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Holyoke Medical Center, Inc.

Clinic/Center, Adult Mental Health·Holyoke, MA·NPI: 1750395737Share

Compared to Clinic/Center, Adult Mental Health Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $125.1M is at the 75th percentile among 10 Clinic/Center, Adult Mental Health providers.

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

Total Paid

$125.1M

$125,053,509

Total Claims

3.2M

Beneficiaries

2.8M

1.2 claims/patient

Avg Cost/Claim

$39

#945 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Holyoke Medical Center, Inc. is a Clinic/Center, Adult Mental Health provider based in Holyoke, MA. From the 2018–2024 period, this provider received $125.1M in Medicaid payments across 3.2M claims.

Why This Matters

This provider received $125.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,631 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 18% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.6M
-10%
2019
$17.6M
-19%
2020
$14.2M
+17%
2021
$16.6M
+20%
2022
$19.8M
+7%
2023
$21.2M
-24%
2024
$16.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 12% of total spending.

99212Top 5%

Office/outpatient visit, low complexity

$15.5M

101K claims · 12.4%

Your Cost: $153.83/claim|Median: $25.06
6.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$12.4M

78K claims · 9.9%

Your Cost: $157.86/claim|Median: $42.48
3.7× median
99284Top 25%

Emergency dept visit, high complexity

$11.6M

74K claims · 9.3%

Your Cost: $156.69/claim|Median: $69.51
2.3× median
96361Top 10%

IV infusion, hydration, each additional hour

$7.7M

23K claims · 6.1%

Your Cost: $333.57/claim|Median: $38.92
8.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$3.5M

59K claims · 2.8%

Your Cost: $59.15/claim|Median: $24.49
2.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.3M

20K claims · 2.6%

Your Cost: $164.82/claim|Median: $85.65
1.9× median
G0463Normal range

Hospital outpatient clinic visit

$3.1M

112K claims · 2.5%

Your Cost: $27.65/claim|Median: $26.41
1.1× median
99214Normal range

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

$2.7M

71K claims · 2.2%

Your Cost: $38.37/claim|Median: $53.41
0.7× median
J2357Top 25%

Injection, omalizumab, 5 mg

$2.6M

1K claims · 2.0%

Your Cost: $1,822.12/claim|Median: $920.37
2.0× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$2.5M

14K claims · 2.0%

Your Cost: $172.05/claim|Median: $40.11
4.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$2.3M

6K claims · 1.8%

Your Cost: $402.36/claim|Median: $151.68
2.6× median
99213Normal range

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

$1.8M

59K claims · 1.5%

Your Cost: $30.99/claim|Median: $37.81
0.8× median
96365Top 10%

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

$1.7M

11K claims · 1.4%

Your Cost: $161.62/claim|Median: $54.77
3.0× median
70450Top 25%

CT head/brain without contrast

$1.7M

12K claims · 1.3%

Your Cost: $134.00/claim|Median: $45.53
2.9× median
45380Top 25%

Colonoscopy with biopsy

$1.6M

3K claims · 1.3%

Your Cost: $459.21/claim|Median: $200.68
2.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.5M

8K claims · 1.2%

Your Cost: $183.83/claim|Median: $65.76
2.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.5M

8K claims · 1.2%

Your Cost: $182.30/claim|Median: $60.19
3.0× median
99211Top 5%

Office/outpatient visit, minimal complexity

$1.5M

12K claims · 1.2%

Your Cost: $120.17/claim|Median: $12.93
9.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.4M

15K claims · 1.1%

Your Cost: $90.08/claim|Median: $54.68
1.6× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$1.4M

701 claims · 1.1%

Your Cost: $1,930.82/claim|Median: $763.43
2.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.3M

30K claims · 1.0%

Your Cost: $43.04/claim|Median: $39.70
1.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.2M

18K claims · 1.0%

Your Cost: $69.84/claim|Median: $91.47
0.8× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$1.1M

18K claims · 0.9%

Your Cost: $57.78/claim|Median: $21.41
2.7× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$1.0M

10K claims · 0.8%

Your Cost: $107.10/claim|Median: $29.03
3.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$969K

16K claims · 0.8%

Your Cost: $61.20/claim|Median: $63.08
1.0× median
96360Top 25%

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

$957K

6K claims · 0.8%

Your Cost: $154.53/claim|Median: $61.57
2.5× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$907K

2K claims · 0.7%

Your Cost: $403.76/claim|Median: $255.17
1.6× median
76856Top 10%

Ultrasound, pelvic, complete

$894K

7K claims · 0.7%

Your Cost: $128.31/claim|Median: $47.58
2.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$893K

17K claims · 0.7%

Your Cost: $53.43/claim|Median: $35.43
1.5× median
99282Top 25%

Emergency dept visit, low complexity

$869K

6K claims · 0.7%

Your Cost: $145.87/claim|Median: $37.72
3.9× median

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