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St. Barnabas Hospital

General Acute Care Hospital·Bronx, NY·NPI: 1548367873Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $163.6M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$163.6M

$163,588,497

Total Claims

2.9M

Beneficiaries

2.0M

1.5 claims/patient

Avg Cost/Claim

$56

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

🔍 Analysis

Provider Overview

St. Barnabas Hospital is a General Acute Care Hospital provider based in Bronx, NY. From the 2018–2024 period, this provider received $163.6M in Medicaid payments across 2.9M claims.

Why This Matters

This provider received $163.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,448 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 1864% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+735%
2019
$8.9M
+166%
2020
$23.7M
+18%
2021
$28.0M
+72%
2022
$48.2M
-32%
2023
$32.7M
-36%
2024
$21.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90832 (Psychotherapy, 30 minutes)) accounts for 14% of total spending.

90832Top 5%

Psychotherapy, 30 minutes

$22.4M

146K claims · 13.7%

Your Cost: $152.98/claim|Median: $41.28
3.7× median
99213Top 5%

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

$18.0M

138K claims · 11.0%

Your Cost: $130.62/claim|Median: $37.81
3.5× median
99214Top 5%

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

$16.7M

123K claims · 10.2%

Your Cost: $136.25/claim|Median: $53.41
2.5× median
H0020Normal range

Alcohol/drug services; methadone administration

$15.1M

511K claims · 9.2%

Your Cost: $29.45/claim|Median: $18.95
1.6× median
99283Top 5%

Emergency dept visit, moderate complexity

$13.6M

62K claims · 8.3%

Your Cost: $218.00/claim|Median: $42.48
5.1× median
99284Top 10%

Emergency dept visit, high complexity

$9.0M

45K claims · 5.5%

Your Cost: $198.34/claim|Median: $69.51
2.9× median
99282Top 5%

Emergency dept visit, low complexity

$6.6M

29K claims · 4.0%

Your Cost: $229.78/claim|Median: $37.72
6.1× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$4.9M

3K claims · 3.0%

Your Cost: $1,516.73/claim|Median: $763.43
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$2.9M

28K claims · 1.8%

Your Cost: $104.37/claim|Median: $25.06
4.2× median
99281Top 5%

Emergency dept visit, minimal complexity

$2.8M

12K claims · 1.7%

Your Cost: $231.04/claim|Median: $52.03
4.4× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$2.2M

4K claims · 1.3%

Your Cost: $532.51/claim|Median: $36.13
14.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.1M

12K claims · 1.3%

Your Cost: $172.88/claim|Median: $85.65
2.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.9M

61K claims · 1.1%

Your Cost: $30.68/claim|Median: $35.43
0.9× median
70450Top 25%

CT head/brain without contrast

$1.7M

10K claims · 1.0%

Your Cost: $167.85/claim|Median: $45.53
3.7× median
80053Top 10%

Comprehensive metabolic panel

$1.6M

67K claims · 1.0%

Your Cost: $23.85/claim|Median: $7.24
3.3× median
43239Top 5%

Upper GI endoscopy with biopsy

$1.5M

2K claims · 0.9%

Your Cost: $841.75/claim|Median: $151.68
5.5× median
H0033Normal range

Oral medication administration, direct observation

$1.4M

47K claims · 0.9%

Your Cost: $29.77/claim|Median: $31.37
0.9× median
45378Top 5%

Colonoscopy, diagnostic

$1.3M

1K claims · 0.8%

Your Cost: $1,031.55/claim|Median: $225.49
4.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$1.1M

25K claims · 0.7%

Your Cost: $44.66/claim|Median: $9.56
4.7× median
90791Top 5%

Psychiatric diagnostic evaluation

$1.1M

5K claims · 0.7%

Your Cost: $226.49/claim|Median: $99.21
2.3× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$1.0M

12K claims · 0.6%

Your Cost: $88.57/claim|Median: $38.23
2.3× median
45380Top 5%

Colonoscopy with biopsy

$952K

1K claims · 0.6%

Your Cost: $876.53/claim|Median: $200.68
4.4× median
90834Top 5%

Psychotherapy, 45 minutes

$878K

5K claims · 0.5%

Your Cost: $181.98/claim|Median: $63.65
2.9× median
G0396Top 25%

Alcohol/substance abuse structured assessment, 15-30 minutes

$842K

8K claims · 0.5%

Your Cost: $102.41/claim|Median: $40.58
2.5× median
H0005Top 10%

Alcohol and/or drug services, group counseling

$746K

10K claims · 0.5%

Your Cost: $76.68/claim|Median: $47.35
1.6× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$734K

6K claims · 0.4%

Your Cost: $131.68/claim|Median: $57.85
2.3× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$699K

2K claims · 0.4%

Your Cost: $297.84/claim|Median: $107.14
2.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$660K

11K claims · 0.4%

Your Cost: $59.92/claim|Median: $63.08
0.9× median
J2357Normal range

Injection, omalizumab, 5 mg

$647K

2K claims · 0.4%

Your Cost: $304.23/claim|Median: $920.37
0.3× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$632K

2K claims · 0.4%

Your Cost: $256.31/claim|Median: $108.91
2.4× median

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