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GENESIS HEALTHCARE SYSTEM

General Acute Care Hospital·ZANESVILLE, OH·NPI: 1598868655Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $101.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$101.9M

$101,923,689

Total Claims

2.8M

Beneficiaries

2.3M

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$6.6M
+7%
2019
$7.1M
+43%
2020
$10.2M
+11%
2021
$11.3M
-8%
2022
$10.4M
+186%
2023
$29.8M
-11%
2024
$26.4M

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 12% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$12.0M

106K claims · 11.8%

Your Cost: $113.14/claim|Median: $42.48
2.7× median
96361Top 10%

IV infusion, hydration, each additional hour

$11.1M

39K claims · 10.9%

Your Cost: $285.54/claim|Median: $38.92
7.3× median
99284Top 25%

Emergency dept visit, high complexity

$6.4M

53K claims · 6.3%

Your Cost: $120.29/claim|Median: $69.51
1.7× median
99212Top 10%

Office/outpatient visit, low complexity

$4.7M

53K claims · 4.6%

Your Cost: $88.56/claim|Median: $25.06
3.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$4.6M

37K claims · 4.5%

Your Cost: $122.44/claim|Median: $85.65
1.4× median
U0003Top 1%

Infectious disease detection (COVID-19)

$4.4M

24K claims · 4.3%

Your Cost: $185.48/claim|Median: $63.08
2.9× median
99282Top 25%

Emergency dept visit, low complexity

$3.3M

30K claims · 3.2%

Your Cost: $109.78/claim|Median: $37.72
2.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$3.0M

13K claims · 2.9%

Your Cost: $228.30/claim|Median: $65.76
3.5× median
97110Top 10%

Therapeutic exercises, each 15 min

$2.4M

33K claims · 2.4%

Your Cost: $73.65/claim|Median: $24.49
3.0× median
99213Top 5%

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

$2.3M

24K claims · 2.3%

Your Cost: $95.60/claim|Median: $37.81
2.5× median
70450Top 10%

CT head/brain without contrast

$1.7M

8,271 claims · 1.6%

Your Cost: $202.13/claim|Median: $45.53
4.4× median
J9271Top 25%

Injection, pembrolizumab, 1 mg

$1.5M

187 claims · 1.4%

Your Cost: $7,758.66/claim|Median: $5,391.55
1.4× median
G0378Normal range

Hospital observation service, per hour

$1.4M

21K claims · 1.3%

Your Cost: $65.86/claim|Median: $99.39
0.7× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$1.4M

2,519 claims · 1.3%

Your Cost: $544.07/claim|Median: $233.73
2.3× median
43239Normal range

Upper GI endoscopy with biopsy

$1.4M

5,054 claims · 1.3%

Your Cost: $269.09/claim|Median: $151.68
1.8× median
59025Top 10%

Fetal non-stress test

$1.2M

8,007 claims · 1.2%

Your Cost: $154.73/claim|Median: $26.45
5.8× median
80053Top 25%

Comprehensive metabolic panel

$1.2M

91K claims · 1.2%

Your Cost: $13.36/claim|Median: $7.24
1.8× median
96365Top 25%

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

$1.1M

10K claims · 1.0%

Your Cost: $100.78/claim|Median: $54.77
1.8× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$994K

35K claims · 1.0%

Your Cost: $28.49/claim|Median: $28.46
1.0× median
96360Top 25%

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

$956K

5,599 claims · 0.9%

Your Cost: $170.80/claim|Median: $61.57
2.8× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$871K

4,115 claims · 0.9%

Your Cost: $211.55/claim|Median: $40.12
5.3× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$841K

20K claims · 0.8%

Your Cost: $43.01/claim|Median: $24.95
1.7× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$837K

42K claims · 0.8%

Your Cost: $19.71/claim|Median: $9.87
2.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$827K

8,418 claims · 0.8%

Your Cost: $98.24/claim|Median: $75.28
1.3× median
45380Normal range

Colonoscopy with biopsy

$811K

2,502 claims · 0.8%

Your Cost: $324.32/claim|Median: $200.68
1.6× median
74176Top 10%

CT abdomen and pelvis without contrast

$791K

2,919 claims · 0.8%

Your Cost: $271.07/claim|Median: $60.19
4.5× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$778K

1,641 claims · 0.8%

Your Cost: $473.86/claim|Median: $255.03
1.9× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$764K

3,407 claims · 0.7%

Your Cost: $224.11/claim|Median: $54.68
4.1× median
71275Top 25%

CT angiography, chest, with contrast

$694K

2,777 claims · 0.7%

Your Cost: $249.73/claim|Median: $92.96
2.7× median
80048Normal range

Basic metabolic panel

$614K

90K claims · 0.6%

Your Cost: $6.83/claim|Median: $5.78
1.2× median
80061Top 25%

Lipid panel

$555K

38K claims · 0.5%

Your Cost: $14.50/claim|Median: $8.41
1.7× median
95886Top 5%

$543K

2,319 claims · 0.5%

Your Cost: $234.09/claim|Median: $67.70
3.5× median
71260Top 10%

CT chest with contrast

$540K

2,471 claims · 0.5%

Your Cost: $218.36/claim|Median: $48.36
4.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$505K

20K claims · 0.5%

Your Cost: $25.82/claim|Median: $23.39
1.1× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$484K

877 claims · 0.5%

Your Cost: $551.66/claim|Median: $255.17
2.2× median
92507Top 25%

Speech/hearing/language treatment

$470K

6,866 claims · 0.5%

Your Cost: $68.46/claim|Median: $49.45
1.4× median
76856Top 10%

Ultrasound, pelvic, complete

$466K

2,764 claims · 0.5%

Your Cost: $168.67/claim|Median: $47.58
3.5× median
71046Top 25%

Chest X-ray, 2 views

$452K

14K claims · 0.4%

Your Cost: $31.57/claim|Median: $8.92
3.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$443K

156K claims · 0.4%

Your Cost: $2.84/claim|Median: $4.71
0.6× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$416K

2,817 claims · 0.4%

Your Cost: $147.70/claim|Median: $129.75
1.1× median
70551Normal range

MRI brain without contrast

$365K

2,060 claims · 0.4%

Your Cost: $176.97/claim|Median: $85.39
2.1× median
97533Normal range

$364K

4,868 claims · 0.4%

Your Cost: $74.78/claim|Median: $48.71
1.5× median
62323Top 10%

Epidural injection of diagnostic or therapeutic substance, lumbar

$361K

935 claims · 0.4%

Your Cost: $386.25/claim|Median: $111.02
3.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$355K

21K claims · 0.3%

Your Cost: $16.90/claim|Median: $65.64
0.3× median
93458Normal range

Left heart catheterization with imaging

$342K

434 claims · 0.3%

Your Cost: $788.20/claim|Median: $183.33
4.3× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$341K

892 claims · 0.3%

Your Cost: $382.64/claim|Median: $106.14
3.6× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$327K

14K claims · 0.3%

Your Cost: $23.82/claim|Median: $21.08
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$306K

14K claims · 0.3%

Your Cost: $21.52/claim|Median: $35.43
0.6× median
69436Normal range

Tympanostomy, general anesthesia

$291K

662 claims · 0.3%

Your Cost: $439.83/claim|Median: $205.50
2.1× median
36475Top 25%

$289K

170 claims · 0.3%

Your Cost: $1,700.97/claim|Median: $902.80
1.9× median