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City of Hope National Medical Center

General Acute Care Hospital·Duarte, CA·NPI: 1750358297Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $175.7M is at the 50th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$175.7M

$175,720,757

Total Claims

1.3M

Beneficiaries

867K

1.5 claims/patient

Avg Cost/Claim

$138

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

🔍 Analysis

Provider Overview

City of Hope National Medical Center is a General Acute Care Hospital provider based in Duarte, CA. From the 2018–2024 period, this provider received $175.7M in Medicaid payments across 1.3M claims.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Why This Matters

This provider received $175.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,965 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 265% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$13.0M
-18%
2019
$10.7M
-5%
2020
$10.1M
+94%
2021
$19.6M
+41%
2022
$27.6M
+71%
2023
$47.1M
+1%
2024
$47.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J9271 (Injection, pembrolizumab, 1 mg)) accounts for 12% of total spending.

J9271Normal range

Injection, pembrolizumab, 1 mg

$21.3M

4K claims · 12.1%

Your Cost: $5,905.59/claim|Median: $5,391.55
1.1× median
77386Top 5%

Intensity modulated radiation treatment delivery, complex

$8.5M

7K claims · 4.8%

Your Cost: $1,265.08/claim|Median: $260.56
4.9× median
78815Top 5%

PET imaging for limited area

$8.2M

6K claims · 4.6%

Your Cost: $1,422.24/claim|Median: $325.10
4.4× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$8.1M

2K claims · 4.6%

Your Cost: $4,091.08/claim|Median: $3,562.28
1.1× median
J9144Normal range

$6.0M

1K claims · 3.4%

Your Cost: $4,555.10/claim|Median: $3,253.39
1.4× median
J9306Normal range

$5.1M

1K claims · 2.9%

Your Cost: $4,481.14/claim|Median: $3,571.19
1.3× median
80053Top 5%

Comprehensive metabolic panel

$4.9M

93K claims · 2.8%

Your Cost: $53.15/claim|Median: $7.24
7.3× median
J9358Normal range

$4.8M

1K claims · 2.8%

Your Cost: $3,812.50/claim|Median: $3,408.30
1.1× median
J2506Normal range

$4.5M

4K claims · 2.6%

Your Cost: $1,262.40/claim|Median: $997.36
1.3× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$4.5M

38K claims · 2.5%

Your Cost: $118.82/claim|Median: $75.28
1.6× median
J2505Normal range

$4.4M

2K claims · 2.5%

Your Cost: $2,336.01/claim|Median: $1,842.27
1.3× median
J0897Top 25%

$4.2M

4K claims · 2.4%

Your Cost: $1,095.34/claim|Median: $493.25
2.2× median
Q5107Normal range

$3.5M

4K claims · 2.0%

Your Cost: $855.46/claim|Median: $824.41
1.0× median
74178Top 5%

$3.3M

6K claims · 1.9%

Your Cost: $573.17/claim|Median: $122.85
4.7× median
71260Top 5%

CT chest with contrast

$3.2M

12K claims · 1.8%

Your Cost: $267.93/claim|Median: $48.36
5.5× median
0510Top 10%

Revenue code, clinic services

$3.1M

45K claims · 1.8%

Your Cost: $69.44/claim|Median: $28.38
2.5× median
38204Top 1%

$3.0M

651 claims · 1.7%

Your Cost: $4,614.15/claim|Median: $2,308.85
2.0× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$2.8M

26K claims · 1.6%

Your Cost: $107.07/claim|Median: $14.92
7.2× median
Q5117Normal range

$2.7M

3K claims · 1.5%

Your Cost: $943.98/claim|Median: $1,034.41
0.9× median
J9355Normal range

$2.2M

830 claims · 1.3%

Your Cost: $2,709.24/claim|Median: $1,942.13
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$2.2M

93K claims · 1.3%

Your Cost: $23.86/claim|Median: $26.41
0.9× median
70553Top 10%

MRI brain without contrast, then with contrast

$1.9M

3K claims · 1.1%

Your Cost: $594.70/claim|Median: $133.68
4.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$1.8M

85K claims · 1.0%

Your Cost: $21.47/claim|Median: $4.71
4.6× median
88185Top 5%

$1.7M

3K claims · 0.9%

Your Cost: $631.77/claim|Median: $119.02
5.3× median
P9037Top 25%

$1.6M

2K claims · 0.9%

Your Cost: $698.29/claim|Median: $401.87
1.7× median
J9354Normal range

$1.5M

428 claims · 0.8%

Your Cost: $3,423.76/claim|Median: $3,182.82
1.1× median
77334Top 5%

$1.4M

3K claims · 0.8%

Your Cost: $526.98/claim|Median: $99.06
5.3× median
J0185Normal range

$1.4M

8K claims · 0.8%

Your Cost: $165.84/claim|Median: $125.72
1.3× median
81455Top 10%

$1.3M

526 claims · 0.8%

Your Cost: $2,559.43/claim|Median: $538.58
4.8× median
96365Top 10%

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

$1.3M

8K claims · 0.7%

Your Cost: $149.99/claim|Median: $54.77
2.7× median

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