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PHELPS MEMORIAL HOSPITAL ASSOCIATION

General Acute Care Hospital·SLEEPY HOLLOW, NY·NPI: 1720185267Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$20.2M

$20,172,391

Total Claims

361K

Beneficiaries

244K

1.5 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$678K
+108%
2019
$1.4M
+108%
2020
$2.9M
+38%
2021
$4.0M
-4%
2022
$3.9M
+7%
2023
$4.1M
-24%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90853 (Group psychotherapy)) accounts for 17% of total spending.

90853Top 25%

Group psychotherapy

$3.4M

55K claims · 16.9%

Your Cost: $61.49/claim|Median: $25.02
2.5× median
99283Top 5%

Emergency dept visit, moderate complexity

$2.2M

10K claims · 10.7%

Your Cost: $209.54/claim|Median: $42.48
4.9× median
99284Top 10%

Emergency dept visit, high complexity

$1.6M

8,479 claims · 8.1%

Your Cost: $192.43/claim|Median: $69.51
2.8× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.1M

17K claims · 5.5%

Your Cost: $65.70/claim|Median: $24.49
2.7× median
96365Top 5%

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

$805K

3,050 claims · 4.0%

Your Cost: $263.77/claim|Median: $54.77
4.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$560K

2,665 claims · 2.8%

Your Cost: $210.24/claim|Median: $85.65
2.5× median
H2001Normal range

$524K

4,349 claims · 2.6%

Your Cost: $120.41/claim|Median: $309.28
0.4× median
43239Top 5%

Upper GI endoscopy with biopsy

$507K

766 claims · 2.5%

Your Cost: $662.05/claim|Median: $151.68
4.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$471K

1,653 claims · 2.3%

Your Cost: $284.69/claim|Median: $65.76
4.3× median
80053Top 10%

Comprehensive metabolic panel

$402K

17K claims · 2.0%

Your Cost: $23.86/claim|Median: $7.24
3.3× median
70450Top 5%

CT head/brain without contrast

$399K

1,364 claims · 2.0%

Your Cost: $292.30/claim|Median: $45.53
6.4× median
99282Top 5%

Emergency dept visit, low complexity

$369K

1,876 claims · 1.8%

Your Cost: $196.43/claim|Median: $37.72
5.2× median
45380Top 10%

Colonoscopy with biopsy

$345K

473 claims · 1.7%

Your Cost: $729.19/claim|Median: $200.68
3.6× median
U0003Top 25%

Infectious disease detection (COVID-19)

$324K

4,173 claims · 1.6%

Your Cost: $77.69/claim|Median: $63.08
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$320K

7,062 claims · 1.6%

Your Cost: $45.24/claim|Median: $41.28
1.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$313K

3,099 claims · 1.6%

Your Cost: $101.14/claim|Median: $39.33
2.6× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$300K

10K claims · 1.5%

Your Cost: $28.77/claim|Median: $16.79
1.7× median
H0005Top 10%

Alcohol and/or drug services, group counseling

$281K

3,476 claims · 1.4%

Your Cost: $80.98/claim|Median: $47.35
1.7× median
90834Top 5%

Psychotherapy, 45 minutes

$268K

1,433 claims · 1.3%

Your Cost: $187.18/claim|Median: $63.65
2.9× median
H2036Normal range

Alcohol/drug treatment, per hour

$259K

1,973 claims · 1.3%

Your Cost: $131.22/claim|Median: $253.79
0.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$248K

3,469 claims · 1.2%

Your Cost: $71.56/claim|Median: $169.17
0.4× median
36415Top 10%

Collection of venous blood by venipuncture

$241K

28K claims · 1.2%

Your Cost: $8.49/claim|Median: $1.57
5.4× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$227K

