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LITTLE FALLS HOSPITAL

General Acute Care Hospital, Critical Access·LITTLE FALLS, NY·NPI: 1558321919Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$18.7M

$18,697,055

Total Claims

277K

Beneficiaries

259K

1.1 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$58K
+568%
2019
$386K
+395%
2020
$1.9M
+47%
2021
$2.8M
+150%
2022
$7.0M
-42%
2023
$4.1M
-40%
2024
$2.5M

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 19% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$3.6M

15K claims · 19.4%

Your Cost: $249.81/claim|Median: $42.48
5.9× median
99213Top 5%

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

$1.5M

10K claims · 8.1%

Your Cost: $150.13/claim|Median: $37.81
4.0× median
99284Top 10%

Emergency dept visit, high complexity

$1.4M

6,434 claims · 7.7%

Your Cost: $224.73/claim|Median: $69.51
3.2× median
99214Top 5%

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

$1.2M

8,767 claims · 6.6%

Your Cost: $141.54/claim|Median: $53.41
2.7× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.0M

4,890 claims · 5.5%

Your Cost: $211.34/claim|Median: $85.65
2.5× median
99282Top 5%

Emergency dept visit, low complexity

$908K

3,301 claims · 4.9%

Your Cost: $274.97/claim|Median: $37.72
7.3× median
74177Top 10%

CT abdomen and pelvis with contrast

$781K

1,938 claims · 4.2%

Your Cost: $403.08/claim|Median: $65.76
6.1× median
80053Top 5%

Comprehensive metabolic panel

$748K

14K claims · 4.0%

Your Cost: $55.07/claim|Median: $7.24
7.6× median
36415Top 1%

Collection of venous blood by venipuncture

$699K

13K claims · 3.7%

Your Cost: $53.07/claim|Median: $1.57
33.8× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$500K

2,943 claims · 2.7%

Your Cost: $169.76/claim|Median: $65.64
2.6× median
97110Top 10%

Therapeutic exercises, each 15 min

$431K

5,320 claims · 2.3%

Your Cost: $81.10/claim|Median: $24.49
3.3× median
96361Top 10%

IV infusion, hydration, each additional hour

$407K

1,421 claims · 2.2%

Your Cost: $286.26/claim|Median: $38.92
7.4× median
70450Top 5%

CT head/brain without contrast

$350K

997 claims · 1.9%

Your Cost: $351.21/claim|Median: $45.53
7.7× median
74176Top 5%

CT abdomen and pelvis without contrast

$315K

800 claims · 1.7%

Your Cost: $394.11/claim|Median: $60.19
6.5× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$288K

1,947 claims · 1.5%

Your Cost: $147.70/claim|Median: $72.71
2.0× median
81025Top 1%

Urine pregnancy test

$258K

4,080 claims · 1.4%

Your Cost: $63.14/claim|Median: $4.81
13.1× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$239K

1,805 claims · 1.3%

Your Cost: $132.53/claim|Median: $76.06
1.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$239K

5,530 claims · 1.3%

Your Cost: $43.23/claim|Median: $39.70
1.1× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$207K

1,270 claims · 1.1%

Your Cost: $163.24/claim|Median: $80.15
2.0× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$206K

1,133 claims · 1.1%

Your Cost: $181.77/claim|Median: $74.82
2.4× median
99215Top 10%

Office/outpatient visit, high complexity

$169K

1,136 claims · 0.9%

Your Cost: $148.53/claim|Median: $74.09
2.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$159K

2,175 claims · 0.9%

Your Cost: $73.27/claim|Median: $63.08
1.2× median
80048Top 10%

Basic metabolic panel

$159K

4,903 claims · 0.8%

Your Cost: $32.40/claim|Median: $5.78
5.6× median
80061Top 10%

Lipid panel

$153K

6,484 claims · 0.8%

Your Cost: $23.67/claim|Median: $8.41
2.8× median
96365Top 25%

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

$141K

1,084 claims · 0.8%

Your Cost: $129.87/claim|Median: $54.77
2.4× median
82306Top 25%

Vitamin D, 25 hydroxy

$108K

3,280 claims · 0.6%

Your Cost: $32.84/claim|Median: $18.18
1.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$103K

16K claims · 0.5%

Your Cost: $6.30/claim|Median: $4.71
1.3× median
96360Top 5%

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

$102K

428 claims · 0.5%

Your Cost: $237.20/claim|Median: $61.57
3.9× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$99K

2,109 claims · 0.5%

Your Cost: $47.01/claim|Median: $34.62
1.4× median
77067Top 25%

Screening mammography, bilateral, including CAD

$97K

1,307 claims · 0.5%

Your Cost: $74.20/claim|Median: $39.33
1.9× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$88K

2,522 claims · 0.5%

Your Cost: $34.84/claim|Median: $7.18
4.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$78K

6,583 claims · 0.4%

Your Cost: $11.92/claim|Median: $9.87
1.2× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$78K

429 claims · 0.4%

Your Cost: $180.94/claim|Median: $75.18
2.4× median
76856Top 5%

Ultrasound, pelvic, complete

$71K

375 claims · 0.4%

Your Cost: $188.19/claim|Median: $47.58
4.0× median
Q3014Top 5%

Telehealth originating site facility fee

$70K

1,226 claims · 0.4%

Your Cost: $57.25/claim|Median: $15.37
3.7× median
99212Top 5%

Office/outpatient visit, low complexity

$70K

495 claims · 0.4%

Your Cost: $141.47/claim|Median: $25.06
5.6× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$68K

998 claims · 0.4%

Your Cost: $68.25/claim|Median: $24.95
2.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$57K

6,101 claims · 0.3%

Your Cost: $9.35/claim|Median: $7.50
1.2× median
71046Top 25%

Chest X-ray, 2 views

$51K

2,028 claims · 0.3%

Your Cost: $24.91/claim|Median: $8.92
2.8× median
90715Top 25%

Tdap vaccine

$41K

1,303 claims · 0.2%

Your Cost: $31.34/claim|Median: $10.32
3.0× median
94010Top 1%

$38K

214 claims · 0.2%

Your Cost: $179.45/claim|Median: $18.11
9.9× median
71045Top 25%

Chest X-ray, single view

$37K

2,120 claims · 0.2%

Your Cost: $17.27/claim|Median: $4.93
3.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$36K

2,289 claims · 0.2%

Your Cost: $15.92/claim|Median: $9.56
1.7× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$35K

4,190 claims · 0.2%

Your Cost: $8.45/claim|Median: $5.50
1.5× median
86850Top 5%

$35K

803 claims · 0.2%

Your Cost: $43.50/claim|Median: $5.44
8.0× median
76705Top 25%

Ultrasound, abdominal, limited

$34K

499 claims · 0.2%

Your Cost: $68.33/claim|Median: $23.81
2.9× median
J1050Top 1%

Injection, medroxyprogesterone acetate, one milligram

$33K

226 claims · 0.2%

Your Cost: $145.98/claim|Median: $41.92
3.5× median
97162Top 5%

PT evaluation, moderate complexity

$32K

234 claims · 0.2%

Your Cost: $137.71/claim|Median: $46.10
3.0× median
84484Top 25%

Troponin, quantitative

$32K

3,025 claims · 0.2%

Your Cost: $10.45/claim|Median: $4.84
2.2× median
99406Top 5%

$29K

741 claims · 0.2%

Your Cost: $39.73/claim|Median: $6.53
6.1× median

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