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GARNET HEALTH MEDICAL CENTER CATSKILLS

General Acute Care Hospital, Rural·HARRIS, NY·NPI: 1710977012Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.0M

$21,955,636

Total Claims

362K

Beneficiaries

285K

1.3 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$20K
+3884%
2019
$793K
+217%
2020
$2.5M
+27%
2021
$3.2M
+85%
2022
$5.9M
-0%
2023
$5.9M
-38%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 23% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$5.0M

26K claims · 22.8%

Your Cost: $190.62/claim|Median: $42.48
4.5× median
99284Top 25%

Emergency dept visit, high complexity

$2.6M

18K claims · 11.9%

Your Cost: $142.37/claim|Median: $69.51
2.0× median
80048Top 5%

Basic metabolic panel

$1.7M

33K claims · 7.6%

Your Cost: $50.66/claim|Median: $5.78
8.8× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.3M

5,077 claims · 5.7%

Your Cost: $247.97/claim|Median: $38.92
6.4× median
74177Top 10%

CT abdomen and pelvis with contrast

$1.0M

3,240 claims · 4.7%

Your Cost: $317.36/claim|Median: $65.76
4.8× median
96365Top 5%

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

$956K

4,580 claims · 4.4%

Your Cost: $208.83/claim|Median: $54.77
3.8× median
70450Top 5%

CT head/brain without contrast

$882K

2,879 claims · 4.0%

Your Cost: $306.34/claim|Median: $45.53
6.7× median
97602Top 1%

$713K

1,173 claims · 3.2%

Your Cost: $607.78/claim|Median: $51.00
11.9× median
80053Top 10%

Comprehensive metabolic panel

$705K

19K claims · 3.2%

Your Cost: $38.01/claim|Median: $7.24
5.2× median
97530Top 1%

Therapeutic activities, each 15 min

$659K

4,326 claims · 3.0%

Your Cost: $152.32/claim|Median: $33.11
4.6× median
36415Top 5%

Collection of venous blood by venipuncture

$535K

46K claims · 2.4%

Your Cost: $11.70/claim|Median: $1.57
7.4× median
99282Top 5%

Emergency dept visit, low complexity

$483K

2,449 claims · 2.2%

Your Cost: $197.22/claim|Median: $37.72
5.2× median
76700Top 1%

Ultrasound, abdominal, complete

$418K

909 claims · 1.9%

Your Cost: $460.14/claim|Median: $50.69
9.1× median
88342Top 1%

$418K

434 claims · 1.9%

Your Cost: $962.85/claim|Median: $23.66
40.7× median
76856Top 1%

Ultrasound, pelvic, complete

$414K

1,035 claims · 1.9%

Your Cost: $400.00/claim|Median: $47.58
8.4× median
87651Top 1%

Streptococcus Group A detection, nucleic acid, amplified probe

$339K

2,373 claims · 1.5%

Your Cost: $143.02/claim|Median: $28.46
5.0× median
71275Top 5%

CT angiography, chest, with contrast

$318K

879 claims · 1.4%

Your Cost: $361.95/claim|Median: $92.96
3.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$303K

4,864 claims · 1.4%

Your Cost: $62.20/claim|Median: $97.61
0.6× median
74176Top 10%

CT abdomen and pelvis without contrast

$239K

765 claims · 1.1%

Your Cost: $312.19/claim|Median: $60.19
5.2× median
96366Top 25%

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

$210K

1,127 claims · 1.0%

Your Cost: $186.54/claim|Median: $40.12
4.6× median
96360Top 10%

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

$166K

908 claims · 0.8%

Your Cost: $182.62/claim|Median: $61.57
3.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$165K

3,875 claims · 0.8%

Your Cost: $42.63/claim|Median: $35.43
1.2× median
80076Top 10%

Hepatic function panel

$148K

12K claims · 0.7%

Your Cost: $12.89/claim|Median: $4.59
2.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$140K

982 claims · 0.6%

Your Cost: $142.49/claim|Median: $85.65
1.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$134K

3,602 claims · 0.6%

Your Cost: $37.20/claim|Median: $9.56
3.9× median
76819Top 10%

Fetal biophysical profile with non-stress test

$129K

1,215 claims · 0.6%

Your Cost: $106.06/claim|Median: $49.45
2.1× median
86850Top 5%

$127K

2,173 claims · 0.6%

Your Cost: $58.36/claim|Median: $5.44
10.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$112K

2,686 claims · 0.5%

Your Cost: $41.63/claim|Median: $39.70
1.0× median
43239Top 10%

Upper GI endoscopy with biopsy

$105K

172 claims · 0.5%

Your Cost: $608.95/claim|Median: $151.68
4.0× median
12001Top 5%

$103K

227 claims · 0.5%

Your Cost: $455.40/claim|Median: $64.99
7.0× median
45380Top 1%

Colonoscopy with biopsy

$98K

54 claims · 0.4%

Your Cost: $1,812.34/claim|Median: $200.68
9.0× median
90791Top 10%

Psychiatric diagnostic evaluation

$62K

305 claims · 0.3%

Your Cost: $203.47/claim|Median: $99.21
2.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$61K

877 claims · 0.3%

Your Cost: $70.08/claim|Median: $39.33
1.8× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$57K

216 claims · 0.3%

Your Cost: $265.95/claim|Median: $54.68
4.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$54K

700 claims · 0.2%

Your Cost: $77.29/claim|Median: $74.78
1.0× median
82306Top 25%

Vitamin D, 25 hydroxy

$54K

1,869 claims · 0.2%

Your Cost: $28.91/claim|Median: $18.18
1.6× median
45378Top 5%

Colonoscopy, diagnostic

$54K

54 claims · 0.2%

Your Cost: $1,000.19/claim|Median: $225.49
4.4× median
83880Top 10%

$53K

1,636 claims · 0.2%

Your Cost: $32.27/claim|Median: $11.81
2.7× median
86901Top 5%

$51K

2,286 claims · 0.2%

Your Cost: $22.39/claim|Median: $2.26
9.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$51K

1,190 claims · 0.2%

Your Cost: $42.78/claim|Median: $35.80
1.2× median
76705Top 25%

Ultrasound, abdominal, limited

$48K

578 claims · 0.2%

Your Cost: $82.30/claim|Median: $23.81
3.5× median
76830Normal range

Ultrasound, transvaginal

$45K

633 claims · 0.2%

Your Cost: $71.21/claim|Median: $57.47
1.2× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$44K

497 claims · 0.2%

Your Cost: $89.33/claim|Median: $58.16
1.5× median
86900Top 25%

$44K

2,286 claims · 0.2%

Your Cost: $19.05/claim|Median: $2.55
7.5× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$39K

998 claims · 0.2%

Your Cost: $39.36/claim|Median: $24.95
1.6× median
84443Normal range

Thyroid stimulating hormone (TSH)

$37K

5,736 claims · 0.2%

Your Cost: $6.41/claim|Median: $9.87
0.6× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$33K

361 claims · 0.2%

Your Cost: $92.56/claim|Median: $47.65
1.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$30K

3,923 claims · 0.1%

Your Cost: $7.68/claim|Median: $5.50
1.4× median
80061Normal range

Lipid panel

$29K

5,383 claims · 0.1%

Your Cost: $5.40/claim|Median: $8.41
0.6× median
70496Top 5%

$28K

84 claims · 0.1%

Your Cost: $333.52/claim|Median: $78.92
4.2× median

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