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The Miriam Hospital

General Acute Care Hospital·Providence, RI·NPI: 1487649430Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $138.6M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$138.6M

$138,581,569

Total Claims

2.2M

Beneficiaries

1.7M

1.3 claims/patient

Avg Cost/Claim

$64

#803 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

The Miriam Hospital is a General Acute Care Hospital provider based in Providence, RI. From the 2018–2024 period, this provider received $138.6M in Medicaid payments across 2.2M claims.

Why This Matters

This provider received $138.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,322 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 15% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.5M
+72%
2019
$33.4M
-56%
2020
$14.6M
+7%
2021
$15.6M
+12%
2022
$17.5M
+23%
2023
$21.5M
-23%
2024
$16.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 5% of total spending.

99285Top 1%

Emergency dept visit, high/urgent complexity

$7.1M

12K claims · 5.1%

Your Cost: $609.94/claim|Median: $85.65
7.1× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$5.2M

61K claims · 3.7%

Your Cost: $84.44/claim|Median: $24.95
3.4× median
G0378Top 5%

Hospital observation service, per hour

$5.1M

5K claims · 3.7%

Your Cost: $1,030.46/claim|Median: $99.39
10.4× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$4.7M

56K claims · 3.4%

Your Cost: $83.73/claim|Median: $23.39
3.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$4.3M

118K claims · 3.1%

Your Cost: $36.80/claim|Median: $4.71
7.8× median
99284Top 5%

Emergency dept visit, high complexity

$4.1M

14K claims · 3.0%

Your Cost: $289.10/claim|Median: $69.51
4.2× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$3.3M

42K claims · 2.3%

Your Cost: $78.34/claim|Median: $28.46
2.8× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$3.1M

5K claims · 2.3%

Your Cost: $649.47/claim|Median: $54.68
11.9× median
80048Top 5%

Basic metabolic panel

$2.6M

58K claims · 1.9%

Your Cost: $44.33/claim|Median: $5.78
7.7× median
80053Top 10%

Comprehensive metabolic panel

$2.5M

69K claims · 1.8%

Your Cost: $36.61/claim|Median: $7.24
5.1× median
80061Top 5%

Lipid panel

$2.4M

75K claims · 1.7%

Your Cost: $31.64/claim|Median: $8.41
3.8× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$2.3M

24K claims · 1.7%

Your Cost: $95.75/claim|Median: $7.50
12.8× median
82306Top 5%

Vitamin D, 25 hydroxy

$2.2M

36K claims · 1.6%

Your Cost: $60.31/claim|Median: $18.18
3.3× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$2.0M

16K claims · 1.4%

Your Cost: $121.50/claim|Median: $35.43
3.4× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$1.9M

15K claims · 1.4%

Your Cost: $129.07/claim|Median: $37.56
3.4× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$1.9M

53K claims · 1.4%

Your Cost: $35.35/claim|Median: $9.87
3.6× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.8M

9K claims · 1.3%

Your Cost: $203.57/claim|Median: $42.48
4.8× median
87481Top 5%

$1.7M

8K claims · 1.2%

Your Cost: $198.69/claim|Median: $22.38
8.9× median
82248Top 1%

Bilirubin, direct blood test

$1.6M

26K claims · 1.1%

Your Cost: $60.49/claim|Median: $2.55
23.7× median
J7030Top 1%

Normal saline solution infusion, 1000 cc

$1.5M

5K claims · 1.1%

Your Cost: $278.15/claim|Median: $1.53
181.8× median
84484Top 1%

Troponin, quantitative

$1.5M

11K claims · 1.1%

Your Cost: $131.50/claim|Median: $4.84
27.2× median
87633Top 5%

Respiratory virus detection, 12-25 targets, nucleic acid

$1.5M

3K claims · 1.1%

Your Cost: $467.11/claim|Median: $169.17
2.8× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.4M

6K claims · 1.0%

Your Cost: $238.36/claim|Median: $38.92
6.1× median
Q9967Top 5%

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

$1.4M

8K claims · 1.0%

Your Cost: $178.94/claim|Median: $3.42
52.3× median
87661Top 5%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$1.4M

23K claims · 1.0%

Your Cost: $57.53/claim|Median: $21.08
2.7× median
82948Top 1%

$1.3M

6K claims · 0.9%

Your Cost: $208.75/claim|Median: $1.78
117.3× median
87389Top 10%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$1.3M

27K claims · 0.9%

Your Cost: $46.20/claim|Median: $18.03
2.6× median
96375Top 1%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.2M

6K claims · 0.9%

Your Cost: $202.40/claim|Median: $14.92
13.6× median
81514Top 5%

$1.2M

3K claims · 0.9%

Your Cost: $382.38/claim|Median: $143.67
2.7× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$1.2M

52K claims · 0.9%

Your Cost: $23.72/claim|Median: $5.50
4.3× median

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