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PRESBYTERIAN HEALTHCARE SERVICES

General Acute Care Hospital, Rural·CLOVIS, NM·NPI: 1629053509Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$47.6M

$47,631,987

Total Claims

877K

Beneficiaries

764K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$7.8M
-9%
2019
$7.1M
-33%
2020
$4.8M
+6%
2021
$5.1M
+40%
2022
$7.1M
+18%
2023
$8.4M
-11%
2024
$7.5M

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 14% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$6.6M

30K claims · 14.0%

Your Cost: $218.75/claim|Median: $69.51
3.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$5.4M

34K claims · 11.4%

Your Cost: $159.41/claim|Median: $42.48
3.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$5.3M

18K claims · 11.1%

Your Cost: $287.16/claim|Median: $85.65
3.4× median
74177Top 10%

CT abdomen and pelvis with contrast

$2.4M

5,771 claims · 5.0%

Your Cost: $410.05/claim|Median: $65.76
6.2× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$1.7M

13K claims · 3.6%

Your Cost: $128.43/claim|Median: $97.61
1.3× median
G0378Top 25%

Hospital observation service, per hour

$1.7M

2,815 claims · 3.6%

Your Cost: $602.13/claim|Median: $99.39
6.1× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$1.2M

21K claims · 2.6%

Your Cost: $58.18/claim|Median: $7.50
7.8× median
70450Top 25%

CT head/brain without contrast

$1.0M

6,155 claims · 2.2%

Your Cost: $167.68/claim|Median: $45.53
3.7× median
80053Top 25%

Comprehensive metabolic panel

$1.0M

59K claims · 2.1%

Your Cost: $17.18/claim|Median: $7.24
2.4× median
97110Top 10%

Therapeutic exercises, each 15 min

$975K

15K claims · 2.0%

Your Cost: $66.10/claim|Median: $24.49
2.7× median
71045Top 5%

Chest X-ray, single view

$939K

16K claims · 2.0%

Your Cost: $57.60/claim|Median: $4.93
11.7× median
G0463Normal range

Hospital outpatient clinic visit

$920K

21K claims · 1.9%

Your Cost: $43.27/claim|Median: $26.41
1.6× median
87631Top 10%

Respiratory virus detection, 3-5 targets, multiplex

$815K

5,798 claims · 1.7%

Your Cost: $140.58/claim|Median: $65.45
2.1× median
74176Top 25%

CT abdomen and pelvis without contrast

$788K

3,072 claims · 1.7%

Your Cost: $256.37/claim|Median: $60.19
4.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$718K

18K claims · 1.5%

Your Cost: $38.96/claim|Median: $21.76
1.8× median
71046Top 5%

Chest X-ray, 2 views

$685K

11K claims · 1.4%

Your Cost: $64.16/claim|Median: $8.92
7.2× median
96365Normal range

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

$649K

6,813 claims · 1.4%

Your Cost: $95.19/claim|Median: $54.77
1.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$645K

15K claims · 1.4%

Your Cost: $44.41/claim|Median: $14.92
3.0× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$557K

4,559 claims · 1.2%

Your Cost: $122.10/claim|Median: $10.88
11.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$552K

58K claims · 1.2%

Your Cost: $9.58/claim|Median: $4.71
2.0× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$511K

3,893 claims · 1.1%

Your Cost: $131.32/claim|Median: $91.47
1.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$430K

1,164 claims · 0.9%

Your Cost: $369.83/claim|Median: $151.68
2.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$416K

9,114 claims · 0.9%

Your Cost: $45.61/claim|Median: $35.43
1.3× median
71275Top 5%

CT angiography, chest, with contrast

$402K

1,084 claims · 0.8%

Your Cost: $371.22/claim|Median: $92.96
4.0× median
99282Top 25%

Emergency dept visit, low complexity

$388K

4,012 claims · 0.8%

Your Cost: $96.79/claim|Median: $37.72
2.6× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$305K

12K claims · 0.6%

Your Cost: $26.33/claim|Median: $9.56
2.8× median
73562Top 5%

$305K

3,560 claims · 0.6%

Your Cost: $85.56/claim|Median: $12.28
7.0× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$296K

8,629 claims · 0.6%

Your Cost: $34.28/claim|Median: $16.79
2.0× median
72125Top 10%

CT cervical spine without contrast

$289K

1,406 claims · 0.6%

Your Cost: $205.31/claim|Median: $32.30
6.4× median
76705Top 10%

Ultrasound, abdominal, limited

$279K

2,851 claims · 0.6%

Your Cost: $97.84/claim|Median: $23.81
4.1× median
93976Top 25%

$277K

2,401 claims · 0.6%

Your Cost: $115.32/claim|Median: $42.06
2.7× median
84484Top 10%

Troponin, quantitative

$248K

16K claims · 0.5%

Your Cost: $16.02/claim|Median: $4.84
3.3× median
96361Normal range

IV infusion, hydration, each additional hour

$243K

7,219 claims · 0.5%

Your Cost: $33.67/claim|Median: $38.92
0.9× median
77067Top 5%

Screening mammography, bilateral, including CAD

$239K

1,537 claims · 0.5%

Your Cost: $155.30/claim|Median: $39.33
3.9× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$226K

2,320 claims · 0.5%

Your Cost: $97.55/claim|Median: $13.55
7.2× median
59025Top 25%

Fetal non-stress test

$220K

2,075 claims · 0.5%

Your Cost: $105.79/claim|Median: $26.45
4.0× median
73030Top 5%

$209K

2,585 claims · 0.4%

Your Cost: $80.97/claim|Median: $10.94
7.4× median
83690Top 10%

$205K

16K claims · 0.4%

Your Cost: $13.00/claim|Median: $3.35
3.9× median
99215Normal range

Office/outpatient visit, high complexity

$180K

3,354 claims · 0.4%

Your Cost: $53.56/claim|Median: $74.09
0.7× median
71260Top 10%

CT chest with contrast

$175K

764 claims · 0.4%

Your Cost: $228.58/claim|Median: $48.36
4.7× median
96376Top 10%

$166K

3,705 claims · 0.3%

Your Cost: $44.81/claim|Median: $3.19
14.0× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$166K

8,537 claims · 0.3%

Your Cost: $19.42/claim|Median: $9.87
2.0× median
73130Top 5%

$158K

2,364 claims · 0.3%

Your Cost: $66.95/claim|Median: $10.69
6.3× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$156K

1,145 claims · 0.3%

Your Cost: $136.19/claim|Median: $74.78
1.8× median
96360Normal range

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

$152K

1,956 claims · 0.3%

Your Cost: $77.89/claim|Median: $61.57
1.3× median
Q9967Top 25%

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

$148K

8,604 claims · 0.3%

Your Cost: $17.21/claim|Median: $3.42
5.0× median
76830Top 5%

Ultrasound, transvaginal

$147K

1,055 claims · 0.3%

Your Cost: $139.68/claim|Median: $57.47
2.4× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$145K

2,254 claims · 0.3%

Your Cost: $64.49/claim|Median: $12.06
5.3× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$141K

8,123 claims · 0.3%

Your Cost: $17.32/claim|Median: $11.48
1.5× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$138K

2,383 claims · 0.3%

Your Cost: $58.06/claim|Median: $35.80
1.6× median

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