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MYMICHIGAN MEDICAL CENTER ALPENA

General Acute Care Hospital, Rural·ALPENA, MI·NPI: 1619914652Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$21.2M

$21,243,766

Total Claims

760K

Beneficiaries

619K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+10%
2019
$2.5M
-9%
2020
$2.2M
+39%
2021
$3.1M
+18%
2022
$3.6M
+14%
2023
$4.1M
-17%
2024
$3.5M

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 12% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$2.6M

14K claims · 12.0%

Your Cost: $185.86/claim|Median: $69.51
2.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.2M

6,670 claims · 10.3%

Your Cost: $328.40/claim|Median: $85.65
3.8× median
G0463Normal range

Hospital outpatient clinic visit

$1.9M

38K claims · 8.8%

Your Cost: $49.12/claim|Median: $26.41
1.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.6M

14K claims · 7.5%

Your Cost: $114.74/claim|Median: $42.48
2.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$829K

8,891 claims · 3.9%

Your Cost: $93.25/claim|Median: $21.76
4.3× median
96365Normal range

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

$815K

9,788 claims · 3.8%

Your Cost: $83.26/claim|Median: $54.77
1.5× median
97110Normal range

Therapeutic exercises, each 15 min

$805K

34K claims · 3.8%

Your Cost: $23.49/claim|Median: $24.49
1.0× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$630K

4,766 claims · 3.0%

Your Cost: $132.19/claim|Median: $75.28
1.8× median
74177Normal range

CT abdomen and pelvis with contrast

$567K

4,270 claims · 2.7%

Your Cost: $132.86/claim|Median: $65.76
2.0× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$544K

87 claims · 2.6%

Your Cost: $6,256.14/claim|Median: $5,391.55
1.2× median
97140Normal range

Manual therapy techniques, per 15 minutes

$478K

26K claims · 2.3%

Your Cost: $18.14/claim|Median: $16.79
1.1× median
99282Normal range

Emergency dept visit, low complexity

$444K

6,632 claims · 2.1%

Your Cost: $66.89/claim|Median: $37.72
1.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$341K

12K claims · 1.6%

Your Cost: $29.65/claim|Median: $14.92
2.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$322K

1,537 claims · 1.5%

Your Cost: $209.53/claim|Median: $54.68
3.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$310K

12K claims · 1.5%

Your Cost: $24.84/claim|Median: $39.70
0.6× median
70450Top 25%

CT head/brain without contrast

$299K

3,078 claims · 1.4%

Your Cost: $97.30/claim|Median: $45.53
2.1× median
71046Top 10%

Chest X-ray, 2 views

$292K

8,239 claims · 1.4%

Your Cost: $35.38/claim|Median: $8.92
4.0× median
96360Normal range

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

$278K

3,142 claims · 1.3%

Your Cost: $88.64/claim|Median: $61.57
1.4× median
96361Normal range

IV infusion, hydration, each additional hour

$249K

8,528 claims · 1.2%

Your Cost: $29.20/claim|Median: $38.92
0.8× median
Q5103Normal range

$217K

325 claims · 1.0%

Your Cost: $666.95/claim|Median: $1,075.28
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$208K

2,975 claims · 1.0%

Your Cost: $69.93/claim|Median: $63.65
1.1× median
94060Top 10%

$201K

1,615 claims · 0.9%

Your Cost: $124.58/claim|Median: $25.18
4.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$190K

4,001 claims · 0.9%

Your Cost: $47.44/claim|Median: $39.33
1.2× median
70553Normal range

MRI brain without contrast, then with contrast

$174K

887 claims · 0.8%

Your Cost: $196.70/claim|Median: $133.68
1.5× median
74176Normal range

CT abdomen and pelvis without contrast

$169K

1,629 claims · 0.8%

Your Cost: $103.61/claim|Median: $60.19
1.7× median
71045Top 10%

Chest X-ray, single view

$163K

4,517 claims · 0.8%

Your Cost: $36.12/claim|Median: $4.93
7.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$157K

365 claims · 0.7%

Your Cost: $429.60/claim|Median: $233.73
1.8× median
59025Top 25%

Fetal non-stress test

$151K

1,698 claims · 0.7%

Your Cost: $88.72/claim|Median: $26.45
3.4× median
97161Normal range

Physical therapy evaluation, low complexity

$148K

2,992 claims · 0.7%

Your Cost: $49.40/claim|Median: $47.89
1.0× median
97530Normal range

Therapeutic activities, each 15 min

$135K

4,689 claims · 0.6%

Your Cost: $28.79/claim|Median: $33.11
0.9× median
76705Top 25%

Ultrasound, abdominal, limited

$124K

2,218 claims · 0.6%

Your Cost: $55.86/claim|Median: $23.81
2.3× median
96366Normal range

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

$120K

4,672 claims · 0.6%

Your Cost: $25.78/claim|Median: $40.12
0.6× median
G0378Normal range

Hospital observation service, per hour

$120K

1,824 claims · 0.6%

Your Cost: $65.77/claim|Median: $99.39
0.7× median
43239Top 25%

Upper GI endoscopy with biopsy

$120K

372 claims · 0.6%

Your Cost: $322.18/claim|Median: $151.68
2.1× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$112K

640 claims · 0.5%

Your Cost: $174.84/claim|Median: $36.13
4.8× median
80061Top 10%

Lipid panel

$110K

6,013 claims · 0.5%

Your Cost: $18.28/claim|Median: $8.41
2.2× median
76830Normal range

Ultrasound, transvaginal

$109K

1,918 claims · 0.5%

Your Cost: $56.62/claim|Median: $57.47
1.0× median
76856Normal range

Ultrasound, pelvic, complete

$106K

2,059 claims · 0.5%

Your Cost: $51.31/claim|Median: $47.58
1.1× median
72148Normal range

MRI lumbar spine without contrast

$105K

989 claims · 0.5%

Your Cost: $105.74/claim|Median: $101.03
1.0× median
92507Normal range

Speech/hearing/language treatment

$103K

2,548 claims · 0.5%

Your Cost: $40.60/claim|Median: $49.45
0.8× median
96367Normal range

$103K

3,126 claims · 0.5%

Your Cost: $33.05/claim|Median: $29.27
1.1× median
71260Top 25%

CT chest with contrast

$103K

894 claims · 0.5%

Your Cost: $115.04/claim|Median: $48.36
2.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$95K

14K claims · 0.4%

Your Cost: $6.59/claim|Median: $7.50
0.9× median
71275Normal range

CT angiography, chest, with contrast

$89K

995 claims · 0.4%

Your Cost: $89.32/claim|Median: $92.96
1.0× median
97162Normal range

PT evaluation, moderate complexity

$88K

1,646 claims · 0.4%

Your Cost: $53.76/claim|Median: $46.10
1.2× median
71250Normal range

CT scan of chest without contrast

$88K

1,755 claims · 0.4%

Your Cost: $50.30/claim|Median: $39.11
1.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$86K

767 claims · 0.4%

Your Cost: $112.62/claim|Median: $106.79
1.1× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$86K

183 claims · 0.4%

Your Cost: $469.97/claim|Median: $255.17
1.8× median
90832Top 25%

Psychotherapy, 30 minutes

$81K

1,095 claims · 0.4%

Your Cost: $73.62/claim|Median: $41.28
1.8× median
36591Top 25%

$73K

2,546 claims · 0.3%

Your Cost: $28.69/claim|Median: $11.16
2.6× median

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