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GARNET HEALTH MEDICAL CENTER

General Acute Care Hospital·MIDDLETOWN, NY·NPI: 1609875772Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $45.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$45.2M

$45,168,867

Total Claims

728K

Beneficiaries

585K

1.2 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$808K
+273%
2019
$3.0M
+144%
2020
$7.4M
+16%
2021
$8.5M
+7%
2022
$9.1M
+2%
2023
$9.3M
-25%
2024
$7.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 17% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$7.5M

43K claims · 16.5%

Your Cost: $173.11/claim|Median: $69.51
2.5× median
99283Top 5%

Emergency dept visit, moderate complexity

$6.8M

35K claims · 15.1%

Your Cost: $192.91/claim|Median: $42.48
4.5× median
96365Top 1%

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

$3.1M

10K claims · 6.9%

Your Cost: $300.15/claim|Median: $54.77
5.5× median
96361Top 10%

IV infusion, hydration, each additional hour

$2.1M

6,794 claims · 4.6%

Your Cost: $307.19/claim|Median: $38.92
7.9× median
97530Top 1%

Therapeutic activities, each 15 min

$2.0M

8,385 claims · 4.4%

Your Cost: $236.72/claim|Median: $33.11
7.1× median
74177Top 10%

CT abdomen and pelvis with contrast

$1.7M

5,766 claims · 3.8%

Your Cost: $300.75/claim|Median: $65.76
4.6× median
90791Top 5%

Psychiatric diagnostic evaluation

$1.5M

6,218 claims · 3.2%

Your Cost: $235.45/claim|Median: $99.21
2.4× median
76856Top 1%

Ultrasound, pelvic, complete

$1.4M

3,297 claims · 3.2%

Your Cost: $436.45/claim|Median: $47.58
9.2× median
80048Top 10%

Basic metabolic panel

$1.2M

55K claims · 2.7%

Your Cost: $22.17/claim|Median: $5.78
3.8× median
70450Top 5%

CT head/brain without contrast

$1.2M

4,597 claims · 2.7%

Your Cost: $265.36/claim|Median: $45.53
5.8× median
43239Top 5%

Upper GI endoscopy with biopsy

$975K

1,179 claims · 2.2%

Your Cost: $826.91/claim|Median: $151.68
5.5× median
76700Top 1%

Ultrasound, abdominal, complete

$940K

2,179 claims · 2.1%

Your Cost: $431.20/claim|Median: $50.69
8.5× median
99214Top 5%

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

$738K

5,824 claims · 1.6%

Your Cost: $126.66/claim|Median: $53.41
2.4× median
G0378Normal range

Hospital observation service, per hour

$639K

6,683 claims · 1.4%

Your Cost: $95.55/claim|Median: $99.39
1.0× median
71275Top 5%

CT angiography, chest, with contrast

$626K

1,814 claims · 1.4%

Your Cost: $345.13/claim|Median: $92.96
3.7× median
96366Top 5%

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

$616K

2,360 claims · 1.4%

Your Cost: $261.13/claim|Median: $40.12
6.5× median
99282Top 1%

Emergency dept visit, low complexity

$586K

2,110 claims · 1.3%

Your Cost: $277.84/claim|Median: $37.72
7.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$537K

8,625 claims · 1.2%

Your Cost: $62.24/claim|Median: $97.61
0.6× median
99213Top 5%

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

$460K

3,446 claims · 1.0%

Your Cost: $133.36/claim|Median: $37.81
3.5× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$449K

