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CANTON-POTSDAM HOSPITAL

General Acute Care Hospital·POTSDAM, NY·NPI: 1568548782Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $61.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$61.5M

$61,540,088

Total Claims

1.0M

Beneficiaries

890K

1.1 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$551K
+426%
2019
$2.9M
+136%
2020
$6.8M
+40%
2021
$9.6M
+72%
2022
$16.4M
-9%
2023
$15.0M
-31%
2024
$10.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 20% of total spending.

99213Top 5%

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

$12.1M

113K claims · 19.7%

Your Cost: $107.28/claim|Median: $37.81
2.8× median
99212Top 5%

Office/outpatient visit, low complexity

$8.1M

65K claims · 13.1%

Your Cost: $123.42/claim|Median: $25.06
4.9× median
99214Top 10%

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

$7.1M

63K claims · 11.5%

Your Cost: $113.27/claim|Median: $53.41
2.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.5M

17K claims · 4.1%

Your Cost: $149.16/claim|Median: $42.48
3.5× median
99284Top 25%

Emergency dept visit, high complexity

$1.9M

16K claims · 3.1%

Your Cost: $117.32/claim|Median: $69.51
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.5M

12K claims · 2.5%

Your Cost: $124.17/claim|Median: $85.65
1.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.4M

5,250 claims · 2.3%

Your Cost: $266.95/claim|Median: $38.92
6.9× median
97110Top 5%

Therapeutic exercises, each 15 min

$1.4M

16K claims · 2.2%

Your Cost: $84.96/claim|Median: $24.49
3.5× median
36415Top 5%

Collection of venous blood by venipuncture

$1.3M

38K claims · 2.0%

Your Cost: $32.77/claim|Median: $1.57
20.9× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.1M

11K claims · 1.8%

Your Cost: $100.19/claim|Median: $69.35
1.4× median
90834Top 5%

Psychotherapy, 45 minutes

$1.0M

6,828 claims · 1.7%

Your Cost: $150.46/claim|Median: $63.65
2.4× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$970K

9,257 claims · 1.6%

Your Cost: $104.75/claim|Median: $75.18
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$916K

6,772 claims · 1.5%

Your Cost: $135.31/claim|Median: $74.09
1.8× median
80053Top 10%

Comprehensive metabolic panel

$913K

34K claims · 1.5%

Your Cost: $27.19/claim|Median: $7.24
3.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$753K

3,161 claims · 1.2%

Your Cost: $238.22/claim|Median: $65.76
3.6× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$697K

6,372 claims · 1.1%

Your Cost: $109.31/claim|Median: $74.82
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$688K

10K claims · 1.1%

Your Cost: $65.96/claim|Median: $63.08
1.0× median
81025Top 1%

Urine pregnancy test

$667K

8,144 claims · 1.1%

Your Cost: $81.96/claim|Median: $4.81
17.0× median
90837Top 10%

Psychotherapy, 60 minutes

$572K

4,075 claims · 0.9%

Your Cost: $140.41/claim|Median: $85.66
1.6× median
99282Top 10%

Emergency dept visit, low complexity

$549K

3,010 claims · 0.9%

Your Cost: $182.52/claim|Median: $37.72
4.8× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$521K

4,077 claims · 0.8%

Your Cost: $127.72/claim|Median: $72.71
1.8× median
96365Top 25%

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

$509K

3,729 claims · 0.8%

Your Cost: $136.58/claim|Median: $54.77
2.5× median
G0397Normal range

$495K

3,284 claims · 0.8%

Your Cost: $150.83/claim|Median: $142.31
1.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$481K

8,974 claims · 0.8%

Your Cost: $53.63/claim|Median: $9.56
5.6× median
70450Top 5%

CT head/brain without contrast

$468K

1,799 claims · 0.8%

Your Cost: $260.04/claim|Median: $45.53
5.7× median
99203Normal range

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

$431K

5,987 claims · 0.7%

Your Cost: $72.06/claim|Median: $57.85
1.2× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$410K

2,124 claims · 0.7%

Your Cost: $193.26/claim|Median: $29.03
6.7× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$408K

3,275 claims · 0.7%

Your Cost: $124.55/claim|Median: $76.06
1.6× median
74176Top 10%

CT abdomen and pelvis without contrast

$404K

1,469 claims · 0.7%

Your Cost: $275.01/claim|Median: $60.19
4.6× median
45380Top 1%

Colonoscopy with biopsy

$399K

311 claims · 0.6%

Your Cost: $1,281.86/claim|Median: $200.68
6.4× median
43239Top 10%

Upper GI endoscopy with biopsy

$380K

615 claims · 0.6%

Your Cost: $618.00/claim|Median: $151.68
4.1× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$315K

2,672 claims · 0.5%

Your Cost: $117.97/claim|Median: $80.15
1.5× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$311K

1,556 claims · 0.5%

Your Cost: $199.91/claim|Median: $54.68
3.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$299K

8,652 claims · 0.5%

Your Cost: $34.56/claim|Median: $39.70
0.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$296K

9,804 claims · 0.5%

Your Cost: $30.17/claim|Median: $12.93
2.3× median
76856Top 1%

Ultrasound, pelvic, complete

$287K

695 claims · 0.5%

Your Cost: $412.30/claim|Median: $47.58
8.7× median
G0463Normal range

Hospital outpatient clinic visit

$272K

9,588 claims · 0.4%

Your Cost: $28.37/claim|Median: $26.41
1.1× median
96360Top 10%

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

$266K

1,333 claims · 0.4%

Your Cost: $199.25/claim|Median: $61.57
3.2× median
90832Top 10%

Psychotherapy, 30 minutes

$240K

2,245 claims · 0.4%

Your Cost: $107.03/claim|Median: $41.28
2.6× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$223K

7,967 claims · 0.4%

Your Cost: $28.04/claim|Median: $16.79
1.7× median
97162Top 5%

PT evaluation, moderate complexity

$217K

1,574 claims · 0.4%

Your Cost: $137.92/claim|Median: $46.10
3.0× median
59025Top 25%

Fetal non-stress test

$214K

1,844 claims · 0.3%

Your Cost: $116.11/claim|Median: $26.45
4.4× median
96110Top 10%

Developmental screening, per standardized instrument

$209K

6,456 claims · 0.3%

Your Cost: $32.30/claim|Median: $9.10
3.5× median
71260Top 10%

CT chest with contrast

$203K

796 claims · 0.3%

Your Cost: $254.52/claim|Median: $48.36
5.3× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$201K

4,258 claims · 0.3%

Your Cost: $47.17/claim|Median: $24.95
1.9× median
17110Top 1%

Destruction of benign lesions, up to fourteen

$198K

655 claims · 0.3%

Your Cost: $303.04/claim|Median: $59.25
5.1× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$171K

2,102 claims · 0.3%

Your Cost: $81.24/claim|Median: $47.08
1.7× median
29848Normal range

$169K

314 claims · 0.3%

Your Cost: $539.29/claim|Median: $371.94
1.4× median
G0396Top 25%

Alcohol/substance abuse structured assessment, 15-30 minutes

$166K

1,463 claims · 0.3%

Your Cost: $113.30/claim|Median: $40.58
2.8× median
87486Top 5%

$153K

1,891 claims · 0.2%

Your Cost: $81.10/claim|Median: $19.16
4.2× median

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