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PRIME HEALTHCARE SERVICES - SAINT CLARE'S LLC

General Acute Care Hospital·DENVILLE, NJ·NPI: 1598144362Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $90.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$90.2M

$90,219,064

Total Claims

992K

Beneficiaries

769K

1.3 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$13.7M
-8%
2019
$12.6M
-7%
2020
$11.7M
+26%
2021
$14.8M
+2%
2022
$15.0M
-13%
2023
$13.1M
-29%
2024
$9.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (A0427 (Ambulance, ALS emergency transport Level 1)) accounts for 12% of total spending.

A0427Top 5%

Ambulance, ALS emergency transport Level 1

$10.8M

12K claims · 11.9%

Your Cost: $883.68/claim|Median: $164.22
5.4× median
99284Top 5%

Emergency dept visit, high complexity

$8.8M

25K claims · 9.8%

Your Cost: $347.55/claim|Median: $69.51
5.0× median
A0429Top 25%

Ambulance, BLS emergency transport

$7.7M

36K claims · 8.5%

Your Cost: $213.04/claim|Median: $138.19
1.5× median
99283Top 5%

Emergency dept visit, moderate complexity

$6.6M

23K claims · 7.3%

Your Cost: $281.30/claim|Median: $42.48
6.6× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$6.5M

16K claims · 7.2%

Your Cost: $401.78/claim|Median: $85.65
4.7× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$5.9M

33K claims · 6.5%

Your Cost: $175.19/claim|Median: $148.53
1.2× median
90834Top 10%

Psychotherapy, 45 minutes

$4.2M

37K claims · 4.6%

Your Cost: $111.76/claim|Median: $63.65
1.8× median
A0428Top 5%

Ambulance service, BLS, non-emergency transport

$3.9M

14K claims · 4.3%

Your Cost: $277.49/claim|Median: $58.05
4.8× median
S9480Top 10%

Intensive outpatient psychiatric services, per diem

$3.5M

4,433 claims · 3.9%

Your Cost: $783.65/claim|Median: $135.70
5.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$2.5M

19K claims · 2.8%

Your Cost: $130.31/claim|Median: $99.21
1.3× median
G0378Top 25%

Hospital observation service, per hour

$2.2M

7,217 claims · 2.5%

Your Cost: $310.41/claim|Median: $99.39
3.1× median
A0425Normal range

Ground mileage, per statute mile

$1.7M

61K claims · 1.9%

Your Cost: $28.25/claim|Median: $23.36
1.2× median
99214Normal range

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

$1.5M

21K claims · 1.7%

Your Cost: $72.15/claim|Median: $53.41
1.4× median
OP272Top 25%

$1.2M

22K claims · 1.4%

Your Cost: $56.56/claim|Median: $28.37
2.0× median
90837Top 25%

Psychotherapy, 60 minutes

$1.2M

11K claims · 1.3%

Your Cost: $108.56/claim|Median: $85.66
1.3× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.1M

9,469 claims · 1.2%

Your Cost: $117.29/claim|Median: $21.76
5.4× median
99213Top 10%

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

$1.1M

14K claims · 1.2%

Your Cost: $75.04/claim|Median: $37.81
2.0× median
T2034Normal range

Crisis intervention, per 15 min

$1.0M

1,282 claims · 1.1%

Your Cost: $793.85/claim|Median: $254.45
3.1× median
99291Top 5%

Critical care, first 30-74 minutes

$936K

1,974 claims · 1.0%

Your Cost: $474.29/claim|Median: $101.24
4.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$821K

6,410 claims · 0.9%

Your Cost: $128.15/claim|Median: $108.91
1.2× median
90832Top 25%

Psychotherapy, 30 minutes

$775K

12K claims · 0.9%

Your Cost: $64.11/claim|Median: $41.28
1.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$614K

2,762 claims · 0.7%

Your Cost: $222.15/claim|Median: $65.76
3.4× median
A0998Top 1%

$611K

403 claims · 0.7%

Your Cost: $1,517.16/claim|Median: $63.75
23.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$516K

12K claims · 0.6%

Your Cost: $43.79/claim|Median: $9.56
4.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$513K

12K claims · 0.6%

Your Cost: $42.16/claim|Median: $35.43
1.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$455K

13K claims · 0.5%

Your Cost: $35.66/claim|Median: $7.50
4.8× median
A0434Top 5%

Ambulance, specialty care transport

$446K

466 claims · 0.5%

Your Cost: $957.91/claim|Median: $252.36
3.8× median
90853Normal range

Group psychotherapy

$445K

13K claims · 0.5%

Your Cost: $35.29/claim|Median: $25.02
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$442K

14K claims · 0.5%

Your Cost: $31.22/claim|Median: $26.41
1.2× median
71045Top 10%

Chest X-ray, single view

$399K

9,507 claims · 0.4%

Your Cost: $41.92/claim|Median: $4.93
8.5× median
96360Top 25%

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

$397K

3,024 claims · 0.4%

Your Cost: $131.20/claim|Median: $61.57
2.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$384K

6,236 claims · 0.4%

Your Cost: $61.56/claim|Median: $63.08
1.0× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$377K

7,535 claims · 0.4%

Your Cost: $50.05/claim|Median: $37.56
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$363K

6,984 claims · 0.4%

Your Cost: $52.00/claim|Median: $38.92
1.3× median
OP710Top 10%

$361K

2,037 claims · 0.4%

Your Cost: $177.11/claim|Median: $68.93
2.6× median
96365Top 25%

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

$340K

2,825 claims · 0.4%

Your Cost: $120.30/claim|Median: $54.77
2.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$339K

2,402 claims · 0.4%

Your Cost: $141.08/claim|Median: $60.19
2.3× median
77067Top 25%

Screening mammography, bilateral, including CAD

$328K

3,178 claims · 0.4%

Your Cost: $103.23/claim|Median: $39.33
2.6× median
99281Top 25%

Emergency dept visit, minimal complexity

$325K

2,416 claims · 0.4%

Your Cost: $134.37/claim|Median: $52.03
2.6× median
70450Normal range

CT head/brain without contrast

$302K

4,634 claims · 0.3%

Your Cost: $65.23/claim|Median: $45.53
1.4× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$297K

2,459 claims · 0.3%

Your Cost: $120.79/claim|Median: $10.88
11.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$279K

11K claims · 0.3%

Your Cost: $25.87/claim|Median: $30.04
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$273K

10K claims · 0.3%

Your Cost: $26.27/claim|Median: $24.49
1.1× median
OP370Normal range

$249K

2,217 claims · 0.3%

Your Cost: $112.41/claim|Median: $82.47
1.4× median
OP250Normal range

Orthotic or prosthetic procedure, not otherwise classified

$230K

46K claims · 0.3%

Your Cost: $4.99/claim|Median: $1.68
3.0× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$224K

2,435 claims · 0.2%

Your Cost: $91.88/claim|Median: $58.55
1.6× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$223K

4,780 claims · 0.2%

Your Cost: $46.66/claim|Median: $3.42
13.6× median
99282Top 10%

Emergency dept visit, low complexity

$215K

1,204 claims · 0.2%

Your Cost: $178.40/claim|Median: $37.72
4.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$215K

27K claims · 0.2%

Your Cost: $8.00/claim|Median: $4.71
1.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$209K

685 claims · 0.2%

Your Cost: $304.68/claim|Median: $54.68
5.6× median

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$1.08B

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$961.1M

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