1,530 claims · 1.0%

Your Cost: $293.42/claim|Median: $54.68
5.4× median
80076Top 10%

Hepatic function panel

$426K

33K claims · 0.9%

Your Cost: $13.06/claim|Median: $4.59
2.8× median
93970Top 1%

Duplex scan of extremity veins, complete, bilateral

$422K

732 claims · 0.9%

Your Cost: $575.97/claim|Median: $43.07
13.4× median
36415Top 10%

Collection of venous blood by venipuncture

$419K

53K claims · 0.9%

Your Cost: $7.96/claim|Median: $1.57
5.1× median
90834Top 5%

Psychotherapy, 45 minutes

$393K

2,495 claims · 0.9%

Your Cost: $157.50/claim|Median: $63.65
2.5× median
77336Top 1%

$344K

579 claims · 0.8%

Your Cost: $594.40/claim|Median: $55.04
10.8× median
74176Top 10%

CT abdomen and pelvis without contrast

$329K

1,146 claims · 0.7%

Your Cost: $286.94/claim|Median: $60.19
4.8× median
90853Top 10%

Group psychotherapy

$308K

3,794 claims · 0.7%

Your Cost: $81.29/claim|Median: $25.02
3.2× median
93458Top 5%

Left heart catheterization with imaging

$303K

159 claims · 0.7%

Your Cost: $1,905.79/claim|Median: $183.33
10.4× median
86850Top 5%

$282K

6,675 claims · 0.6%

Your Cost: $42.29/claim|Median: $5.44
7.8× median
90832Top 10%

Psychotherapy, 30 minutes

$279K

2,733 claims · 0.6%

Your Cost: $101.91/claim|Median: $41.28
2.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$257K

1,629 claims · 0.6%

Your Cost: $157.62/claim|Median: $85.65
1.8× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$236K

2,009 claims · 0.5%

Your Cost: $117.50/claim|Median: $58.16
2.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$235K

5,698 claims · 0.5%

Your Cost: $41.20/claim|Median: $35.43
1.2× median
86901Top 5%

$208K

6,663 claims · 0.5%

Your Cost: $31.26/claim|Median: $2.26
13.8× median
70551Top 10%

MRI brain without contrast

$207K

591 claims · 0.5%

Your Cost: $350.20/claim|Median: $85.39
4.1× median
96367Top 5%

$198K

1,322 claims · 0.4%

Your Cost: $150.11/claim|Median: $29.27
5.1× median
80053Top 10%

Comprehensive metabolic panel

$181K

7,808 claims · 0.4%

Your Cost: $23.15/claim|Median: $7.24
3.2× median
96415Top 1%

Chemotherapy infusion, each additional hour

$176K

257 claims · 0.4%

Your Cost: $684.72/claim|Median: $43.68
15.7× median
76819Top 10%

Fetal biophysical profile with non-stress test

$172K

1,597 claims · 0.4%

Your Cost: $107.64/claim|Median: $49.45
2.2× median
97162Top 5%

PT evaluation, moderate complexity

$172K

870 claims · 0.4%

Your Cost: $197.45/claim|Median: $46.10
4.3× median
12001Top 1%

$168K

314 claims · 0.4%

Your Cost: $533.71/claim|Median: $64.99
8.2× median
70496Top 10%

$163K

572 claims · 0.4%

Your Cost: $285.38/claim|Median: $78.92
3.6× median
77412Top 10%

$160K

379 claims · 0.4%

Your Cost: $421.98/claim|Median: $111.69
3.8× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$160K

1,128 claims · 0.4%

Your Cost: $141.46/claim|Median: $75.28
1.9× median
76705Top 25%

Ultrasound, abdominal, limited

$159K

2,005 claims · 0.4%

Your Cost: $79.13/claim|Median: $23.81
3.3× median
77067Top 25%

Screening mammography, bilateral, including CAD

$150K

1,977 claims · 0.3%

Your Cost: $75.68/claim|Median: $39.33
1.9× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$150K

143 claims · 0.3%

Your Cost: $1,045.63/claim|Median: $233.73
4.5× median
86900Top 25%

$148K

6,664 claims · 0.3%

Your Cost: $22.25/claim|Median: $2.55
8.7× median
88342Top 10%

$145K

1,954 claims · 0.3%

Your Cost: $73.99/claim|Median: $23.66
3.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$135K

4,146 claims · 0.3%

Your Cost: $32.55/claim|Median: $35.80
0.9× median

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