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KALEIDA HEALTH

General Acute Care Hospital·BUFFALO, NY·NPI: 1639209596Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$30.8M

$30,802,371

Total Claims

791K

Beneficiaries

724K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$54K
+2238%
2019
$1.3M
+109%
2020
$2.6M
+101%
2021
$5.3M
+44%
2022
$7.6M
+4%
2023
$7.9M
-22%
2024
$6.2M

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 5%

Hospital observation service, per hour

$4.2M

3,227 claims · 13.7%

Your Cost: $1,311.33/claim|Median: $99.39
13.2× median
99283Top 5%

Emergency dept visit, moderate complexity

$2.5M

12K claims · 8.0%

Your Cost: $205.37/claim|Median: $42.48
4.8× median
99284Top 10%

Emergency dept visit, high complexity

$2.4M

13K claims · 7.7%

Your Cost: $187.84/claim|Median: $69.51
2.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.9M

12K claims · 6.3%

Your Cost: $159.81/claim|Median: $85.65
1.9× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.5M

18K claims · 4.8%

Your Cost: $82.95/claim|Median: $63.08
1.3× median
99214Top 25%

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

$1.2M

13K claims · 4.0%

Your Cost: $94.12/claim|Median: $53.41
1.8× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.1M

5,987 claims · 3.6%

Your Cost: $186.73/claim|Median: $38.92
4.8× median
99282Top 5%

Emergency dept visit, low complexity

$1.1M

5,397 claims · 3.5%

Your Cost: $200.22/claim|Median: $37.72
5.3× median
99213Top 5%

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

$957K

7,718 claims · 3.1%

Your Cost: $124.01/claim|Median: $37.81
3.3× median
80053Top 25%

Comprehensive metabolic panel

$929K

64K claims · 3.0%

Your Cost: $14.62/claim|Median: $7.24
2.0× median
43239Top 5%

Upper GI endoscopy with biopsy

$826K

1,279 claims · 2.7%

Your Cost: $645.67/claim|Median: $151.68
4.3× median
70450Top 10%

CT head/brain without contrast

$720K

3,907 claims · 2.3%

Your Cost: $184.34/claim|Median: $45.53
4.0× median
93458Top 10%

Left heart catheterization with imaging

$671K

424 claims · 2.2%

Your Cost: $1,581.62/claim|Median: $183.33
8.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$582K

21K claims · 1.9%

Your Cost: $27.83/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$506K

21K claims · 1.6%

Your Cost: $24.44/claim|Median: $23.39
1.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$487K

2,028 claims · 1.6%

Your Cost: $240.26/claim|Median: $65.76
3.7× median
45380Top 5%

Colonoscopy with biopsy

$467K

590 claims · 1.5%

Your Cost: $790.74/claim|Median: $200.68
3.9× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$369K

17K claims · 1.2%

Your Cost: $21.17/claim|Median: $21.08
1.0× median
G0463Top 25%

Hospital outpatient clinic visit

$366K

4,690 claims · 1.2%

Your Cost: $78.01/claim|Median: $26.41
3.0× median
88175Top 25%

Cytopathology, cervical or vaginal, ThinPrep

$351K

14K claims · 1.1%

Your Cost: $25.91/claim|Median: $19.06
1.4× median
U0005Top 10%

Infectious disease detection, COVID-19, antigen

$328K

13K claims · 1.1%

Your Cost: $24.88/claim|Median: $15.76
1.6× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$302K

6,212 claims · 1.0%

Your Cost: $48.58/claim|Median: $65.45
0.7× median
70553Top 25%

MRI brain without contrast, then with contrast

$270K

715 claims · 0.9%

Your Cost: $376.96/claim|Median: $133.68
2.8× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$248K

1,752 claims · 0.8%

Your Cost: $141.55/claim|Median: $57.85
2.4× median
96360Top 25%

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

$247K

1,772 claims · 0.8%

Your Cost: $139.20/claim|Median: $61.57
2.3× median
99281Top 5%

Emergency dept visit, minimal complexity

$233K

1,147 claims · 0.8%

Your Cost: $203.41/claim|Median: $52.03
3.9× median
70551Top 25%

MRI brain without contrast

$226K

1,122 claims · 0.7%

Your Cost: $201.09/claim|Median: $85.39
2.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$223K

4,964 claims · 0.7%

Your Cost: $44.94/claim|Median: $35.80
1.3× median
87481Top 25%

$199K

3,277 claims · 0.6%

Your Cost: $60.59/claim|Median: $22.38
2.7× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$188K

7,355 claims · 0.6%

Your Cost: $25.50/claim|Median: $25.57
1.0× median
71275Top 25%

CT angiography, chest, with contrast

$170K

903 claims · 0.6%

Your Cost: $188.33/claim|Median: $92.96
2.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$162K

629 claims · 0.5%

Your Cost: $258.00/claim|Median: $60.19
4.3× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$158K

1,104 claims · 0.5%

Your Cost: $143.50/claim|Median: $84.03
1.7× median
70496Top 25%

$158K

869 claims · 0.5%

Your Cost: $181.55/claim|Median: $78.92
2.3× median
96365Top 25%

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

$149K

1,303 claims · 0.5%

Your Cost: $114.63/claim|Median: $54.77
2.1× median
99212Top 5%

Office/outpatient visit, low complexity

$145K

906 claims · 0.5%

Your Cost: $160.21/claim|Median: $25.06
6.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$140K

14K claims · 0.5%

Your Cost: $9.93/claim|Median: $9.87
1.0× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$136K

1,200 claims · 0.4%

Your Cost: $113.19/claim|Median: $22.44
5.0× median
80061Normal range

Lipid panel

$132K

16K claims · 0.4%

Your Cost: $8.46/claim|Median: $8.41
1.0× median
80048Top 25%

Basic metabolic panel

$128K

12K claims · 0.4%

Your Cost: $10.50/claim|Median: $5.78
1.8× median
82306Normal range

Vitamin D, 25 hydroxy

$128K

4,986 claims · 0.4%

Your Cost: $25.75/claim|Median: $18.18
1.4× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$127K

982 claims · 0.4%

Your Cost: $129.59/claim|Median: $54.68
2.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$126K

48K claims · 0.4%

Your Cost: $2.64/claim|Median: $4.71
0.6× median
36415Top 25%

Collection of venous blood by venipuncture

$120K

25K claims · 0.4%

Your Cost: $4.87/claim|Median: $1.57
3.1× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$106K

513 claims · 0.3%

Your Cost: $207.14/claim|Median: $106.14
2.0× median
C9803Normal range

$106K

6,631 claims · 0.3%

Your Cost: $15.96/claim|Median: $13.20
1.2× median
87086Normal range

Urine culture, colony count, with identification

$102K

15K claims · 0.3%

Your Cost: $6.64/claim|Median: $5.31
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$94K

6,024 claims · 0.3%

Your Cost: $15.53/claim|Median: $35.43
0.4× median
83880Top 25%

$93K

3,833 claims · 0.3%

Your Cost: $24.30/claim|Median: $11.81
2.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$90K

11K claims · 0.3%

Your Cost: $7.90/claim|Median: $5.50
1.4× median

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$3.03B

American Business Institute Corp

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$1.68B

Premier Home Health Care Services INC

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$1.48B

Assistcarehome Healthcare Services

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$1.44B

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New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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