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Memorial Hospital for Cancer and Allied Diseases

Pharmacy·New York, NY·NPI: 1700887411Share
Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$135.1M

$135,127,586

Total Claims

1.3M

Beneficiaries

869K

1.5 claims/patient

Avg Cost/Claim

$103

#838 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Memorial Hospital for Cancer and Allied Diseases is a Pharmacy provider based in New York, NY. From the 2018–2024 period, this provider received $135.1M in Medicaid payments across 1.3M claims.

Why This Matters

This provider received $135.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,890 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 7276% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$571K
+808%
2019
$5.2M
+161%
2020
$13.5M
+24%
2021
$16.8M
+4%
2022
$17.5M
+125%
2023
$39.4M
+7%
2024
$42.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 13% of total spending.

G0463Top 5%

Hospital outpatient clinic visit

$17.0M

135K claims · 12.6%

Your Cost: $126.11/claim|Median: $26.41
4.8× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$15.5M

2,872 claims · 11.5%

Your Cost: $5,404.24/claim|Median: $5,391.55
1.0× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$6.5M

35K claims · 4.8%

Your Cost: $184.53/claim|Median: $75.28
2.5× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$4.8M

1,170 claims · 3.5%

Your Cost: $4,068.48/claim|Median: $3,562.28
1.1× median
96416Top 5%

$3.7M

6,262 claims · 2.7%

Your Cost: $591.52/claim|Median: $118.51
5.0× median
J9306Normal range

Injection, pertuzumab, one milligram

$3.7M

971 claims · 2.7%

Your Cost: $3,789.60/claim|Median: $3,571.19
1.1× median
96415Top 5%

Chemotherapy infusion, each additional hour

$3.5M

7,072 claims · 2.6%

Your Cost: $491.00/claim|Median: $43.68
11.2× median
J9358Normal range

$3.3M

863 claims · 2.5%

Your Cost: $3,847.15/claim|Median: $3,408.30
1.1× median
Q5117Normal range

$2.9M

1,913 claims · 2.2%

Your Cost: $1,540.87/claim|Median: $1,034.41
1.5× median
J2506Normal range

$2.8M

2,356 claims · 2.1%

Your Cost: $1,204.27/claim|Median: $997.36
1.2× median
77412Top 25%

$2.6M

8,280 claims · 1.9%

Your Cost: $314.14/claim|Median: $111.69
2.8× median
J2505Normal range

$2.5M

1,975 claims · 1.8%

Your Cost: $1,258.10/claim|Median: $1,842.27
0.7× median
77336Top 5%

$2.4M

5,475 claims · 1.8%

Your Cost: $433.69/claim|Median: $55.04
7.9× median
Q5111Normal range

$2.3M

1,777 claims · 1.7%

Your Cost: $1,300.75/claim|Median: $1,602.88
0.8× median
80053Top 10%

Comprehensive metabolic panel

$2.3M

90K claims · 1.7%

Your Cost: $25.46/claim|Median: $7.24
3.5× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$2.2M

11K claims · 1.6%

Your Cost: $198.37/claim|Median: $260.56
0.8× median
J9348Top 1%

$1.9M

72 claims · 1.4%

Your Cost: $26,586.03/claim|Median: $26,586.03
1.0× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.8M

9,194 claims · 1.3%

Your Cost: $196.73/claim|Median: $38.92
5.1× median
Q5107Normal range

$1.7M

2,002 claims · 1.3%

Your Cost: $843.87/claim|Median: $824.41
1.0× median
71260Top 25%

CT chest with contrast

$1.7M

14K claims · 1.2%

Your Cost: $123.15/claim|Median: $48.36
2.5× median
36430Top 5%

Transfusion of whole blood

$1.6M

3,497 claims · 1.2%

Your Cost: $451.72/claim|Median: $111.66
4.0× median
78815Normal range

PET imaging for limited area

$1.5M

4,361 claims · 1.1%

Your Cost: $342.27/claim|Median: $325.10
1.1× median
70553Top 25%

MRI brain without contrast, then with contrast

$1.4M

5,140 claims · 1.1%

Your Cost: $280.02/claim|Median: $133.68
2.1× median
J9264Normal range

$1.3M

864 claims · 0.9%

Your Cost: $1,479.69/claim|Median: $941.67
1.6× median
96365Top 10%

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

$1.2M

8,027 claims · 0.9%

Your Cost: $152.41/claim|Median: $54.77
2.8× median
77373Normal range

$1.2M

1,664 claims · 0.9%

Your Cost: $702.06/claim|Median: $914.99
0.8× median
96367Top 10%

$1.1M

9,899 claims · 0.8%

Your Cost: $115.76/claim|Median: $29.27
4.0× median
77387Top 10%

$1.1M

3,118 claims · 0.8%

Your Cost: $343.95/claim|Median: $38.80
8.9× median
96360Top 5%

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

$1.0M

4,784 claims · 0.8%

Your Cost: $217.70/claim|Median: $61.57
3.5× median
P9040Top 25%

$1.0M

2,287 claims · 0.8%

Your Cost: $444.96/claim|Median: $210.57
2.1× median

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