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SPECTRUM HEALTH HOSPITALS

Hospitalist·GRAND RAPIDS, MI·NPI: 1558407189Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.1M

$25,145,716

Total Claims

505K

Beneficiaries

434K

1.2 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-6%
2019
$3.5M
-7%
2020
$3.2M
+16%
2021
$3.7M
+3%
2022
$3.9M
-2%
2023
$3.8M
-13%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (59409 (Vaginal delivery only)) accounts for 13% of total spending.

59409Normal range

Vaginal delivery only

$3.2M

4,221 claims · 12.6%

Your Cost: $753.24/claim|Median: $619.91
1.2× median
99213Normal range

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

$3.0M

82K claims · 12.0%

Your Cost: $37.13/claim|Median: $37.81
1.0× median
99214Normal range

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

$2.9M

56K claims · 11.6%

Your Cost: $52.16/claim|Median: $53.41
1.0× median
59514Top 25%

Cesarean delivery only

$1.5M

1,749 claims · 5.8%

Your Cost: $835.95/claim|Median: $452.80
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$1.1M

15K claims · 4.4%

Your Cost: $73.90/claim|Median: $74.09
1.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.0M

17K claims · 4.0%

Your Cost: $58.83/claim|Median: $35.30
1.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$945K

17K claims · 3.8%

Your Cost: $56.97/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$894K

20K claims · 3.6%

Your Cost: $45.66/claim|Median: $69.35
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$851K

9,171 claims · 3.4%

Your Cost: $92.78/claim|Median: $121.58
0.8× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$644K

327 claims · 2.6%

Your Cost: $1,970.45/claim|Median: $1,482.45
1.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$614K

12K claims · 2.4%

Your Cost: $52.40/claim|Median: $62.48
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$577K

14K claims · 2.3%

Your Cost: $40.64/claim|Median: $37.22
1.1× median
99204Normal range

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

$537K

8,217 claims · 2.1%

Your Cost: $65.38/claim|Median: $84.03
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$522K

9,172 claims · 2.1%

Your Cost: $56.89/claim|Median: $74.82
0.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$429K

11K claims · 1.7%

Your Cost: $39.93/claim|Median: $23.99
1.7× median
99203Normal range

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

$418K

9,563 claims · 1.7%

Your Cost: $43.69/claim|Median: $57.85
0.8× median
93303Normal range

Echocardiography, transthoracic, limited

$412K

12K claims · 1.6%

Your Cost: $35.05/claim|Median: $112.83
0.3× median
59426Normal range

Antepartum care only, high risk, additional visits

$368K

569 claims · 1.5%

Your Cost: $646.83/claim|Median: $122.30
5.3× median
59425Top 10%

Antepartum care only, 4-6 visits

$312K

862 claims · 1.2%

Your Cost: $362.05/claim|Median: $63.63
5.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$310K

7,594 claims · 1.2%

Your Cost: $40.82/claim|Median: $54.68
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$301K

4,800 claims · 1.2%

Your Cost: $62.69/claim|Median: $80.15
0.8× median
59025Normal range

Fetal non-stress test

$288K

17K claims · 1.1%

Your Cost: $17.05/claim|Median: $26.45
0.6× median
59430Top 25%

$233K

1,560 claims · 0.9%

Your Cost: $149.50/claim|Median: $80.32
1.9× median
99243Normal range

Office or other outpatient consultation, low complexity

$219K

3,924 claims · 0.9%

Your Cost: $55.88/claim|Median: $82.43
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$217K

3,467 claims · 0.9%

Your Cost: $62.56/claim|Median: $72.71
0.9× median
99245Normal range

Office consultation, high complexity

$201K

1,945 claims · 0.8%

Your Cost: $103.26/claim|Median: $143.30
0.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$200K

1,885 claims · 0.8%

Your Cost: $106.01/claim|Median: $67.32
1.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$178K

2,545 claims · 0.7%

Your Cost: $69.77/claim|Median: $76.06
0.9× median
J7307Top 25%

Etonogestrel implant system, including implant and supplies

$169K

160 claims · 0.7%

Your Cost: $1,053.83/claim|Median: $786.43
1.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$161K

2,675 claims · 0.6%

Your Cost: $60.15/claim|Median: $43.85
1.4× median
99462Normal range

$158K

6,932 claims · 0.6%

Your Cost: $22.74/claim|Median: $27.49
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$157K

6,587 claims · 0.6%

Your Cost: $23.82/claim|Median: $16.77
1.4× median
99221Normal range

Initial hospital care, straightforward/low

$148K

3,032 claims · 0.6%

Your Cost: $48.90/claim|Median: $39.96
1.2× median
54150Normal range

$145K

2,627 claims · 0.6%

Your Cost: $55.18/claim|Median: $84.60
0.7× median
99222Normal range

Initial hospital care, per day, moderate complexity

$123K

1,746 claims · 0.5%

Your Cost: $70.32/claim|Median: $51.25
1.4× median
93320Normal range

$120K

12K claims · 0.5%

Your Cost: $10.04/claim|Median: $28.68
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$120K

7,460 claims · 0.5%

Your Cost: $16.04/claim|Median: $25.06
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$117K

25K claims · 0.5%

Your Cost: $4.61/claim|Median: $5.60
0.8× median
99253Normal range

$113K

1,855 claims · 0.4%

Your Cost: $60.89/claim|Median: $55.16
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$112K

1,174 claims · 0.4%

Your Cost: $95.82/claim|Median: $111.09
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$93K

858 claims · 0.4%

Your Cost: $108.54/claim|Median: $101.24
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$86K

3,224 claims · 0.3%

Your Cost: $26.60/claim|Median: $40.11
0.7× median
99242Normal range

Office consultation, low complexity

$78K

2,007 claims · 0.3%

Your Cost: $39.04/claim|Median: $57.97
0.7× median
96450Normal range

$59K

1,427 claims · 0.2%

Your Cost: $41.63/claim|Median: $174.39
0.2× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$52K

1,021 claims · 0.2%

Your Cost: $51.26/claim|Median: $73.46
0.7× median
99254Normal range

$50K

575 claims · 0.2%

Your Cost: $86.80/claim|Median: $81.43
1.1× median
96040Normal range

$49K

1,376 claims · 0.2%

Your Cost: $35.77/claim|Median: $32.05
1.1× median
97597Normal range

$49K

3,341 claims · 0.2%

Your Cost: $14.70/claim|Median: $21.22
0.7× median
93304Normal range

$48K

2,383 claims · 0.2%

Your Cost: $20.03/claim|Median: $54.29
0.4× median
99188Normal range

$45K

7,730 claims · 0.2%

Your Cost: $5.79/claim|Median: $12.80
0.5× median

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