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MONMOUTH MEDICAL CENTER INC

General Acute Care Hospital·LONG BRANCH, NJ·NPI: 1609983790Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $110.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$110.0M

$110,015,604

Total Claims

1.2M

Beneficiaries

969K

1.2 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$16.3M
-5%
2019
$15.5M
-30%
2020
$10.9M
+44%
2021
$15.7M
+7%
2022
$16.8M
+4%
2023
$17.5M
-1%
2024
$17.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0378 (Hospital observation service, per hour)) accounts for 14% of total spending.

G0378Top 10%

Hospital observation service, per hour

$15.4M

17K claims · 14.0%

Your Cost: $925.85/claim|Median: $99.39
9.3× median
99283Top 1%

Emergency dept visit, moderate complexity

$15.0M

40K claims · 13.6%

Your Cost: $372.04/claim|Median: $42.48
8.8× median
99284Top 5%

Emergency dept visit, high complexity

$11.7M

29K claims · 10.7%

Your Cost: $406.85/claim|Median: $69.51
5.9× median
T2034Top 25%

Crisis intervention, per 15 min

$7.4M

8,618 claims · 6.7%

Your Cost: $857.42/claim|Median: $254.45
3.4× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$7.1M

17K claims · 6.4%

Your Cost: $419.50/claim|Median: $85.65
4.9× median
41899Top 10%

Unlisted procedure, dentoalveolar structures

$5.0M

2,067 claims · 4.6%

Your Cost: $2,439.43/claim|Median: $763.43
3.2× median
OP250Top 5%

Orthotic or prosthetic procedure, not otherwise classified

$4.0M

95K claims · 3.6%

Your Cost: $41.83/claim|Median: $1.68
24.9× median
S9480Top 5%

Intensive outpatient psychiatric services, per diem

$3.1M

3,837 claims · 2.8%

Your Cost: $796.22/claim|Median: $135.70
5.9× median
99282Top 5%

Emergency dept visit, low complexity

$2.3M

8,815 claims · 2.1%

Your Cost: $259.34/claim|Median: $37.72
6.9× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$2.1M

4,331 claims · 1.9%

Your Cost: $476.01/claim|Median: $75.28
6.3× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$1.8M

9,286 claims · 1.6%

Your Cost: $189.59/claim|Median: $148.53
1.3× median
80053Top 10%

Comprehensive metabolic panel

$1.6M

52K claims · 1.4%

Your Cost: $30.62/claim|Median: $7.24
4.2× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$1.6M

1,772 claims · 1.4%

Your Cost: $877.18/claim|Median: $54.68
16.0× median
43239Top 1%

Upper GI endoscopy with biopsy

$1.5M

825 claims · 1.4%

Your Cost: $1,809.50/claim|Median: $151.68
11.9× median
77067Top 10%

Screening mammography, bilateral, including CAD

$921K

7,422 claims · 0.8%

Your Cost: $124.15/claim|Median: $39.33
3.2× median
76819Top 1%

Fetal biophysical profile with non-stress test

$898K

3,505 claims · 0.8%

Your Cost: $256.24/claim|Median: $49.45
5.2× median
OP370Normal range

$891K

9,720 claims · 0.8%

Your Cost: $91.70/claim|Median: $82.47
1.1× median
96365Top 10%

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

$871K

5,598 claims · 0.8%

Your Cost: $155.58/claim|Median: $54.77
2.8× median
96367Top 1%

$861K

2,804 claims · 0.8%

Your Cost: $307.02/claim|Median: $29.27
10.5× median
96361Normal range

IV infusion, hydration, each additional hour

$737K

14K claims · 0.7%

Your Cost: $51.43/claim|Median: $38.92
1.3× median
71046Top 5%

Chest X-ray, 2 views

$732K

11K claims · 0.7%

Your Cost: $65.36/claim|Median: $8.92
7.3× median
99213Top 10%

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

$653K

7,758 claims · 0.6%

Your Cost: $84.21/claim|Median: $37.81
2.2× median
90834Normal range

Psychotherapy, 45 minutes

$636K

12K claims · 0.6%

Your Cost: $54.63/claim|Median: $63.65
0.9× median
G0463Normal range

Hospital outpatient clinic visit

$561K

18K claims · 0.5%

Your Cost: $31.06/claim|Median: $26.41
1.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$549K

