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

STANFORD HEALTH CARE

General Acute Care Hospital·STANFORD, CA·NPI: 1437292927Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$46.3M

$46,261,101

Total Claims

1.2M

Beneficiaries

979K

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$3.9M
-1%
2019
$3.8M
+16%
2020
$4.5M
+33%
2021
$5.9M
+17%
2022
$6.9M
+42%
2023
$9.9M
+15%
2024
$11.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 12% of total spending.

99284Normal range

Emergency dept visit, high complexity

$5.7M

74K claims · 12.2%

Your Cost: $76.34/claim|Median: $69.51
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$4.4M

42K claims · 9.4%

Your Cost: $102.59/claim|Median: $85.65
1.2× median
99214Normal range

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

$2.8M

77K claims · 6.0%

Your Cost: $35.95/claim|Median: $53.41
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$2.6M

44K claims · 5.6%

Your Cost: $59.37/claim|Median: $74.09
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.6M

73K claims · 5.6%

Your Cost: $35.46/claim|Median: $35.30
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$2.3M

43K claims · 5.1%

Your Cost: $54.45/claim|Median: $35.80
1.5× median
99291Normal range

Critical care, first 30-74 minutes

$2.3M

21K claims · 4.9%

Your Cost: $106.37/claim|Median: $101.24
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$2.2M

36K claims · 4.8%

Your Cost: $61.83/claim|Median: $65.76
0.9× median
93010Top 10%

Electrocardiogram, interpretation and report only

$2.0M

188K claims · 4.3%

Your Cost: $10.57/claim|Median: $5.60
1.9× median
67028Top 25%

Intravitreal injection of a pharmacologic agent

$1.8M

11K claims · 4.0%

Your Cost: $174.84/claim|Median: $58.82
3.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.8M

31K claims · 3.8%

Your Cost: $57.26/claim|Median: $54.68
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$1.3M

24K claims · 2.8%

Your Cost: $53.23/claim|Median: $42.48
1.3× median
78815Normal range

PET imaging for limited area

$1.2M

6,123 claims · 2.5%

Your Cost: $188.79/claim|Median: $325.10
0.6× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.1M

39K claims · 2.4%

Your Cost: $28.34/claim|Median: $23.99
1.2× median
70553Normal range

MRI brain without contrast, then with contrast

$863K

11K claims · 1.9%

Your Cost: $75.83/claim|Median: $133.68
0.6× median
71045Normal range

Chest X-ray, single view

$859K

134K claims · 1.9%

Your Cost: $6.43/claim|Median: $4.93
1.3× median
70450Normal range

CT head/brain without contrast

$735K

27K claims · 1.6%

Your Cost: $27.62/claim|Median: $45.53
0.6× median
99213Normal range

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

$502K

22K claims · 1.1%

Your Cost: $22.44/claim|Median: $37.81
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$461K

7,929 claims · 1.0%

Your Cost: $58.14/claim|Median: $67.32
0.9× median
71275Normal range

CT angiography, chest, with contrast

$439K

7,302 claims · 0.9%

Your Cost: $60.18/claim|Median: $92.96
0.6× median
88342Top 25%

$376K

9,456 claims · 0.8%

Your Cost: $39.79/claim|Median: $23.66
1.7× median
92134Normal range

$350K

24K claims · 0.8%

Your Cost: $14.77/claim|Median: $15.46
1.0× median
88307Top 25%

Surgical pathology, gross and microscopic, complex

$306K

3,819 claims · 0.7%

Your Cost: $80.26/claim|Median: $59.38
1.4× median
95720Normal range

$279K

1,753 claims · 0.6%

Your Cost: $159.25/claim|Median: $120.95
1.3× median
71046Normal range

Chest X-ray, 2 views

$279K

31K claims · 0.6%

Your Cost: $8.90/claim|Median: $8.92
1.0× median
71260Normal range

CT chest with contrast

$267K

8,080 claims · 0.6%

Your Cost: $33.03/claim|Median: $48.36
0.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$258K

4,113 claims · 0.6%

Your Cost: $62.61/claim|Median: $84.03
0.7× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$227K

334 claims · 0.5%

Your Cost: $680.72/claim|Median: $268.70
2.5× median
99282Normal range

Emergency dept visit, low complexity

$224K

8,337 claims · 0.5%

Your Cost: $26.81/claim|Median: $37.72
0.7× median
00142Normal range

$214K

3,390 claims · 0.5%

Your Cost: $63.21/claim|Median: $43.11
1.5× median
90961Top 10%

$211K

1,374 claims · 0.5%

Your Cost: $153.26/claim|Median: $47.22
3.2× median
71250Normal range

CT scan of chest without contrast

$201K

7,070 claims · 0.4%

Your Cost: $28.41/claim|Median: $39.11
0.7× median
64615Top 25%

$170K

1,370 claims · 0.4%

Your Cost: $124.29/claim|Median: $82.82
1.5× median
11043Top 25%

$164K

1,139 claims · 0.4%

Your Cost: $144.21/claim|Median: $62.99
2.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$146K

3,908 claims · 0.3%

Your Cost: $37.38/claim|Median: $43.85
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$144K

892 claims · 0.3%

Your Cost: $161.35/claim|Median: $151.68
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$140K

1,838 claims · 0.3%

Your Cost: $75.97/claim|Median: $111.09
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$135K

1,435 claims · 0.3%

Your Cost: $93.92/claim|Median: $108.91
0.9× median
00731Normal range

$127K

1,359 claims · 0.3%

Your Cost: $93.81/claim|Median: $64.75
1.4× median
72125Normal range

CT cervical spine without contrast

$113K

3,432 claims · 0.2%

Your Cost: $32.96/claim|Median: $32.30
1.0× median
74183Normal range

$110K

1,761 claims · 0.2%

Your Cost: $62.62/claim|Median: $151.91
0.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$109K

921 claims · 0.2%

Your Cost: $118.41/claim|Median: $121.58
1.0× median
88313Top 25%

$104K

2,386 claims · 0.2%

Your Cost: $43.66/claim|Median: $18.95
2.3× median
88341Normal range

$101K

2,305 claims · 0.2%

Your Cost: $43.99/claim|Median: $45.31
1.0× median
Q3014Normal range

Telehealth originating site facility fee

$97K

4,519 claims · 0.2%

Your Cost: $21.39/claim|Median: $15.37
1.4× median
88108Top 25%

$96K

3,851 claims · 0.2%

Your Cost: $24.93/claim|Median: $13.54
1.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$90K

4,495 claims · 0.2%

Your Cost: $20.09/claim|Median: $47.08
0.4× median
90962Top 10%

$88K

734 claims · 0.2%

Your Cost: $119.60/claim|Median: $40.91
2.9× median
74174Normal range

$85K

1,224 claims · 0.2%

Your Cost: $69.57/claim|Median: $89.41
0.8× median
74018Normal range

$83K

14K claims · 0.2%

Your Cost: $6.04/claim|Median: $7.00
0.9× median