1,203 claims · 1.1%

Your Cost: $188.87/claim|Median: $75.28
2.5× median
45378Top 5%

Colonoscopy, diagnostic

$192K

215 claims · 1.0%

Your Cost: $894.67/claim|Median: $225.49
4.0× median
99214Top 5%

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

$189K

1,439 claims · 0.9%

Your Cost: $131.13/claim|Median: $53.41
2.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$181K

4,604 claims · 0.9%

Your Cost: $39.37/claim|Median: $35.43
1.1× median
99213Top 5%

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

$159K

1,106 claims · 0.8%

Your Cost: $143.70/claim|Median: $37.81
3.8× median
70553Top 10%

MRI brain without contrast, then with contrast

$155K

261 claims · 0.8%

Your Cost: $592.82/claim|Median: $133.68
4.4× median
Q9963Top 5%

$153K

803 claims · 0.8%

Your Cost: $190.71/claim|Median: $3.79
50.3× median
97161Top 10%

Physical therapy evaluation, low complexity

$151K

1,386 claims · 0.8%

Your Cost: $109.24/claim|Median: $47.89
2.3× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$142K

756 claims · 0.7%

Your Cost: $187.81/claim|Median: $54.68
3.4× median
87486Top 25%

$131K

3,498 claims · 0.7%

Your Cost: $37.56/claim|Median: $19.16
2.0× median
92507Top 5%

Speech/hearing/language treatment

$110K

1,053 claims · 0.5%

Your Cost: $104.92/claim|Median: $49.45
2.1× median
76641Normal range

Ultrasound imaging of one breast, complete

$110K

1,507 claims · 0.5%

Your Cost: $73.28/claim|Median: $49.03
1.5× median
G0463Normal range

Hospital outpatient clinic visit

$105K

2,249 claims · 0.5%

Your Cost: $46.84/claim|Median: $26.41
1.8× median
86900Top 10%

$90K

2,220 claims · 0.4%

Your Cost: $40.33/claim|Median: $2.55
15.8× median
82306Top 10%

Vitamin D, 25 hydroxy

$87K

1,837 claims · 0.4%

Your Cost: $47.63/claim|Median: $18.18
2.6× median
72148Top 10%

MRI lumbar spine without contrast

$84K

271 claims · 0.4%

Your Cost: $311.12/claim|Median: $101.03
3.1× median
76705Top 25%

Ultrasound, abdominal, limited

$81K

1,153 claims · 0.4%

Your Cost: $69.97/claim|Median: $23.81
2.9× median
G0396Top 10%

Alcohol/substance abuse structured assessment, 15-30 minutes

$80K

687 claims · 0.4%

Your Cost: $116.90/claim|Median: $40.58
2.9× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$78K

1,460 claims · 0.4%

Your Cost: $53.09/claim|Median: $39.70
1.3× median
Q9962Top 1%

$77K

264 claims · 0.4%

Your Cost: $291.25/claim|Median: $8.05
36.2× median
88305Normal range

Surgical pathology, gross and microscopic examination

$73K

1,720 claims · 0.4%

Your Cost: $42.58/claim|Median: $35.80
1.2× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$69K

861 claims · 0.3%

Your Cost: $80.61/claim|Median: $4.58
17.6× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$68K

3,475 claims · 0.3%

Your Cost: $19.59/claim|Median: $26.72
0.7× median
87581Normal range

$67K

3,498 claims · 0.3%

Your Cost: $19.17/claim|Median: $17.13
1.1× median
76536Normal range

$65K

926 claims · 0.3%

Your Cost: $70.16/claim|Median: $44.06
1.6× median
J2704Top 5%

$64K

2,122 claims · 0.3%

Your Cost: $30.14/claim|Median: $0.76
39.7× median
74176Top 10%

CT abdomen and pelvis without contrast

$60K

211 claims · 0.3%

Your Cost: $285.73/claim|Median: $60.19
4.7× median
59025Top 5%

Fetal non-stress test

$60K

262 claims · 0.3%

Your Cost: $229.07/claim|Median: $26.45
8.7× median