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General Acute Care Hospital, Children·WILMINGTON, DE·NPI: 1467505073Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$104.0M

$104,015,940

Total Claims

1.1M

Beneficiaries

805K

1.3 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+589%
2019
$9.2M
+136%
2020
$21.6M
-13%
2021
$18.8M
+8%
2022
$20.2M
-2%
2023
$19.9M
-34%
2024
$13.0M

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 25% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$25.7M

93K claims · 24.7%

Your Cost: $276.58/claim|Median: $42.48
6.5× median
99284Top 5%

Emergency dept visit, high complexity

$9.2M

23K claims · 8.8%

Your Cost: $400.58/claim|Median: $69.51
5.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$6.1M

12K claims · 5.8%

Your Cost: $526.68/claim|Median: $85.65
6.1× median
99282Top 25%

Emergency dept visit, low complexity

$4.3M

35K claims · 4.1%

Your Cost: $121.32/claim|Median: $37.72
3.2× median
G0378Top 25%

Hospital observation service, per hour

$3.0M

6,604 claims · 2.9%

Your Cost: $451.98/claim|Median: $99.39
4.5× median
97530Top 25%

Therapeutic activities, each 15 min

$2.8M

39K claims · 2.7%

Your Cost: $72.42/claim|Median: $33.11
2.2× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$2.4M

3,120 claims · 2.3%

Your Cost: $763.11/claim|Median: $54.68
14.0× median
93303Top 5%

Echocardiography, transthoracic, limited

$2.2M

3,729 claims · 2.1%

Your Cost: $586.30/claim|Median: $112.83
5.2× median
69436Top 25%

Tympanostomy, general anesthesia

$2.1M

2,642 claims · 2.0%

Your Cost: $802.79/claim|Median: $205.50
3.9× median
41899Top 1%

Unlisted procedure, dentoalveolar structures

$2.1M

365 claims · 2.0%

Your Cost: $5,807.07/claim|Median: $763.43
7.6× median
92507Top 10%

Speech/hearing/language treatment

$2.1M

22K claims · 2.0%

Your Cost: $92.82/claim|Median: $49.45
1.9× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.8M

27K claims · 1.8%

Your Cost: $67.89/claim|Median: $24.49
2.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.8M

20K claims · 1.8%

Your Cost: $89.30/claim|Median: $91.47
1.0× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$1.7M

1,168 claims · 1.6%

Your Cost: $1,467.48/claim|Median: $1,587.53
0.9× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$1.4M

19K claims · 1.3%

Your Cost: $73.29/claim|Median: $7.50
9.8× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$1.4M

941 claims · 1.3%

Your Cost: $1,457.38/claim|Median: $233.73
6.2× median
80053Top 5%

Comprehensive metabolic panel

$1.4M

25K claims · 1.3%

Your Cost: $53.94/claim|Median: $7.24
7.5× median
93325Top 5%

$1.3M

6,472 claims · 1.2%

Your Cost: $193.93/claim|Median: $14.61
13.3× median
70551Top 5%

MRI brain without contrast

$1.1M

2,355 claims · 1.0%

Your Cost: $449.44/claim|Median: $85.39
5.3× median
93320Top 5%

$1.1M

3,739 claims · 1.0%

Your Cost: $281.13/claim|Median: $28.68
9.8× median
43239Top 5%

Upper GI endoscopy with biopsy

$1.0M

991 claims · 1.0%

Your Cost: $1,031.70/claim|Median: $151.68
6.8× median
96361Top 25%

IV infusion, hydration, each additional hour

$930K

4,567 claims · 0.9%

Your Cost: $203.60/claim|Median: $38.92
5.2× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$868K

7,734 claims · 0.8%

Your Cost: $112.18/claim|Median: $10.88
10.3× median
92526Top 25%

Treatment of swallowing dysfunction and/or oral function

$741K

8,242 claims · 0.7%

Your Cost: $89.86/claim|Median: $49.74
1.8× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$668K

1,225 claims · 0.6%

Your Cost: $545.20/claim|Median: $331.68
1.6× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$599K

4,705 claims · 0.6%

Your Cost: $127.24/claim|Median: $37.35
3.4× median
A0425Top 5%

Ground mileage, per statute mile

$571K

2,941 claims · 0.5%

Your Cost: $194.06/claim|Median: $23.36
8.3× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$527K

35K claims · 0.5%

Your Cost: $14.92/claim|Median: $4.71
3.2× median
92587Top 10%

$521K

8,864 claims · 0.5%

Your Cost: $58.76/claim|Median: $19.24
3.1× median
92579Top 10%

$505K

6,655 claims · 0.5%

Your Cost: $75.86/claim|Median: $30.58
2.5× median
88305Top 1%

Surgical pathology, gross and microscopic examination

$496K

1,946 claims · 0.5%

Your Cost: $255.05/claim|Median: $35.80
7.1× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$467K

7,913 claims · 0.4%

Your Cost: $59.06/claim|Median: $39.70
1.5× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$466K

8,317 claims · 0.4%

Your Cost: $56.08/claim|Median: $24.95
2.2× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$466K

8,242 claims · 0.4%

Your Cost: $56.49/claim|Median: $23.39
2.4× median
96365Top 10%

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

$459K

2,760 claims · 0.4%

Your Cost: $166.42/claim|Median: $54.77
3.0× median
92567Top 10%

$453K

14K claims · 0.4%

Your Cost: $32.94/claim|Median: $11.50
2.9× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$439K

2,821 claims · 0.4%

Your Cost: $155.78/claim|Median: $144.30
1.1× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$420K

2,631 claims · 0.4%

Your Cost: $159.80/claim|Median: $75.28
2.1× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$402K

5,120 claims · 0.4%

Your Cost: $78.48/claim|Median: $21.76
3.6× median
95782Top 25%

$396K

457 claims · 0.4%

Your Cost: $866.82/claim|Median: $216.35
4.0× median
94664Top 1%

$388K

3,907 claims · 0.4%

Your Cost: $99.25/claim|Median: $8.88
11.2× median
71046Top 10%

Chest X-ray, 2 views

$385K

10K claims · 0.4%

Your Cost: $37.88/claim|Median: $8.92
4.2× median
72082Top 25%

$337K

4,326 claims · 0.3%

Your Cost: $77.93/claim|Median: $31.02
2.5× median
97162Top 5%

PT evaluation, moderate complexity

$334K

2,229 claims · 0.3%

Your Cost: $149.85/claim|Median: $46.10
3.3× median
OP370Normal range

$333K

3,808 claims · 0.3%

Your Cost: $87.48/claim|Median: $82.47
1.1× median
OP710Normal range

$328K

4,263 claims · 0.3%

Your Cost: $76.93/claim|Median: $68.93
1.1× median
70553Top 10%

MRI brain without contrast, then with contrast

$325K

717 claims · 0.3%

Your Cost: $453.29/claim|Median: $133.68
3.4× median
94010Top 5%

$324K

2,267 claims · 0.3%

Your Cost: $142.92/claim|Median: $18.11
7.9× median
96360Top 25%

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

$322K

2,622 claims · 0.3%

Your Cost: $122.68/claim|Median: $61.57
2.0× median
87799Top 5%

$290K

2,375 claims · 0.3%

Your Cost: $122.16/claim|Median: $21.87
5.6× median

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