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MERCY HOSPITAL

General Acute Care Hospital·PORTLAND, ME·NPI: 1629078712Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$35.5M

$35,527,290

Total Claims

1.2M

Beneficiaries

997K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+40%
2019
$5.1M
-15%
2020
$4.3M
+36%
2021
$5.8M
-6%
2022
$5.5M
-3%
2023
$5.4M
+9%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 30% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$10.5M

160K claims · 29.5%

Your Cost: $65.34/claim|Median: $26.41
2.5× median
99284Top 25%

Emergency dept visit, high complexity

$3.8M

31K claims · 10.8%

Your Cost: $122.81/claim|Median: $69.51
1.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.8M

11K claims · 7.9%

Your Cost: $259.46/claim|Median: $85.65
3.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.3M

27K claims · 6.4%

Your Cost: $84.56/claim|Median: $42.48
2.0× median
99213Normal range

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

$1.8M

63K claims · 4.9%

Your Cost: $27.72/claim|Median: $37.81
0.7× median
99214Normal range

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

$1.6M

45K claims · 4.4%

Your Cost: $34.85/claim|Median: $53.41
0.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$803K

8,374 claims · 2.3%

Your Cost: $95.93/claim|Median: $21.76
4.4× median
97110Normal range

Therapeutic exercises, each 15 min

$766K

34K claims · 2.2%

Your Cost: $22.48/claim|Median: $24.49
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$578K

2,298 claims · 1.6%

Your Cost: $251.42/claim|Median: $151.68
1.7× median
45380Top 25%

Colonoscopy with biopsy

$556K

1,088 claims · 1.6%

Your Cost: $511.25/claim|Median: $200.68
2.5× median
96365Normal range

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

$474K

5,241 claims · 1.3%

Your Cost: $90.47/claim|Median: $54.77
1.7× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$419K

13K claims · 1.2%

Your Cost: $32.99/claim|Median: $9.80
3.4× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$409K

7,751 claims · 1.1%

Your Cost: $52.71/claim|Median: $60.05
0.9× median
97140Normal range

Manual therapy techniques, per 15 minutes

$397K

22K claims · 1.1%

Your Cost: $17.90/claim|Median: $16.79
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$392K

2,934 claims · 1.1%

Your Cost: $133.68/claim|Median: $65.76
2.0× median
71046Top 10%

Chest X-ray, 2 views

$318K

8,701 claims · 0.9%

Your Cost: $36.50/claim|Median: $8.92
4.1× median
99282Normal range

Emergency dept visit, low complexity

$315K

4,567 claims · 0.9%

Your Cost: $69.05/claim|Median: $37.72
1.8× median
90834Top 25%

Psychotherapy, 45 minutes

$313K

3,223 claims · 0.9%

Your Cost: $97.26/claim|Median: $63.65
1.5× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$294K

2,301 claims · 0.8%

Your Cost: $127.98/claim|Median: $54.68
2.3× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$294K

3,299 claims · 0.8%

Your Cost: $89.21/claim|Median: $36.13
2.5× median
90837Normal range

Psychotherapy, 60 minutes

$253K

2,914 claims · 0.7%

Your Cost: $86.95/claim|Median: $85.66
1.0× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$248K

622 claims · 0.7%

Your Cost: $398.66/claim|Median: $255.17
1.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$212K

6,796 claims · 0.6%

Your Cost: $31.25/claim|Median: $14.92
2.1× median
70450Normal range

CT head/brain without contrast

$210K

3,228 claims · 0.6%

Your Cost: $65.19/claim|Median: $45.53
1.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$201K

4,205 claims · 0.6%

Your Cost: $47.87/claim|Median: $97.61
0.5× median
97161Normal range

Physical therapy evaluation, low complexity

$188K

5,467 claims · 0.5%

Your Cost: $34.47/claim|Median: $47.89
0.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$174K

3,379 claims · 0.5%

Your Cost: $51.44/claim|Median: $39.33
1.3× median
90832Normal range

Psychotherapy, 30 minutes

$173K

3,158 claims · 0.5%

Your Cost: $54.93/claim|Median: $41.28
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$166K

5,168 claims · 0.5%

Your Cost: $32.09/claim|Median: $38.92
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$159K

1,592 claims · 0.4%

Your Cost: $99.61/claim|Median: $60.19
1.7× median
76856Normal range

Ultrasound, pelvic, complete

$154K

2,224 claims · 0.4%

Your Cost: $69.37/claim|Median: $47.58
1.5× median
96360Normal range

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

$153K

1,686 claims · 0.4%

Your Cost: $91.02/claim|Median: $61.57
1.5× median
76830Normal range

Ultrasound, transvaginal

$123K

1,728 claims · 0.3%

Your Cost: $71.42/claim|Median: $57.47
1.2× median
93976Normal range

$123K

1,798 claims · 0.3%

Your Cost: $68.24/claim|Median: $42.06
1.6× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$122K

879 claims · 0.3%

Your Cost: $139.04/claim|Median: $75.28
1.8× median
G0008Top 10%

$112K

6,082 claims · 0.3%

Your Cost: $18.38/claim|Median: $2.54
7.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$109K

2,061 claims · 0.3%

Your Cost: $52.96/claim|Median: $69.35
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$106K

1,684 claims · 0.3%

Your Cost: $63.12/claim|Median: $99.21
0.6× median
86900Top 10%

$97K

2,895 claims · 0.3%

Your Cost: $33.66/claim|Median: $2.55
13.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$97K

1,778 claims · 0.3%

Your Cost: $54.62/claim|Median: $75.18
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$93K

7,290 claims · 0.3%

Your Cost: $12.73/claim|Median: $9.56
1.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$82K

11K claims · 0.2%

Your Cost: $7.46/claim|Median: $37.56
0.2× median
76819Top 25%

Fetal biophysical profile with non-stress test

$82K

970 claims · 0.2%

Your Cost: $84.80/claim|Median: $49.45
1.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$81K

3,528 claims · 0.2%

Your Cost: $22.88/claim|Median: $23.99
1.0× median
76700Normal range

Ultrasound, abdominal, complete

$81K

1,326 claims · 0.2%

Your Cost: $60.84/claim|Median: $50.69
1.2× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$79K

5,633 claims · 0.2%

Your Cost: $13.97/claim|Median: $15.76
0.9× median
76705Top 25%

Ultrasound, abdominal, limited

$75K

1,209 claims · 0.2%

Your Cost: $61.80/claim|Median: $23.81
2.6× median
80061Normal range

Lipid panel

$72K

10K claims · 0.2%

Your Cost: $7.10/claim|Median: $8.41
0.8× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$71K

3,344 claims · 0.2%

Your Cost: $21.21/claim|Median: $21.41
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$70K

2,518 claims · 0.2%

Your Cost: $27.71/claim|Median: $36.70
0.8× median

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