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BAPTIST HEALTH DEACONESS MADISONVILLE INC

General Acute Care Hospital, Rural·MADISONVILLE, KY·NPI: 1447231956Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$80.9M

$80,889,972

Total Claims

1.7M

Beneficiaries

1.2M

1.4 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$12.6M
-8%
2019
$11.6M
-13%
2020
$10.1M
+23%
2021
$12.4M
-6%
2022
$11.7M
+8%
2023
$12.6M
-22%
2024
$9.8M

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 10% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$8.1M

28K claims · 10.0%

Your Cost: $284.82/claim|Median: $69.51
4.1× median
99283Top 5%

Emergency dept visit, moderate complexity

$7.2M

35K claims · 8.8%

Your Cost: $202.41/claim|Median: $42.48
4.8× median
97110Top 5%

Therapeutic exercises, each 15 min

$4.9M

59K claims · 6.1%

Your Cost: $83.08/claim|Median: $24.49
3.4× median
74177Top 5%

CT abdomen and pelvis with contrast

$3.8M

7,750 claims · 4.7%

Your Cost: $489.74/claim|Median: $65.76
7.4× median
G0378Top 25%

Hospital observation service, per hour

$3.7M

6,951 claims · 4.6%

Your Cost: $532.35/claim|Median: $99.39
5.4× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.3M

6,701 claims · 2.9%

Your Cost: $349.17/claim|Median: $85.65
4.1× median
92507Top 25%

Speech/hearing/language treatment

$2.0M

30K claims · 2.5%

Your Cost: $67.64/claim|Median: $49.45
1.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$2.0M

5,922 claims · 2.5%

Your Cost: $340.54/claim|Median: $151.68
2.2× median
74176Top 5%

CT abdomen and pelvis without contrast

$1.8M

3,920 claims · 2.2%

Your Cost: $449.59/claim|Median: $60.19
7.5× median
70450Top 10%

CT head/brain without contrast

$1.7M

7,148 claims · 2.1%

Your Cost: $238.48/claim|Median: $45.53
5.2× median
97530Top 25%

Therapeutic activities, each 15 min

$1.5M

25K claims · 1.9%

Your Cost: $60.44/claim|Median: $33.11
1.8× median
96365Top 25%

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

$1.5M

13K claims · 1.8%

Your Cost: $116.29/claim|Median: $54.77
2.1× median
96361Normal range

IV infusion, hydration, each additional hour

$1.5M

15K claims · 1.8%

Your Cost: $100.32/claim|Median: $38.92
2.6× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.1M

21K claims · 1.4%

Your Cost: $53.67/claim|Median: $14.92
3.6× median
45380Normal range

Colonoscopy with biopsy

$1.1M

3,062 claims · 1.3%

Your Cost: $349.78/claim|Median: $200.68
1.7× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$1.1M

718 claims · 1.3%

Your Cost: $1,476.47/claim|Median: $763.43
1.9× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$1.1M

879 claims · 1.3%

Your Cost: $1,200.74/claim|Median: $123.40
9.7× median
80053Normal range

Comprehensive metabolic panel

$1.0M

105K claims · 1.3%

Your Cost: $9.81/claim|Median: $7.24
1.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$948K

29K claims · 1.2%

Your Cost: $32.39/claim|Median: $21.76
1.5× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$839K

969 claims · 1.0%

Your Cost: $866.18/claim|Median: $233.73
3.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$790K

21K claims · 1.0%

Your Cost: $37.35/claim|Median: $7.50
5.0× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$785K

19K claims · 1.0%

Your Cost: $41.86/claim|Median: $9.56
4.4× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$673K

1,362 claims · 0.8%

Your Cost: $494.45/claim|Median: $54.68
9.0× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$672K

789 claims · 0.8%

Your Cost: $851.94/claim|Median: $106.14
8.0× median
36415Top 25%

Collection of venous blood by venipuncture

$633K

147K claims · 0.8%

Your Cost: $4.32/claim|Median: $1.57
2.8× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$608K

2,116 claims · 0.8%

Your Cost: $287.21/claim|Median: $75.28
3.8× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$606K

2,318 claims · 0.7%

Your Cost: $261.39/claim|Median: $144.30
1.8× median
96376Top 5%

$591K

8,693 claims · 0.7%

Your Cost: $68.04/claim|Median: $3.19
21.3× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$589K

4,348 claims · 0.7%

Your Cost: $135.54/claim|Median: $40.12
3.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$589K

84K claims · 0.7%

Your Cost: $6.98/claim|Median: $4.71
1.5× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$580K

4,034 claims · 0.7%

Your Cost: $143.67/claim|Median: $36.13
4.0× median
71275Top 10%

CT angiography, chest, with contrast

$552K

1,813 claims · 0.7%

Your Cost: $304.60/claim|Median: $92.96
3.3× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$535K

7,334 claims · 0.7%

Your Cost: $73.00/claim|Median: $97.61
0.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$535K

11K claims · 0.7%

Your Cost: $50.70/claim|Median: $35.43
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$532K

12K claims · 0.7%

Your Cost: $44.41/claim|Median: $39.70
1.1× median
99282Top 25%

Emergency dept visit, low complexity

$525K

4,224 claims · 0.6%

Your Cost: $124.26/claim|Median: $37.72
3.3× median
73721Top 10%

MRI joint of lower extremity without contrast

$520K

1,414 claims · 0.6%

Your Cost: $367.97/claim|Median: $127.34
2.9× median
71260Top 10%

CT chest with contrast

$506K

2,547 claims · 0.6%

Your Cost: $198.74/claim|Median: $48.36
4.1× median
72148Top 10%

MRI lumbar spine without contrast

$493K

1,539 claims · 0.6%

Your Cost: $320.22/claim|Median: $101.03
3.2× median
71045Top 10%

Chest X-ray, single view

$484K

14K claims · 0.6%

Your Cost: $35.28/claim|Median: $4.93
7.2× median
72125Top 5%

CT cervical spine without contrast

$465K

1,837 claims · 0.6%

Your Cost: $253.11/claim|Median: $32.30
7.8× median
96360Top 25%

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

$461K

3,964 claims · 0.6%

Your Cost: $116.40/claim|Median: $61.57
1.9× median
82306Normal range

Vitamin D, 25 hydroxy

$453K

21K claims · 0.6%

Your Cost: $22.06/claim|Median: $18.18
1.2× median
80050Normal range

General health panel

$422K

11K claims · 0.5%

Your Cost: $40.14/claim|Median: $25.59
1.6× median
59025Top 25%

Fetal non-stress test

$413K

3,621 claims · 0.5%

Your Cost: $114.17/claim|Median: $26.45
4.3× median
76705Top 10%

Ultrasound, abdominal, limited

$365K

3,468 claims · 0.5%

Your Cost: $105.29/claim|Median: $23.81
4.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$365K

26K claims · 0.5%

Your Cost: $14.04/claim|Median: $9.87
1.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$356K

11K claims · 0.4%

Your Cost: $31.61/claim|Median: $24.95
1.3× median
45378Top 25%

Colonoscopy, diagnostic

$342K

687 claims · 0.4%

Your Cost: $498.26/claim|Median: $225.49
2.2× median
83880Top 10%

$339K

9,756 claims · 0.4%

Your Cost: $34.75/claim|Median: $11.81
2.9× median

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