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JAMAICA HOSPITAL

Emergency Medicine, Emergency Medical Services·JAMAICA, NY·NPI: 1477505220Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$37.9M

$37,879,601

Total Claims

793K

Beneficiaries

754K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+34%
2019
$4.8M
-18%
2020
$4.0M
+51%
2021
$6.0M
+20%
2022
$7.2M
-2%
2023
$7.0M
-24%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 26% of total spending.

99213Top 25%

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

$9.8M

167K claims · 25.9%

Your Cost: $58.78/claim|Median: $37.81
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$6.6M

99K claims · 17.3%

Your Cost: $66.05/claim|Median: $42.48
1.6× median
99214Top 25%

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

$4.1M

49K claims · 10.9%

Your Cost: $85.20/claim|Median: $53.41
1.6× median
99284Top 25%

Emergency dept visit, high complexity

$3.6M

31K claims · 9.4%

Your Cost: $116.21/claim|Median: $69.51
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

25K claims · 4.2%

Your Cost: $63.02/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.3M

21K claims · 3.3%

Your Cost: $59.84/claim|Median: $69.35
0.9× median
99282Normal range

Emergency dept visit, low complexity

$1.1M

26K claims · 2.9%

Your Cost: $42.59/claim|Median: $37.72
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.1M

19K claims · 2.8%

Your Cost: $57.71/claim|Median: $74.82
0.8× median
70450Normal range

CT head/brain without contrast

$857K

23K claims · 2.3%

Your Cost: $37.22/claim|Median: $45.53
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$850K

27K claims · 2.2%

Your Cost: $31.19/claim|Median: $25.06
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$768K

12K claims · 2.0%

Your Cost: $62.90/claim|Median: $80.15
0.8× median
99203Normal range

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

$651K

8,744 claims · 1.7%

Your Cost: $74.44/claim|Median: $57.85
1.3× median
99396Normal range

Preventive medicine, established patient, age 40-64

$575K

6,973 claims · 1.5%

Your Cost: $82.51/claim|Median: $76.06
1.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$557K

3,233 claims · 1.5%

Your Cost: $172.43/claim|Median: $85.65
2.0× median
71045Top 25%

Chest X-ray, single view

$501K

62K claims · 1.3%

Your Cost: $8.14/claim|Median: $4.93
1.7× median
74177Normal range

CT abdomen and pelvis with contrast

$483K

5,788 claims · 1.3%

Your Cost: $83.44/claim|Median: $65.76
1.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$464K

13K claims · 1.2%

Your Cost: $35.93/claim|Median: $39.33
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$375K

5,073 claims · 1.0%

Your Cost: $73.85/claim|Median: $72.71
1.0× median
71046Normal range

Chest X-ray, 2 views

$366K

35K claims · 1.0%

Your Cost: $10.47/claim|Median: $8.92
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$292K

6,227 claims · 0.8%

Your Cost: $46.86/claim|Median: $40.11
1.2× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$161K

5,827 claims · 0.4%

Your Cost: $27.64/claim|Median: $21.41
1.3× median
70551Normal range

MRI brain without contrast

$138K

2,236 claims · 0.4%

Your Cost: $61.92/claim|Median: $85.39
0.7× median
99204Top 25%

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

$138K

1,162 claims · 0.4%

Your Cost: $118.95/claim|Median: $84.03
1.4× median
76856Normal range

Ultrasound, pelvic, complete

$119K

4,031 claims · 0.3%

Your Cost: $29.47/claim|Median: $47.58
0.6× median
99221Top 10%

Initial hospital care, straightforward/low

$115K

1,290 claims · 0.3%

Your Cost: $89.32/claim|Median: $39.96
2.2× median
72125Normal range

CT cervical spine without contrast

$112K

2,436 claims · 0.3%

Your Cost: $45.87/claim|Median: $32.30
1.4× median
76830Normal range

Ultrasound, transvaginal

$104K

3,123 claims · 0.3%

Your Cost: $33.28/claim|Median: $57.47
0.6× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$102K

1,451 claims · 0.3%

Your Cost: $70.33/claim|Median: $73.46
1.0× median
76705Normal range

Ultrasound, abdominal, limited

$79K

2,821 claims · 0.2%

Your Cost: $27.97/claim|Median: $23.81
1.2× median
74176Normal range

CT abdomen and pelvis without contrast

$66K

867 claims · 0.2%

Your Cost: $75.81/claim|Median: $60.19
1.3× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$57K

648 claims · 0.2%

Your Cost: $88.55/claim|Median: $76.22
1.2× median
70486Normal range

$50K

1,266 claims · 0.1%

Your Cost: $39.23/claim|Median: $44.28
0.9× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$49K

639 claims · 0.1%

Your Cost: $76.00/claim|Median: $37.22
2.0× median
73562Normal range

$46K

4,755 claims · 0.1%

Your Cost: $9.68/claim|Median: $12.28
0.8× median
74018Normal range

$45K

5,166 claims · 0.1%

Your Cost: $8.73/claim|Median: $7.00
1.2× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$45K

728 claims · 0.1%

Your Cost: $61.57/claim|Median: $23.99
2.6× median
76642Normal range

$39K

1,165 claims · 0.1%

Your Cost: $33.80/claim|Median: $32.06
1.1× median
76700Normal range

Ultrasound, abdominal, complete

$39K

1,026 claims · 0.1%

Your Cost: $38.26/claim|Median: $50.69
0.8× median
76770Normal range

Ultrasound, retroperitoneal, complete

$33K

1,015 claims · 0.1%

Your Cost: $32.85/claim|Median: $37.35
0.9× median
76506Normal range

$31K

937 claims · 0.1%

Your Cost: $32.65/claim|Median: $25.33
1.3× median
73610Normal range

X-ray of ankle, complete, minimum three views

$30K

3,320 claims · 0.1%

Your Cost: $9.01/claim|Median: $13.55
0.7× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$29K

3,445 claims · 0.1%

Your Cost: $8.45/claim|Median: $12.06
0.7× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$25K

285 claims · 0.1%

Your Cost: $86.63/claim|Median: $62.48
1.4× median
73130Normal range

$24K

2,656 claims · 0.1%

Your Cost: $8.91/claim|Median: $10.69
0.8× median
99383Normal range

Preventive visit, new patient, late childhood (5-11 yr)

$22K

292 claims · 0.1%

Your Cost: $74.88/claim|Median: $81.92
0.9× median
99215Top 25%

Office/outpatient visit, high complexity

$21K

184 claims · 0.1%

Your Cost: $115.31/claim|Median: $74.09
1.6× median
73110Normal range

X-ray of wrist, complete, minimum three views

$20K

2,119 claims · 0.1%

Your Cost: $9.29/claim|Median: $12.64
0.7× median
76775Normal range

$19K

655 claims · 0.0%

Your Cost: $28.63/claim|Median: $28.03
1.0× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$19K

178 claims · 0.0%

Your Cost: $105.09/claim|Median: $87.82
1.2× median
70498Normal range

$17K

240 claims · 0.0%

Your Cost: $69.58/claim|Median: $58.88
1.2× median