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UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER

General Acute Care Hospital, Children·CLEVELAND, OH·NPI: 1518042175Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$76.7M

$76,721,783

Total Claims

871K

Beneficiaries

736K

1.2 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$6.9M
+30%
2019
$9.0M
-25%
2020
$6.8M
+29%
2021
$8.8M
+1%
2022
$8.8M
+143%
2023
$21.4M
-30%
2024
$15.0M

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 14% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$10.8M

69K claims · 14.0%

Your Cost: $156.31/claim|Median: $42.48
3.7× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$6.6M

6,606 claims · 8.6%

Your Cost: $1,003.41/claim|Median: $763.43
1.3× median
99214Top 5%

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

$5.5M

37K claims · 7.1%

Your Cost: $147.62/claim|Median: $53.41
2.8× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$5.2M

9,953 claims · 6.8%

Your Cost: $521.81/claim|Median: $120.85
4.3× median
99213Top 5%

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

$5.0M

36K claims · 6.5%

Your Cost: $138.10/claim|Median: $37.81
3.7× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$3.7M

28K claims · 4.8%

Your Cost: $131.10/claim|Median: $3.67
35.7× median
99282Top 25%

Emergency dept visit, low complexity

$3.6M

25K claims · 4.7%

Your Cost: $144.97/claim|Median: $37.72
3.8× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$3.5M

29K claims · 4.6%

Your Cost: $121.66/claim|Median: $69.35
1.8× median
99284Top 10%

Emergency dept visit, high complexity

$2.7M

16K claims · 3.6%

Your Cost: $173.67/claim|Median: $69.51
2.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$2.4M

20K claims · 3.1%

Your Cost: $118.77/claim|Median: $75.18
1.6× median
96110Top 1%

Developmental screening, per standardized instrument

$1.9M

7,145 claims · 2.5%

Your Cost: $263.23/claim|Median: $9.10
28.9× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$1.7M

15K claims · 2.2%

Your Cost: $117.46/claim|Median: $74.82
1.6× median
99215Top 10%

Office/outpatient visit, high complexity

$1.7M

10K claims · 2.2%

Your Cost: $166.46/claim|Median: $74.09
2.2× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$1.6M

6,924 claims · 2.1%

Your Cost: $236.45/claim|Median: $57.39
4.1× median
92551Top 1%

Screening audiometry, pure tone, air only

$1.6M

19K claims · 2.1%

Your Cost: $87.36/claim|Median: $6.61
13.2× median
69436Top 5%

Tympanostomy, general anesthesia

$1.4M

999 claims · 1.9%

Your Cost: $1,442.91/claim|Median: $205.50
7.0× median
D1351Top 1%

Sealant, per tooth

$1.3M

2,567 claims · 1.7%

Your Cost: $505.75/claim|Median: $26.10
19.4× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$984K

8,089 claims · 1.3%

Your Cost: $121.65/claim|Median: $80.15
1.5× median
43239Top 10%

Upper GI endoscopy with biopsy

$929K

1,520 claims · 1.2%

Your Cost: $611.44/claim|Median: $151.68
4.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$804K

4,506 claims · 1.0%

Your Cost: $178.37/claim|Median: $85.65
2.1× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$800K

560 claims · 1.0%

Your Cost: $1,428.58/claim|Median: $331.68
4.3× median
D2330Top 1%

Resin-based composite filling, one surface, anterior

$762K

1,376 claims · 1.0%

Your Cost: $553.86/claim|Median: $66.63
8.3× median
99281Top 25%

Emergency dept visit, minimal complexity

$747K

4,832 claims · 1.0%

Your Cost: $154.63/claim|Median: $52.03
3.0× median
D2391Top 1%

Resin-based composite, one surface, posterior

$716K

1,521 claims · 0.9%

Your Cost: $470.70/claim|Median: $54.60
8.6× median
96365Top 1%

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

$603K

2,153 claims · 0.8%

Your Cost: $280.08/claim|Median: $54.77
5.1× median
94640Top 1%

Pressurized or nonpressurized inhalation treatment

$588K

3,492 claims · 0.8%

Your Cost: $168.28/claim|Median: $10.88
15.5× median
96361Top 5%

IV infusion, hydration, each additional hour

$561K

1,217 claims · 0.7%

Your Cost: $460.68/claim|Median: $38.92
11.8× median
93303Top 5%

Echocardiography, transthoracic, limited

$547K

1,221 claims · 0.7%

Your Cost: $447.95/claim|Median: $112.83
4.0× median
G0378Normal range

Hospital observation service, per hour

$460K

5,530 claims · 0.6%

Your Cost: $83.22/claim|Median: $99.39
0.8× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$442K

256 claims · 0.6%

Your Cost: $1,724.97/claim|Median: $1,587.53
1.1× median
D3220Top 1%

Therapeutic pulpotomy

$417K

911 claims · 0.5%

Your Cost: $457.68/claim|Median: $81.27
5.6× median
93325Top 5%

$387K

2,705 claims · 0.5%

Your Cost: $143.15/claim|Median: $14.61
9.8× median
95716Top 25%

$365K

338 claims · 0.5%

Your Cost: $1,081.15/claim|Median: $685.48
1.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$340K

843 claims · 0.4%

Your Cost: $403.88/claim|Median: $54.68
7.4× median
96360Top 1%

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

$306K

1,013 claims · 0.4%

Your Cost: $301.80/claim|Median: $61.57
4.9× median
70450Top 1%

CT head/brain without contrast

$291K

624 claims · 0.4%

Your Cost: $466.46/claim|Median: $45.53
10.2× median
42830Top 10%

$290K

171 claims · 0.4%

Your Cost: $1,693.96/claim|Median: $341.04
5.0× median
99212Top 5%

Office/outpatient visit, low complexity

$275K

1,939 claims · 0.4%

Your Cost: $142.06/claim|Median: $25.06
5.7× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$271K

1,091 claims · 0.4%

Your Cost: $248.84/claim|Median: $75.28
3.3× median
Q5103Normal range

$217K

282 claims · 0.3%

Your Cost: $768.11/claim|Median: $1,075.28
0.7× median
45380Top 10%

Colonoscopy with biopsy

$160K

260 claims · 0.2%

Your Cost: $617.22/claim|Median: $200.68
3.1× median
96366Top 1%

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

$145K

284 claims · 0.2%

Your Cost: $509.87/claim|Median: $40.12
12.7× median
94010Top 5%

$144K

2,320 claims · 0.2%

Your Cost: $62.21/claim|Median: $18.11
3.4× median
36430Top 25%

Transfusion of whole blood

$142K

609 claims · 0.2%

Your Cost: $233.45/claim|Median: $111.66
2.1× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$142K

1,936 claims · 0.2%

Your Cost: $73.31/claim|Median: $41.92
1.7× median
01922Normal range

$131K

650 claims · 0.2%

Your Cost: $201.85/claim|Median: $166.77
1.2× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$128K

1,148 claims · 0.2%

Your Cost: $111.07/claim|Median: $47.08
2.4× median
90471Normal range

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

$125K

44K claims · 0.2%

Your Cost: $2.84/claim|Median: $9.80
0.3× median
99211Top 5%

Office/outpatient visit, minimal complexity

$124K

924 claims · 0.2%

Your Cost: $134.14/claim|Median: $12.93
10.4× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$123K

2,587 claims · 0.2%

Your Cost: $47.64/claim|Median: $100.62
0.5× median

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