your Cost: $192.58/claim|Median: $69.51
2.8× median
90834Top 10%

Psychotherapy, 45 minutes

$4.8M

38K claims · 4.6%

Your Cost: $128.52/claim|Median: $63.65
2.0× median
90832Top 10%

Psychotherapy, 30 minutes

$4.6M

50K claims · 4.4%

Your Cost: $93.12/claim|Median: $41.28
2.3× median
S9485Top 10%

Crisis intervention mental health services, per diem

$4.6M

3,985 claims · 4.3%

Your Cost: $1,143.12/claim|Median: $501.33
2.3× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.9M

23K claims · 3.6%

Your Cost: $169.22/claim|Median: $42.48
4.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$3.5M

16K claims · 3.3%

Your Cost: $223.28/claim|Median: $85.65
2.6× median
99213Top 5%

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

$3.4M

36K claims · 3.2%

Your Cost: $93.89/claim|Median: $37.81
2.5× median
99214Top 25%

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

$3.3M

37K claims · 3.1%

Your Cost: $90.11/claim|Median: $53.41
1.7× median
97110Top 1%

Therapeutic exercises, each 15 min

$2.9M

22K claims · 2.7%

Your Cost: $134.06/claim|Median: $24.49
5.5× median
U0004Top 25%

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

$2.9M

38K claims · 2.7%

Your Cost: $76.14/claim|Median: $60.05
1.3× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$2.8M

39K claims · 2.6%

Your Cost: $70.54/claim|Median: $47.35
1.5× median
90999Top 10%

Unlisted dialysis procedure

$2.2M

13K claims · 2.1%

Your Cost: $178.64/claim|Median: $63.73
2.8× median
70450Top 10%

CT head/brain without contrast

$1.6M

7,338 claims · 1.5%

Your Cost: $217.04/claim|Median: $45.53
4.8× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.6M

12K claims · 1.5%

Your Cost: $136.93/claim|Median: $38.92
3.5× median
99282Top 25%

Emergency dept visit, low complexity

$894K

6,572 claims · 0.8%

Your Cost: $135.98/claim|Median: $37.72
3.6× median
80053Top 25%

Comprehensive metabolic panel

$855K

53K claims · 0.8%

Your Cost: $16.10/claim|Median: $7.24
2.2× median
G0390Top 10%

$746K

438 claims · 0.7%

Your Cost: $1,704.33/claim|Median: $357.22
4.8× median
36415Top 10%

Collection of venous blood by venipuncture

$735K

129K claims · 0.7%

Your Cost: $5.71/claim|Median: $1.57
3.6× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$706K

7,747 claims · 0.7%

Your Cost: $91.08/claim|Median: $97.61
0.9× median
H0001Normal range

Alcohol and/or drug assessment

$702K

4,608 claims · 0.7%

Your Cost: $152.41/claim|Median: $94.22
1.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$675K

23K claims · 0.6%

Your Cost: $28.93/claim|Median: $35.43
0.8× median
Q5105Top 25%

$590K

12K claims · 0.6%

Your Cost: $47.40/claim|Median: $17.05
2.8× median
43239Top 5%

Upper GI endoscopy with biopsy

$554K

841 claims · 0.5%

Your Cost: $658.27/claim|Median: $151.68
4.3× median
99212Top 10%

Office/outpatient visit, low complexity

$472K

5,186 claims · 0.4%

Your Cost: $91.01/claim|Median: $25.06
3.6× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$470K

20K claims · 0.4%

Your Cost: $23.89/claim|Median: $15.76
1.5× median
90853Top 10%

Group psychotherapy

$453K

6,838 claims · 0.4%

Your Cost: $66.22/claim|Median: $25.02
2.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$430K

2,226 claims · 0.4%

Your Cost: $193.07/claim|Median: $65.76
2.9× median
90935Top 1%

Hemodialysis, one evaluation

$422K

747 claims · 0.4%

Your Cost: $564.96/claim|Median: $23.72
23.8× median
97116Top 1%

Gait training

$402K

2,843 claims · 0.4%

Your Cost: $141.46/claim|Median: $12.48
11.3× median
71275Top 25%

CT angiography, chest, with contrast

$387K

2,102 claims · 0.4%

Your Cost: $184.11/claim|Median: $92.96
2.0× median
97112Top 1%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$365K

3,078 claims · 0.3%

Your Cost: $118.43/claim|Median: $20.04
5.9× median
H2010Normal range

Comprehensive medication services, per 15 min

$340K

5,621 claims · 0.3%

Your Cost: $60.41/claim|Median: $62.69
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$338K

3,093 claims · 0.3%

Your Cost: $109.14/claim|Median: $54.68
2.0× median
96365Normal range

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

$332K

3,566 claims · 0.3%

Your Cost: $93.23/claim|Median: $54.77
1.7× median
96360Normal range

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

$301K

3,151 claims · 0.3%

Your Cost: $95.68/claim|Median: $61.57
1.6× median
97161Top 25%

Physical therapy evaluation, low complexity

$289K

2,964 claims · 0.3%

Your Cost: $97.66/claim|Median: $47.89
2.0× median
97530Top 25%

Therapeutic activities, each 15 min

$281K

4,003 claims · 0.3%

Your Cost: $70.12/claim|Median: $33.11
2.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$263K

11K claims · 0.2%

Your Cost: $24.88/claim|Median: $24.95
1.0× median
80048Top 25%

Basic metabolic panel

$220K

16K claims · 0.2%

Your Cost: $13.67/claim|Median: $5.78
2.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$212K

1,433 claims · 0.2%

Your Cost: $148.11/claim|Median: $60.19
2.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$207K

16K claims · 0.2%

Your Cost: $12.87/claim|Median: $9.56
1.3× median
12001Top 10%

$201K

632 claims · 0.2%

Your Cost: $318.61/claim|Median: $64.99
4.9× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$195K

367 claims · 0.2%

Your Cost: $531.09/claim|Median: $36.13
14.7× median
D0120Top 25%

Periodic oral evaluation, established patient

$192K

4,738 claims · 0.2%

Your Cost: $40.57/claim|Median: $24.34
1.7× median
70486Normal range

$180K

2,314 claims · 0.2%

Your Cost: $77.90/claim|Median: $44.28
1.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$176K

3,670 claims · 0.2%

Your Cost: $47.93/claim|Median: $55.04
0.9× median
72125Normal range

CT cervical spine without contrast

$171K

3,764 claims · 0.2%

Your Cost: $45.42/claim|Median: $32.30
1.4× median

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$1.08B

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$961.1M

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$863.5M

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Boston Medical Center Corporation

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$768.5M

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