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PROSPECT CCMC, LLC

General Acute Care Hospital·CHESTER, PA·NPI: 1457715146Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$40.9M

$40,888,057

Total Claims

311K

Beneficiaries

269K

1.2 claims/patient

Avg Cost/Claim

$132

Monthly Spending Trend

Yearly Spending

2018
$154K
+234%
2019
$513K
+847%
2020
$4.9M
+225%
2021
$15.8M
-60%
2022
$6.4M
+17%
2023
$7.5M
-23%
2024
$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 24% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$9.8M

33K claims · 24.1%

Your Cost: $299.84/claim|Median: $42.48
7.1× median
99284Top 5%

Emergency dept visit, high complexity

$7.2M

25K claims · 17.6%

Your Cost: $285.78/claim|Median: $69.51
4.1× median
G0378Top 1%

Hospital observation service, per hour

$7.1M

3,162 claims · 17.3%

Your Cost: $2,231.37/claim|Median: $99.39
22.5× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$6.9M

26K claims · 16.9%

Your Cost: $263.39/claim|Median: $85.65
3.1× median
99281Top 5%

Emergency dept visit, minimal complexity

$1.7M

6,173 claims · 4.2%

Your Cost: $277.08/claim|Median: $52.03
5.3× median
A0429Top 10%

Ambulance, BLS emergency transport

$756K

2,154 claims · 1.9%

Your Cost: $351.21/claim|Median: $138.19
2.5× median
A0427Top 10%

Ambulance, ALS emergency transport Level 1

$603K

1,503 claims · 1.5%

Your Cost: $400.93/claim|Median: $164.22
2.4× median
99282Top 1%

Emergency dept visit, low complexity

$579K

2,060 claims · 1.4%

Your Cost: $281.24/claim|Median: $37.72
7.5× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$387K

3,109 claims · 0.9%

Your Cost: $124.61/claim|Median: $58.55
2.1× median
97530Normal range

Therapeutic activities, each 15 min

$294K

5,566 claims · 0.7%

Your Cost: $52.86/claim|Median: $33.11
1.6× median
77067Top 5%

Screening mammography, bilateral, including CAD

$280K

1,547 claims · 0.7%

Your Cost: $180.89/claim|Median: $39.33
4.6× median
76811Top 5%

Ultrasound, pregnant uterus, detailed, single fetus

$231K

914 claims · 0.6%

Your Cost: $252.39/claim|Median: $106.79
2.4× median
99211Top 5%

Office/outpatient visit, minimal complexity

$215K

2,221 claims · 0.5%

Your Cost: $96.80/claim|Median: $12.93
7.5× median
62323Top 1%

Epidural injection of diagnostic or therapeutic substance, lumbar

$203K

130 claims · 0.5%

Your Cost: $1,560.63/claim|Median: $111.02
14.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$173K

4,352 claims · 0.4%

Your Cost: $39.81/claim|Median: $39.70
1.0× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$166K

307 claims · 0.4%

Your Cost: $542.09/claim|Median: $106.14
5.1× median
59025Top 25%

Fetal non-stress test

$164K

2,684 claims · 0.4%

Your Cost: $60.99/claim|Median: $26.45
2.3× median
74177Normal range

CT abdomen and pelvis with contrast

$162K

1,041 claims · 0.4%

Your Cost: $155.56/claim|Median: $65.76
2.4× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$152K

2,495 claims · 0.4%

Your Cost: $60.87/claim|Median: $16.79
3.6× median
97597Top 5%

$147K

1,092 claims · 0.4%

Your Cost: $134.34/claim|Median: $21.22
6.3× median
97161Top 5%

Physical therapy evaluation, low complexity

$142K

578 claims · 0.3%

Your Cost: $245.16/claim|Median: $47.89
5.1× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$136K

