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PRIME HEALTHCARE SERVICES - ST. MARY'S PASSAIC LLC

General Acute Care Hospital·PASSAIC, NJ·NPI: 1770901761Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $56.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$56.2M

$56,160,730

Total Claims

905K

Beneficiaries

707K

1.3 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$8.5M
-6%
2019
$8.0M
-18%
2020
$6.6M
+15%
2021
$7.6M
+20%
2022
$9.1M
-3%
2023
$8.8M
-15%
2024
$7.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 12% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$6.7M

24K claims · 11.9%

Your Cost: $280.37/claim|Median: $69.51
4.0× median
99283Top 5%

Emergency dept visit, moderate complexity

$6.1M

25K claims · 10.9%

Your Cost: $242.37/claim|Median: $42.48
5.7× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$5.1M

17K claims · 9.2%

Your Cost: $305.72/claim|Median: $85.65
3.6× median
90853Top 5%

Group psychotherapy

$3.3M

21K claims · 5.9%

Your Cost: $155.58/claim|Median: $25.02
6.2× median
OP272Top 5%

$2.9M

20K claims · 5.1%

Your Cost: $141.13/claim|Median: $28.37
5.0× median
OP710Top 10%

$1.8M

11K claims · 3.2%

Your Cost: $168.36/claim|Median: $68.93
2.4× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.6M

2,929 claims · 2.8%

Your Cost: $542.45/claim|Median: $65.76
8.2× median
74176Top 5%

CT abdomen and pelvis without contrast

$1.5M

3,060 claims · 2.6%

Your Cost: $480.17/claim|Median: $60.19
8.0× median
G0378Normal range

Hospital observation service, per hour

$1.5M

7,264 claims · 2.6%

Your Cost: $200.71/claim|Median: $99.39
2.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.3M

3,125 claims · 2.3%

Your Cost: $419.19/claim|Median: $151.68
2.8× median
90832Top 10%

Psychotherapy, 30 minutes

$1.2M

13K claims · 2.2%

Your Cost: $94.20/claim|Median: $41.28
2.3× median
70450Top 10%

CT head/brain without contrast

$1.1M

5,466 claims · 1.9%

Your Cost: $198.78/claim|Median: $45.53
4.4× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.1M

12K claims · 1.9%

Your Cost: $90.14/claim|Median: $21.76
4.1× median
77067Top 5%

Screening mammography, bilateral, including CAD

$1.1M

6,768 claims · 1.9%

Your Cost: $155.71/claim|Median: $39.33
4.0× median
58558Normal range

$985K

782 claims · 1.8%

Your Cost: $1,259.12/claim|Median: $942.89
1.3× median
99213Top 10%

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

$860K

10K claims · 1.5%

Your Cost: $83.39/claim|Median: $37.81
2.2× median
45380Top 25%

Colonoscopy with biopsy

$798K

1,946 claims · 1.4%

Your Cost: $410.17/claim|Median: $200.68
2.0× median
OP370Normal range

$653K

11K claims · 1.2%

Your Cost: $57.78/claim|Median: $82.47
0.7× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$644K

9,851 claims · 1.1%

Your Cost: $65.38/claim|Median: $35.80
1.8× median
99291Top 5%

Critical care, first 30-74 minutes

$565K

1,486 claims · 1.0%

Your Cost: $379.88/claim|Median: $101.24
3.8× median
G0463Normal range

Hospital outpatient clinic visit

$520K

13K claims · 0.9%

Your Cost: $39.84/claim|Median: $26.41
1.5× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$518K

1,439 claims · 0.9%

Your Cost: $359.74/claim|Median: $106.14
3.4× median
96361Normal range

IV infusion, hydration, each additional hour

$474K

9,271 claims · 0.8%

Your Cost: $51.08/claim|Median: $38.92
1.3× median
45378Top 25%

Colonoscopy, diagnostic

$450K

1,076 claims · 0.8%

Your Cost: $417.91/claim|Median: $225.49
1.9× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$432K

13K claims · 0.8%

Your Cost: $33.67/claim|Median: $9.56
3.5× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$427K

15K claims · 0.8%

Your Cost: $28.57/claim|Median: $7.50
3.8× median
97110Normal range

Therapeutic exercises, each 15 min

$392K

10K claims · 0.7%

Your Cost: $39.04/claim|Median: $24.49
1.6× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$375K

1,790 claims · 0.7%

Your Cost: $209.54/claim|Median: $148.53
1.4× median
76641Top 5%

Ultrasound imaging of one breast, complete

$368K

2,743 claims · 0.7%

Your Cost: $134.19/claim|Median: $49.03
2.7× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$366K

5,855 claims · 0.7%

Your Cost: $62.54/claim|Median: $3.42
18.3× median
71046Top 10%

Chest X-ray, 2 views

$364K

7,847 claims · 0.6%

Your Cost: $46.36/claim|Median: $8.92
5.2× median
71045Top 10%

Chest X-ray, single view

$360K

10K claims · 0.6%

Your Cost: $35.94/claim|Median: $4.93
7.3× median
OP270Normal range

$332K

27K claims · 0.6%

Your Cost: $12.34/claim|Median: $7.34
1.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$322K

8,032 claims · 0.6%

Your Cost: $40.07/claim|Median: $14.92
2.7× median
96365Normal range

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

$312K

4,531 claims · 0.6%

Your Cost: $68.80/claim|Median: $54.77
1.3× median
93017Top 25%

$292K

1,906 claims · 0.5%

Your Cost: $153.19/claim|Median: $56.03
2.7× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$288K

2,087 claims · 0.5%

Your Cost: $138.19/claim|Median: $36.13
3.8× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$255K

5,330 claims · 0.5%

Your Cost: $47.84/claim|Median: $34.62
1.4× median
76856Top 10%

Ultrasound, pelvic, complete

$243K

1,810 claims · 0.4%

Your Cost: $134.52/claim|Median: $47.58
2.8× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$243K

3,047 claims · 0.4%

Your Cost: $79.62/claim|Median: $12.06
6.6× median
73030Top 5%

$214K

2,258 claims · 0.4%

Your Cost: $94.88/claim|Median: $10.94
8.7× median
80053Normal range

Comprehensive metabolic panel

$208K

24K claims · 0.4%

Your Cost: $8.77/claim|Median: $7.24
1.2× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$206K

807 claims · 0.4%

Your Cost: $254.67/claim|Median: $54.68
4.7× median
OP250Normal range

Orthotic or prosthetic procedure, not otherwise classified

$204K

49K claims · 0.4%

Your Cost: $4.16/claim|Median: $1.68
2.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$202K

30K claims · 0.4%

Your Cost: $6.69/claim|Median: $4.71
1.4× median
73562Top 1%

$201K

1,739 claims · 0.4%

Your Cost: $115.70/claim|Median: $12.28
9.4× median
96360Normal range

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

$199K

3,283 claims · 0.4%

Your Cost: $60.75/claim|Median: $61.57
1.0× median
J3490Normal range

Unclassified drugs

$188K

14K claims · 0.3%

Your Cost: $13.11/claim|Median: $5.70
2.3× median
73130Top 5%

$176K

2,036 claims · 0.3%

Your Cost: $86.53/claim|Median: $10.69
8.1× median
93458Top 10%

Left heart catheterization with imaging

$168K

115 claims · 0.3%

Your Cost: $1,464.32/claim|Median: $183.33
8.0× median

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