Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PHS INDIAN HOSPITAL

General Acute Care Hospital·RED LAKE, MN·NPI: 1508809765Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $59.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$59.4M

$59,429,710

Total Claims

135K

Beneficiaries

122K

1.1 claims/patient

Avg Cost/Claim

$439

Monthly Spending Trend

Yearly Spending

2018
$6.5M
+11%
2019
$7.2M
-11%
2020
$6.4M
+76%
2021
$11.3M
-0%
2022
$11.3M
-21%
2023
$8.9M
-13%
2024
$7.7M

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 22% of total spending.

99283Top 1%

Emergency dept visit, moderate complexity

$13.3M

28K claims · 22.3%

Your Cost: $472.06/claim|Median: $42.48
11.1× median
99213Top 1%

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

$12.8M

25K claims · 21.5%

Your Cost: $505.70/claim|Median: $37.81
13.4× median
99282Top 1%

Emergency dept visit, low complexity

$6.1M

11K claims · 10.3%

Your Cost: $563.49/claim|Median: $37.72
14.9× median
99211Top 1%

Office/outpatient visit, minimal complexity

$6.1M

17K claims · 10.2%

Your Cost: $355.06/claim|Median: $12.93
27.5× median
99214Top 1%

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

$3.1M

6,496 claims · 5.2%

Your Cost: $471.55/claim|Median: $53.41
8.8× median
99284Top 5%

Emergency dept visit, high complexity

$2.5M

5,530 claims · 4.3%

Your Cost: $459.66/claim|Median: $69.51
6.6× median
99212Top 1%

Office/outpatient visit, low complexity

$1.4M

3,309 claims · 2.4%

Your Cost: $438.18/claim|Median: $25.06
17.5× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$1.4M

2,798 claims · 2.3%

Your Cost: $485.68/claim|Median: $13.30
36.5× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$1.3M

2,723 claims · 2.3%

Your Cost: $493.10/claim|Median: $47.08
10.5× median
90837Top 1%

Psychotherapy, 60 minutes

$1.1M

2,559 claims · 1.9%

Your Cost: $447.20/claim|Median: $85.66
5.2× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$901K

1,870 claims · 1.5%

Your Cost: $481.86/claim|Median: $22.44
21.5× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$862K

1,640 claims · 1.5%

Your Cost: $525.50/claim|Median: $59.72
8.8× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$706K

1,566 claims · 1.2%

Your Cost: $450.52/claim|Median: $10.51
42.9× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$628K

1,269 claims · 1.1%

Your Cost: $494.90/claim|Median: $33.72
14.7× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$562K

1,123 claims · 0.9%

Your Cost: $500.76/claim|Median: $36.70
13.6× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$468K

926 claims · 0.8%

Your Cost: $505.64/claim|Median: $75.18
6.7× median
0054ATop 1%

$424K

690 claims · 0.7%

Your Cost: $614.03/claim|Median: $35.83
17.1× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$422K

893 claims · 0.7%

Your Cost: $473.08/claim|Median: $33.85
14.0× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$416K

930 claims · 0.7%

Your Cost: $447.77/claim|Median: $25.93
17.3× median
0064ATop 1%

$414K

787 claims · 0.7%

Your Cost: $526.35/claim|Median: $34.17
15.4× median
99606Top 1%

$408K

958 claims · 0.7%

Your Cost: $425.97/claim|Median: $29.91
14.2× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$347K

607 claims · 0.6%

Your Cost: $572.11/claim|Median: $74.82
7.6× median
D0140Top 1%

Limited oral evaluation, problem focused

$327K

784 claims · 0.6%

Your Cost: $417.67/claim|Median: $27.07
15.4× median
0071ATop 1%

$320K

601 claims · 0.5%

Your Cost: $532.88/claim|Median: $38.71
13.8× median
D0120Top 1%

Periodic oral evaluation, established patient

$319K

774 claims · 0.5%

Your Cost: $411.66/claim|Median: $24.34
16.9× median
D1120Top 1%

Prophylaxis, adult

$311K

878 claims · 0.5%

Your Cost: $354.70/claim|Median: $33.86
10.5× median
0072ATop 1%

$293K

514 claims · 0.5%

Your Cost: $569.33/claim|Median: $39.57
14.4× median
99281Top 1%

Emergency dept visit, minimal complexity

$259K

475 claims · 0.4%

Your Cost: $546.06/claim|Median: $52.03
10.5× median
90471Top 1%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$243K

