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North Shore Medical Center, Inc.

General Acute Care Hospital·Salem, MA·NPI: 1730121633Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $137.7M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$137.7M

$137,693,262

Total Claims

4.6M

Beneficiaries

4.1M

1.1 claims/patient

Avg Cost/Claim

$30

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

🔍 Analysis

Provider Overview

North Shore Medical Center, Inc. is a General Acute Care Hospital provider based in Salem, MA. From the 2018–2024 period, this provider received $137.7M in Medicaid payments across 4.6M claims.

Why This Matters

This provider received $137.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,211 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 3% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$21.2M
-17%
2019
$17.5M
-13%
2020
$15.3M
+38%
2021
$21.1M
+11%
2022
$23.3M
-19%
2023
$18.9M
+8%
2024
$20.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 13% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$17.7M

111K claims · 12.8%

Your Cost: $158.88/claim|Median: $69.51
2.3× median
96361Top 5%

IV infusion, hydration, each additional hour

$12.6M

35K claims · 9.1%

Your Cost: $357.24/claim|Median: $38.92
9.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$9.6M

64K claims · 7.0%

Your Cost: $150.72/claim|Median: $42.48
3.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$8.5M

46K claims · 6.1%

Your Cost: $185.05/claim|Median: $85.65
2.2× median
G0378Normal range

Hospital observation service, per hour

$5.0M

27K claims · 3.6%

Your Cost: $182.03/claim|Median: $99.39
1.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$2.9M

43K claims · 2.1%

Your Cost: $67.57/claim|Median: $63.08
1.1× median
43239Top 10%

Upper GI endoscopy with biopsy

$2.6M

4,633 claims · 1.9%

Your Cost: $558.91/claim|Median: $151.68
3.7× median
96365Top 25%

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

$2.4M

18K claims · 1.8%

Your Cost: $135.87/claim|Median: $54.77
2.5× median
45385Top 10%

Colonoscopy with polyp removal, snare technique

$2.4M

3,464 claims · 1.8%

Your Cost: $700.20/claim|Median: $255.17
2.7× median
74177Normal range

CT abdomen and pelvis with contrast

$2.3M

17K claims · 1.7%

Your Cost: $136.11/claim|Median: $65.76
2.1× median
99211Top 5%

Office/outpatient visit, minimal complexity

$2.1M

15K claims · 1.5%

Your Cost: $136.50/claim|Median: $12.93
10.6× median
70450Top 25%

CT head/brain without contrast

$2.0M

17K claims · 1.4%

Your Cost: $119.31/claim|Median: $45.53
2.6× median
45380Top 10%

Colonoscopy with biopsy

$1.7M

2,647 claims · 1.2%

Your Cost: $648.87/claim|Median: $200.68
3.2× median
96360Top 25%

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

$1.7M

14K claims · 1.2%

Your Cost: $122.88/claim|Median: $61.57
2.0× median
76856Top 10%

Ultrasound, pelvic, complete

$1.6M

13K claims · 1.1%

Your Cost: $119.04/claim|Median: $47.58
2.5× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$1.5M

12K claims · 1.1%

Your Cost: $128.71/claim|Median: $100.62
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.5M

45K claims · 1.1%

Your Cost: $33.98/claim|Median: $35.43
1.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.3M

55K claims · 1.0%

Your Cost: $23.96/claim|Median: $24.95
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.3M

55K claims · 1.0%

Your Cost: $23.95/claim|Median: $23.39
1.0× median
S9485Normal range

Crisis intervention mental health services, per diem

$1.3M

2,514 claims · 0.9%

Your Cost: $499.33/claim|Median: $501.33
1.0× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$1.2M

8,028 claims · 0.8%

Your Cost: $144.93/claim|Median: $36.13
4.0× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$1.2M

19K claims · 0.8%

Your Cost: $61.90/claim|Median: $21.41
2.9× median
99213Top 5%

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

$1.1M

11K claims · 0.8%

Your Cost: $107.34/claim|Median: $37.81
2.8× median
76830Top 25%

Ultrasound, transvaginal

$1.1M

12K claims · 0.8%

Your Cost: $92.53/claim|Median: $57.47
1.6× median
99282Top 25%

Emergency dept visit, low complexity

$1.1M

7,952 claims · 0.8%

Your Cost: $137.48/claim|Median: $37.72
3.6× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$1.1M

1,171 claims · 0.8%

Your Cost: $899.10/claim|Median: $233.73
3.8× median
76700Top 10%

Ultrasound, abdominal, complete

$1.0M

7,249 claims · 0.7%

Your Cost: $139.86/claim|Median: $50.69
2.8× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$946K

7,354 claims · 0.7%

Your Cost: $128.61/claim|Median: $36.79
3.5× median
70553Top 25%

MRI brain without contrast, then with contrast

$941K

3,353 claims · 0.7%

Your Cost: $280.67/claim|Median: $133.68
2.1× median
90834Normal range

Psychotherapy, 45 minutes

$930K

34K claims · 0.7%

Your Cost: $27.49/claim|Median: $63.65
0.4× median

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