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SMSJ TUCSON HOLDINGS LLC

General Acute Care Hospital·TUCSON, AZ·NPI: 1538535158Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$28.9M

$28,928,744

Total Claims

832K

Beneficiaries

663K

1.3 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$4.3M
-1%
2019
$4.2M
-3%
2020
$4.1M
+6%
2021
$4.4M
-0%
2022
$4.4M
-5%
2023
$4.2M
-18%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 24% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$7.0M

31K claims · 24.3%

Your Cost: $223.69/claim|Median: $69.51
3.2× median
99283Top 5%

Emergency dept visit, moderate complexity

$5.4M

28K claims · 18.6%

Your Cost: $192.66/claim|Median: $42.48
4.5× median
74177Top 5%

CT abdomen and pelvis with contrast

$3.1M

6,159 claims · 10.6%

Your Cost: $496.99/claim|Median: $65.76
7.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.5M

13K claims · 8.7%

Your Cost: $188.39/claim|Median: $85.65
2.2× median
70450Top 25%

CT head/brain without contrast

$1.5M

8,496 claims · 5.1%

Your Cost: $172.53/claim|Median: $45.53
3.8× median
74176Top 5%

CT abdomen and pelvis without contrast

$1.1M

2,634 claims · 3.9%

Your Cost: $424.60/claim|Median: $60.19
7.1× median
72125Top 10%

CT cervical spine without contrast

$698K

3,407 claims · 2.4%

Your Cost: $204.97/claim|Median: $32.30
6.3× median
71260Top 10%

CT chest with contrast

$615K

2,868 claims · 2.1%

Your Cost: $214.33/claim|Median: $48.36
4.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$594K

13K claims · 2.1%

Your Cost: $46.47/claim|Median: $24.49
1.9× median
43239Top 25%

Upper GI endoscopy with biopsy

$552K

1,486 claims · 1.9%

Your Cost: $371.59/claim|Median: $151.68
2.4× median
G0378Normal range

Hospital observation service, per hour

$547K

7,529 claims · 1.9%

Your Cost: $72.62/claim|Median: $99.39
0.7× median
96361Normal range

IV infusion, hydration, each additional hour

$520K

16K claims · 1.8%

Your Cost: $32.73/claim|Median: $38.92
0.8× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$410K

388 claims · 1.4%

Your Cost: $1,056.48/claim|Median: $123.40
8.6× median
C1781Top 1%

$399K

247 claims · 1.4%

Your Cost: $1,616.68/claim|Median: $134.33
12.0× median
99282Normal range

Emergency dept visit, low complexity

$374K

4,421 claims · 1.3%

Your Cost: $84.64/claim|Median: $37.72
2.2× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$371K

7,370 claims · 1.3%

Your Cost: $50.41/claim|Median: $20.04
2.5× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$319K

3,942 claims · 1.1%

Your Cost: $80.98/claim|Median: $35.80
2.3× median
59025Top 25%

Fetal non-stress test

$291K

2,276 claims · 1.0%

Your Cost: $128.05/claim|Median: $26.45
4.8× median
97162Top 25%

PT evaluation, moderate complexity

$189K

2,234 claims · 0.7%

Your Cost: $84.55/claim|Median: $46.10
1.8× median
70486Top 25%

$134K

931 claims · 0.5%

Your Cost: $144.37/claim|Median: $44.28
3.3× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$132K

3,423 claims · 0.5%

Your Cost: $38.48/claim|Median: $16.79
2.3× median
78452Top 1%

Myocardial perfusion imaging, SPECT, multiple studies

$124K

114 claims · 0.4%

Your Cost: $1,090.89/claim|Median: $106.14
10.3× median
72131Normal range

$114K

1,538 claims · 0.4%

Your Cost: $73.99/claim|Median: $42.82
1.7× median
99281Normal range

Emergency dept visit, minimal complexity

$106K

2,224 claims · 0.4%

Your Cost: $47.66/claim|Median: $52.03
0.9× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$106K

9,957 claims · 0.4%

Your Cost: $10.63/claim|Median: $37.56
0.3× median
97530Normal range

Therapeutic activities, each 15 min

$104K

3,631 claims · 0.4%

Your Cost: $28.78/claim|Median: $33.11
0.9× median
C1751Top 10%

$100K

947 claims · 0.3%

Your Cost: $105.39/claim|Median: $7.06
14.9× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$83K

529 claims · 0.3%

Your Cost: $157.18/claim|Median: $54.68
2.9× median
67040Top 1%

$79K

48 claims · 0.3%

Your Cost: $1,652.52/claim|Median: $863.55
1.9× median
45378Normal range

Colonoscopy, diagnostic

$76K

224 claims · 0.3%

Your Cost: $338.76/claim|Median: $225.49
1.5× median
36224Top 5%

$74K

12 claims · 0.3%

Your Cost: $6,182.96/claim|Median: $305.20
20.3× median
70498Top 25%

$63K

304 claims · 0.2%

Your Cost: $206.49/claim|Median: $58.88
3.5× median
73564Top 25%

$61K

1,599 claims · 0.2%

Your Cost: $38.34/claim|Median: $15.00
2.6× median
47562Top 5%

$61K

13 claims · 0.2%

Your Cost: $4,683.52/claim|Median: $731.87
6.4× median
58571Top 25%

$58K

14 claims · 0.2%

Your Cost: $4,164.07/claim|Median: $1,679.33
2.5× median
C1887Top 1%

$56K

40 claims · 0.2%

Your Cost: $1,408.28/claim|Median: $11.97
117.7× median
97116Normal range

Gait training

$54K

3,797 claims · 0.2%

Your Cost: $14.17/claim|Median: $12.48
1.1× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$53K

560 claims · 0.2%

Your Cost: $94.05/claim|Median: $58.55
1.6× median
97597Top 25%

$52K

870 claims · 0.2%

Your Cost: $59.59/claim|Median: $21.22
2.8× median
96360Normal range

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

$49K

5,305 claims · 0.2%

Your Cost: $9.19/claim|Median: $61.57
0.1× median
93798Top 25%

Cardiac rehabilitation with continuous ECG monitoring, per session

$44K

560 claims · 0.2%

Your Cost: $79.34/claim|Median: $44.45
1.8× median
95812Normal range

$42K

240 claims · 0.1%

Your Cost: $174.85/claim|Median: $104.99
1.7× median
73030Top 10%

$38K

1,036 claims · 0.1%

Your Cost: $37.00/claim|Median: $10.94
3.4× median
97535Normal range

Self-care/home management training, per 15 minutes

$36K

2,540 claims · 0.1%

Your Cost: $14.15/claim|Median: $18.18
0.8× median
45380Top 25%

Colonoscopy with biopsy

$34K

86 claims · 0.1%

Your Cost: $400.30/claim|Median: $200.68
2.0× median
67113Top 25%

$30K

13 claims · 0.1%

Your Cost: $2,309.03/claim|Median: $824.94
2.8× median
97161Normal range

Physical therapy evaluation, low complexity

$30K

1,206 claims · 0.1%

Your Cost: $24.67/claim|Median: $47.89
0.5× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$27K

400 claims · 0.1%

Your Cost: $67.47/claim|Median: $74.78
0.9× median
10060Top 10%

Incision and drainage of abscess, simple

$25K

116 claims · 0.1%

Your Cost: $212.17/claim|Median: $75.72
2.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$23K

11K claims · 0.1%

Your Cost: $2.02/claim|Median: $35.43
0.1× median

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