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Danbury Hospital

General Practice·Danbury, CT·NPI: 1548293343Share

Compared to General Practice Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $123.9M is at the 75th percentile among 6 General Practice providers.

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

Total Paid

$123.9M

$123,865,718

Total Claims

3.3M

Beneficiaries

2.5M

1.3 claims/patient

Avg Cost/Claim

$37

#958 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Danbury Hospital is a General Practice provider based in Danbury, CT. From the 2018–2024 period, this provider received $123.9M in Medicaid payments across 3.3M claims.

Why This Matters

This provider received $123.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,483 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 5% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.6M
+4%
2019
$18.2M
-26%
2020
$13.4M
+31%
2021
$17.6M
+10%
2022
$19.3M
-0%
2023
$19.3M
-5%
2024
$18.4M

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 19% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$23.3M

77K claims · 18.8%

Your Cost: $303.11/claim|Median: $85.65
3.5× median
99284Top 25%

Emergency dept visit, high complexity

$14.1M

84K claims · 11.3%

Your Cost: $166.52/claim|Median: $69.51
2.4× median
99283Top 10%

Emergency dept visit, moderate complexity

$11.8M

79K claims · 9.5%

Your Cost: $148.90/claim|Median: $42.48
3.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$7.1M

118K claims · 5.7%

Your Cost: $60.50/claim|Median: $24.49
2.5× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$4.6M

33K claims · 3.7%

Your Cost: $138.71/claim|Median: $21.76
6.4× median
G0463Top 25%

Hospital outpatient clinic visit

$3.1M

41K claims · 2.5%

Your Cost: $74.67/claim|Median: $26.41
2.8× median
45380Top 10%

Colonoscopy with biopsy

$3.1M

4,701 claims · 2.5%

Your Cost: $649.62/claim|Median: $200.68
3.2× median
43239Top 25%

Upper GI endoscopy with biopsy

$2.7M

6,403 claims · 2.2%

Your Cost: $422.24/claim|Median: $151.68
2.8× median
92507Top 10%

Speech/hearing/language treatment

$2.2M

22K claims · 1.8%

Your Cost: $100.52/claim|Median: $49.45
2.0× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$2.1M

8,165 claims · 1.7%

Your Cost: $258.52/claim|Median: $54.68
4.7× median
45385Top 10%

Colonoscopy with polyp removal, snare technique

$2.0M

2,816 claims · 1.6%

Your Cost: $718.46/claim|Median: $255.17
2.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.0M

11K claims · 1.6%

Your Cost: $185.16/claim|Median: $65.76
2.8× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$1.8M

27K claims · 1.4%

Your Cost: $66.24/claim|Median: $60.05
1.1× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$1.5M

12K claims · 1.2%

Your Cost: $125.46/claim|Median: $135.70
0.9× median
96361Normal range

IV infusion, hydration, each additional hour

$1.5M

25K claims · 1.2%

Your Cost: $61.08/claim|Median: $38.92
1.6× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$1.5M

7,429 claims · 1.2%

Your Cost: $202.78/claim|Median: $75.28
2.7× median
70450Top 25%

CT head/brain without contrast

$1.4M

13K claims · 1.2%

Your Cost: $107.32/claim|Median: $45.53
2.4× median
96365Top 25%

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

$1.3M

11K claims · 1.0%

Your Cost: $120.52/claim|Median: $54.77
2.2× median
99282Top 25%

Emergency dept visit, low complexity

$1.1M

10K claims · 0.9%

Your Cost: $106.50/claim|Median: $37.72
2.8× median
96360Top 25%

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

$1.1M

7,702 claims · 0.9%

Your Cost: $136.95/claim|Median: $61.57
2.2× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$1.0M

5,272 claims · 0.8%

Your Cost: $197.11/claim|Median: $79.28
2.5× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.0M

24K claims · 0.8%

Your Cost: $42.00/claim|Median: $14.92
2.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$1.0M

8,110 claims · 0.8%

Your Cost: $124.81/claim|Median: $100.62
1.2× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$962K

1,703 claims · 0.8%

Your Cost: $564.96/claim|Median: $106.14
5.3× median
45378Top 25%

Colonoscopy, diagnostic

$916K

1,545 claims · 0.7%

Your Cost: $592.85/claim|Median: $225.49
2.6× median
97010Top 5%

Hot/cold packs application

$864K

12K claims · 0.7%

Your Cost: $73.28/claim|Median: $4.47
16.4× median
71046Top 5%

Chest X-ray, 2 views

$849K

16K claims · 0.7%

Your Cost: $54.02/claim|Median: $8.92
6.1× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$716K

3,293 claims · 0.6%

Your Cost: $217.41/claim|Median: $106.79
2.0× median
59025Top 25%

Fetal non-stress test

$714K

5,569 claims · 0.6%

Your Cost: $128.18/claim|Median: $26.45
4.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$709K

6,873 claims · 0.6%

Your Cost: $103.13/claim|Median: $91.47
1.1× median

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