1,015 claims · 0.3%

Your Cost: $133.51/claim|Median: $74.78
1.8× median
99212Top 5%

Office/outpatient visit, low complexity

$133K

1,246 claims · 0.3%

Your Cost: $106.65/claim|Median: $25.06
4.3× median
97110Normal range

Therapeutic exercises, each 15 min

$128K

4,627 claims · 0.3%

Your Cost: $27.58/claim|Median: $24.49
1.1× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$122K

158 claims · 0.3%

Your Cost: $771.70/claim|Median: $233.73
3.3× median
70553Top 10%

MRI brain without contrast, then with contrast

$118K

239 claims · 0.3%

Your Cost: $494.45/claim|Median: $133.68
3.7× median
72148Top 10%

MRI lumbar spine without contrast

$109K

312 claims · 0.3%

Your Cost: $349.61/claim|Median: $101.03
3.5× median
76700Top 25%

Ultrasound, abdominal, complete

$100K

769 claims · 0.2%

Your Cost: $129.49/claim|Median: $50.69
2.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$95K

5,241 claims · 0.2%

Your Cost: $18.14/claim|Median: $21.76
0.8× median
73721Top 5%

MRI joint of lower extremity without contrast

$84K

155 claims · 0.2%

Your Cost: $544.98/claim|Median: $127.34
4.3× median
97535Top 25%

Self-care/home management training, per 15 minutes

$80K

2,002 claims · 0.2%

Your Cost: $39.86/claim|Median: $18.18
2.2× median
77063Top 10%

Screening digital breast tomosynthesis, bilateral

$75K

1,534 claims · 0.2%

Your Cost: $48.91/claim|Median: $21.41
2.3× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$74K

1,947 claims · 0.2%

Your Cost: $38.06/claim|Median: $20.04
1.9× median
76830Top 10%

Ultrasound, transvaginal

$73K

665 claims · 0.2%

Your Cost: $109.65/claim|Median: $57.47
1.9× median
G0463Normal range

Hospital outpatient clinic visit

$65K

6,153 claims · 0.2%

Your Cost: $10.54/claim|Median: $26.41
0.4× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$60K

663 claims · 0.1%

Your Cost: $90.70/claim|Median: $58.16
1.6× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$58K

4,996 claims · 0.1%

Your Cost: $11.67/claim|Median: $3.42
3.4× median
77066Top 5%

$53K

293 claims · 0.1%

Your Cost: $179.59/claim|Median: $43.94
4.1× median
36415Top 25%

Collection of venous blood by venipuncture

$52K

12K claims · 0.1%

Your Cost: $4.23/claim|Median: $1.57
2.7× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$51K

451 claims · 0.1%

Your Cost: $113.84/claim|Median: $36.79
3.1× median
74183Top 1%

$50K

53 claims · 0.1%

Your Cost: $943.58/claim|Median: $151.91
6.2× median
76536Top 5%

$49K

364 claims · 0.1%

Your Cost: $134.26/claim|Median: $44.06
3.0× median
97164Top 10%

PT re-evaluation

$45K

482 claims · 0.1%

Your Cost: $94.27/claim|Median: $32.66
2.9× median
76856Normal range

Ultrasound, pelvic, complete

$45K

638 claims · 0.1%

Your Cost: $70.95/claim|Median: $47.58
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$44K

1,242 claims · 0.1%

Your Cost: $35.64/claim|Median: $35.43
1.0× median
71046Top 25%

Chest X-ray, 2 views

$44K

1,924 claims · 0.1%

Your Cost: $22.90/claim|Median: $8.92
2.6× median
72100Top 5%

$43K

675 claims · 0.1%

Your Cost: $63.38/claim|Median: $15.14
4.2× median
76813Top 5%

Ultrasound for fetal nuchal translucency measurement

$42K

301 claims · 0.1%

Your Cost: $139.61/claim|Median: $70.87
2.0× median
93971Top 10%

Duplex scan of extremity veins, unilateral or limited

$42K

329 claims · 0.1%

Your Cost: $126.67/claim|Median: $25.43
5.0× median
99214Top 5%

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

$42K

291 claims · 0.1%

Your Cost: $143.20/claim|Median: $53.41
2.7× median

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