3,199 claims · 0.5%

Your Cost: $171.64/claim|Median: $65.76
2.6× median
99211Top 10%

Office/outpatient visit, minimal complexity

$506K

9,773 claims · 0.5%

Your Cost: $51.79/claim|Median: $12.93
4.0× median
76811Top 5%

Ultrasound, pregnant uterus, detailed, single fetus

$501K

1,766 claims · 0.5%

Your Cost: $283.42/claim|Median: $106.79
2.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$480K

57K claims · 0.4%

Your Cost: $8.44/claim|Median: $4.71
1.8× median
OP710Normal range

$476K

10K claims · 0.4%

Your Cost: $47.50/claim|Median: $68.93
0.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$473K

13K claims · 0.4%

Your Cost: $37.13/claim|Median: $14.92
2.5× median
76817Top 1%

Ultrasound, pregnant uterus, transvaginal

$470K

2,678 claims · 0.4%

Your Cost: $175.50/claim|Median: $47.65
3.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$458K

13K claims · 0.4%

Your Cost: $36.27/claim|Median: $9.56
3.8× median
90837Normal range

Psychotherapy, 60 minutes

$439K

6,213 claims · 0.4%

Your Cost: $70.64/claim|Median: $85.66
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$435K

5,523 claims · 0.4%

Your Cost: $78.72/claim|Median: $99.21
0.8× median
76642Top 1%

$425K

2,594 claims · 0.4%

Your Cost: $163.92/claim|Median: $32.06
5.1× median
93017Top 1%

$422K

818 claims · 0.4%

Your Cost: $515.57/claim|Median: $56.03
9.2× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$377K

3,535 claims · 0.3%

Your Cost: $106.71/claim|Median: $58.55
1.8× median
71045Top 5%

Chest X-ray, single view

$375K

6,656 claims · 0.3%

Your Cost: $56.32/claim|Median: $4.93
11.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$371K

19K claims · 0.3%

Your Cost: $19.39/claim|Median: $21.76
0.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$369K

16K claims · 0.3%

Your Cost: $22.76/claim|Median: $97.61
0.2× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$366K

5,958 claims · 0.3%

Your Cost: $61.46/claim|Median: $21.41
2.9× median
36415Top 10%

Collection of venous blood by venipuncture

$365K

62K claims · 0.3%

Your Cost: $5.88/claim|Median: $1.57
3.7× median
76705Top 5%

Ultrasound, abdominal, limited

$345K

2,961 claims · 0.3%

Your Cost: $116.68/claim|Median: $23.81
4.9× median
95714Top 1%

$321K

162 claims · 0.3%

Your Cost: $1,978.76/claim|Median: $263.97
7.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$319K

16K claims · 0.3%

Your Cost: $20.56/claim|Median: $7.50
2.7× median
70450Normal range

CT head/brain without contrast

$314K

4,807 claims · 0.3%

Your Cost: $65.34/claim|Median: $45.53
1.4× median
J2426Normal range

$308K

498 claims · 0.3%

Your Cost: $618.12/claim|Median: $625.59
1.0× median
76700Top 10%

Ultrasound, abdominal, complete

$306K

2,250 claims · 0.3%

Your Cost: $135.95/claim|Median: $50.69
2.7× median
70553Top 5%

MRI brain without contrast, then with contrast

$303K

308 claims · 0.3%

Your Cost: $983.01/claim|Median: $133.68
7.4× median
96360Normal range

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

$299K

5,416 claims · 0.3%

Your Cost: $55.23/claim|Median: $61.57
0.9× median