888 claims · 0.4%

Your Cost: $274.01/claim|Median: $9.80
28.0× median
99443Top 1%

Telephone E/M by physician, 21-30 min

$218K

439 claims · 0.4%

Your Cost: $497.28/claim|Median: $32.55
15.3× median
90832Top 1%

Psychotherapy, 30 minutes

$177K

470 claims · 0.3%

Your Cost: $377.24/claim|Median: $41.28
9.1× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$175K

430 claims · 0.3%

Your Cost: $407.52/claim|Median: $57.39
7.1× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$157K

359 claims · 0.3%

Your Cost: $438.48/claim|Median: $69.35
6.3× median
0052ATop 1%

$134K

216 claims · 0.2%

Your Cost: $622.22/claim|Median: $37.79
16.5× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$109K

174 claims · 0.2%

Your Cost: $624.82/claim|Median: $80.15
7.8× median
D1110Top 1%

Prophylaxis, adult cleaning

$93K

368 claims · 0.2%

Your Cost: $253.51/claim|Median: $43.38
5.8× median
0051ATop 1%

$89K

143 claims · 0.1%

Your Cost: $622.10/claim|Median: $36.92
16.8× median
99205Top 1%

Office/outpatient visit, new patient, high complexity

$73K

117 claims · 0.1%

Your Cost: $627.62/claim|Median: $111.09
5.6× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$66K

561 claims · 0.1%

Your Cost: $117.95/claim|Median: $7.18
16.4× median
96156Top 1%

$49K

122 claims · 0.1%

Your Cost: $402.81/claim|Median: $22.36
18.0× median
0003ATop 1%

COVID-19 vaccine admin, Pfizer, 3rd dose

$44K

84 claims · 0.1%

Your Cost: $528.86/claim|Median: $36.49
14.5× median
99605Top 1%

$44K

105 claims · 0.1%

Your Cost: $415.35/claim|Median: $50.00
8.3× median
99215Top 1%

Office/outpatient visit, high complexity

$42K

78 claims · 0.1%

Your Cost: $542.29/claim|Median: $74.09
7.3× median
0074ATop 1%

$42K

67 claims · 0.1%

Your Cost: $630.45/claim|Median: $39.19
16.1× median
D1206Top 1%

Topical application of fluoride varnish

$30K

46 claims · 0.1%

Your Cost: $656.48/claim|Median: $18.12
36.2× median
90834Top 1%

Psychotherapy, 45 minutes

$22K

58 claims · 0.0%

Your Cost: $380.78/claim|Median: $63.65
6.0× median
D2940Top 1%

$21K

29 claims · 0.0%

Your Cost: $719.00/claim|Median: $34.80
20.7× median
96158Top 1%

$16K

67 claims · 0.0%

Your Cost: $243.07/claim|Median: $28.43
8.5× median
0031ATop 1%

COVID-19 vaccine admin, J&J, single dose

$8K

18 claims · 0.0%

Your Cost: $461.33/claim|Median: $32.49
14.2× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$5K

12 claims · 0.0%

Your Cost: $417.08/claim|Median: $85.65
4.9× median

Other Top Providers in Minnesota

View all →

Mains'l Florida, Inc.

Home Health

$996.8M

Hennepin Healthcare System INC

General Acute Care Hospital

$708.9M

Accra Care

Home Health

$306.8M

Divine House, Inc.

Community Based Residential Treatment Facility, In

$230.9M

Activstyle, LLC

Durable Medical Equipment & Medical Supplies, Pare

$219.6M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in Minnesota →How we detect fraud →