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ELLIS HOSPITAL

General Acute Care Hospital·SCHENECTADY, NY·NPI: 1487644993Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $82.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$82.3M

$82,286,446

Total Claims

1.8M

Beneficiaries

1.6M

1.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+409%
2019
$6.7M
+125%
2020
$15.0M
+16%
2021
$17.5M
-12%
2022
$15.3M
-4%
2023
$14.7M
-20%
2024
$11.7M

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 13% of total spending.

99213Top 10%

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

$10.7M

129K claims · 13.0%

Your Cost: $82.99/claim|Median: $37.81
2.2× median
99214Top 25%

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

$8.6M

89K claims · 10.5%

Your Cost: $96.41/claim|Median: $53.41
1.8× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$4.2M

5,783 claims · 5.1%

Your Cost: $725.16/claim|Median: $84.12
8.6× median
99284Top 25%

Emergency dept visit, high complexity

$3.7M

32K claims · 4.4%

Your Cost: $115.03/claim|Median: $69.51
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.4M

29K claims · 4.1%

Your Cost: $117.03/claim|Median: $85.65
1.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.3M

28K claims · 4.0%

Your Cost: $116.16/claim|Median: $42.48
2.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$3.0M

17K claims · 3.7%

Your Cost: $181.77/claim|Median: $38.92
4.7× median
90834Top 10%

Psychotherapy, 45 minutes

$3.0M

22K claims · 3.7%

Your Cost: $134.53/claim|Median: $63.65
2.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.1M

12K claims · 2.6%

Your Cost: $171.88/claim|Median: $65.76
2.6× median
70450Top 25%

CT head/brain without contrast

$1.9M

12K claims · 2.3%

Your Cost: $163.00/claim|Median: $45.53
3.6× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.5M

20K claims · 1.9%

Your Cost: $77.47/claim|Median: $63.08
1.2× median
80053Top 25%

Comprehensive metabolic panel

$1.5M

78K claims · 1.8%

Your Cost: $18.72/claim|Median: $7.24
2.6× median
96110Top 1%

Developmental screening, per standardized instrument

$1.3M

10K claims · 1.6%

Your Cost: $123.68/claim|Median: $9.10
13.6× median
96365Top 10%

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

$1.2M

7,665 claims · 1.5%

Your Cost: $157.93/claim|Median: $54.77
2.9× median
99203Top 10%

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

$1.2M

11K claims · 1.4%

Your Cost: $111.60/claim|Median: $57.85
1.9× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.0M

11K claims · 1.2%

Your Cost: $89.49/claim|Median: $75.18
1.2× median
93975Top 5%

Duplex scan of arterial inflow and venous outflow, complete

$953K

2,294 claims · 1.2%

Your Cost: $415.41/claim|Median: $79.28
5.2× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$939K

10K claims · 1.1%

Your Cost: $90.55/claim|Median: $69.35
1.3× median
90832Top 10%

Psychotherapy, 30 minutes

$916K

8,940 claims · 1.1%

Your Cost: $102.47/claim|Median: $41.28
2.5× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$908K

9,757 claims · 1.1%

Your Cost: $93.06/claim|Median: $74.82
1.2× median
90791Top 10%

Psychiatric diagnostic evaluation

$871K

5,222 claims · 1.1%

Your Cost: $166.75/claim|Median: $99.21
1.7× median
96360Top 25%

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

$841K

5,306 claims · 1.0%

Your Cost: $158.57/claim|Median: $61.57
2.6× median
76856Top 10%

Ultrasound, pelvic, complete

$814K

5,877 claims · 1.0%

Your Cost: $138.46/claim|Median: $47.58
2.9× median
99204Top 25%

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

$759K

6,712 claims · 0.9%

Your Cost: $113.07/claim|Median: $84.03
1.3× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$750K

1,630 claims · 0.9%

Your Cost: $460.18/claim|Median: $392.63
1.2× median
71275Top 25%

CT angiography, chest, with contrast

$741K

2,847 claims · 0.9%

Your Cost: $260.13/claim|Median: $92.96
2.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$695K

3,339 claims · 0.8%

Your Cost: $208.15/claim|Median: $60.19
3.5× median
99215Top 25%

Office/outpatient visit, high complexity

$620K

5,491 claims · 0.8%

Your Cost: $112.88/claim|Median: $74.09
1.5× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$615K

6,011 claims · 0.7%

Your Cost: $102.33/claim|Median: $76.06
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$615K

6,047 claims · 0.7%

Your Cost: $101.71/claim|Median: $80.15
1.3× median
92552Top 5%

Pure tone audiometry, air only, each ear

$550K

9,146 claims · 0.7%

Your Cost: $60.16/claim|Median: $12.63
4.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$547K

5,181 claims · 0.7%

Your Cost: $105.66/claim|Median: $72.71
1.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$490K

9,585 claims · 0.6%

Your Cost: $51.09/claim|Median: $39.33
1.3× median
J2426Top 25%

$483K

261 claims · 0.6%

Your Cost: $1,851.36/claim|Median: $625.59
3.0× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$420K

4,162 claims · 0.5%

Your Cost: $100.91/claim|Median: $22.44
4.5× median
99281Top 25%

Emergency dept visit, minimal complexity

$415K

3,852 claims · 0.5%

Your Cost: $107.77/claim|Median: $52.03
2.1× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$400K

3,816 claims · 0.5%

Your Cost: $104.75/claim|Median: $13.30
7.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$396K

14K claims · 0.5%

Your Cost: $28.45/claim|Median: $24.95
1.1× median
90837Top 10%

Psychotherapy, 60 minutes

$383K

2,838 claims · 0.5%

Your Cost: $135.07/claim|Median: $85.66
1.6× median
96366Top 25%

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

$363K

2,995 claims · 0.4%

Your Cost: $121.25/claim|Median: $40.12
3.0× median
43239Top 10%

Upper GI endoscopy with biopsy

$344K

602 claims · 0.4%

Your Cost: $572.25/claim|Median: $151.68
3.8× median
99212Top 5%

Office/outpatient visit, low complexity

$316K

3,207 claims · 0.4%

Your Cost: $98.61/claim|Median: $25.06
3.9× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$302K

4,293 claims · 0.4%

Your Cost: $70.32/claim|Median: $58.16
1.2× median
G0463Normal range

Hospital outpatient clinic visit

$284K

8,077 claims · 0.3%

Your Cost: $35.12/claim|Median: $26.41
1.3× median
99282Top 25%

Emergency dept visit, low complexity

$280K

2,387 claims · 0.3%

Your Cost: $117.48/claim|Median: $37.72
3.1× median
99223Top 25%

Initial hospital care, per day, high complexity

$272K

2,356 claims · 0.3%

Your Cost: $115.59/claim|Median: $67.32
1.7× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$271K

12K claims · 0.3%

Your Cost: $22.05/claim|Median: $7.18
3.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$269K

5,202 claims · 0.3%

Your Cost: $51.69/claim|Median: $38.83
1.3× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$269K

14K claims · 0.3%

Your Cost: $19.36/claim|Median: $15.76
1.2× median
80061Top 25%

Lipid panel

$262K

20K claims · 0.3%

Your Cost: $13.32/claim|Median: $8.41
1.6× median