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BENEFIS HOSPITALS INC

Clinic/Center, Multi-Specialty·GREAT FALLS, MT·NPI: 1780968974Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.2M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

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

Total Paid

$38.2M

$38,152,628

Total Claims

593K

Beneficiaries

514K

1.2 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$4.4M
+16%
2019
$5.1M
-7%
2020
$4.7M
+32%
2021
$6.2M
+6%
2022
$6.6M
-4%
2023
$6.3M
-23%
2024
$4.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 23% of total spending.

99214Top 25%

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

$8.9M

99K claims · 23.4%

Your Cost: $90.74/claim|Median: $53.41
1.7× median
99213Top 10%

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

$8.5M

116K claims · 22.2%

Your Cost: $72.89/claim|Median: $37.81
1.9× median
99284Top 25%

Emergency dept visit, high complexity

$2.7M

24K claims · 7.0%

Your Cost: $111.25/claim|Median: $69.51
1.6× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$1.8M

35K claims · 4.8%

Your Cost: $51.86/claim|Median: $23.99
2.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.6M

11K claims · 4.2%

Your Cost: $149.20/claim|Median: $85.65
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.5M

24K claims · 4.1%

Your Cost: $65.09/claim|Median: $42.48
1.5× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$814K

7,869 claims · 2.1%

Your Cost: $103.46/claim|Median: $57.85
1.8× median
99215Top 25%

Office/outpatient visit, high complexity

$663K

5,854 claims · 1.7%

Your Cost: $113.18/claim|Median: $74.09
1.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$622K

5,420 claims · 1.6%

Your Cost: $114.70/claim|Median: $75.18
1.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$600K

15K claims · 1.6%

Your Cost: $39.42/claim|Median: $35.80
1.1× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$528K

4,896 claims · 1.4%

Your Cost: $107.82/claim|Median: $69.35
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$522K

6,326 claims · 1.4%

Your Cost: $82.53/claim|Median: $65.76
1.3× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$518K

10K claims · 1.4%

Your Cost: $49.68/claim|Median: $17.85
2.8× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$517K

1,593 claims · 1.4%

Your Cost: $324.30/claim|Median: $233.73
1.4× median
99223Top 10%

Initial hospital care, per day, high complexity

$437K

3,016 claims · 1.1%

Your Cost: $144.80/claim|Median: $67.32
2.2× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$405K

2,770 claims · 1.1%

Your Cost: $146.24/claim|Median: $84.03
1.7× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$368K

3,437 claims · 1.0%

Your Cost: $107.20/claim|Median: $51.25
2.1× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$355K

1,079 claims · 0.9%

Your Cost: $329.30/claim|Median: $255.03
1.3× median
99291Top 25%

Critical care, first 30-74 minutes

$334K

1,920 claims · 0.9%

Your Cost: $174.03/claim|Median: $101.24
1.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$307K

5,686 claims · 0.8%

Your Cost: $53.94/claim|Median: $54.68
1.0× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$277K

3,195 claims · 0.7%

Your Cost: $86.55/claim|Median: $43.85
2.0× median
01967Top 5%

Anesthesia, neuraxial labor analgesia/delivery

$273K

408 claims · 0.7%

Your Cost: $668.42/claim|Median: $283.78
2.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$260K

2,254 claims · 0.7%

Your Cost: $115.51/claim|Median: $74.82
1.5× median
93010Normal range

Electrocardiogram, interpretation and report only

$234K

35K claims · 0.6%

Your Cost: $6.62/claim|Median: $5.60
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$228K

4,857 claims · 0.6%

Your Cost: $46.90/claim|Median: $39.70
1.2× median
H0016Normal range

Alcohol or drug abuse services, prenatal

$222K

1,636 claims · 0.6%

Your Cost: $135.93/claim|Median: $182.66
0.7× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$200K

2,433 claims · 0.5%

Your Cost: $82.30/claim|Median: $65.64
1.3× median
70450Normal range

CT head/brain without contrast

$183K

5,219 claims · 0.5%

Your Cost: $35.12/claim|Median: $45.53
0.8× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$175K

7,545 claims · 0.5%

Your Cost: $23.17/claim|Median: $9.79
2.4× median
99282Normal range

Emergency dept visit, low complexity

$150K

3,654 claims · 0.4%

Your Cost: $41.12/claim|Median: $37.72
1.1× median
90833Top 10%

Psychotherapy, 30 min, add-on to E/M service

$132K

1,841 claims · 0.3%

Your Cost: $71.76/claim|Median: $38.83
1.8× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$131K

1,615 claims · 0.3%

Your Cost: $81.41/claim|Median: $35.30
2.3× median
43239Normal range

Upper GI endoscopy with biopsy

$129K

1,583 claims · 0.3%

Your Cost: $81.61/claim|Median: $151.68
0.5× median
99212Top 25%

Office/outpatient visit, low complexity

$122K

3,057 claims · 0.3%

Your Cost: $40.00/claim|Median: $25.06
1.6× median
71045Normal range

Chest X-ray, single view

$120K

16K claims · 0.3%

Your Cost: $7.61/claim|Median: $4.93
1.5× median
94060Normal range

$119K

3,859 claims · 0.3%

Your Cost: $30.87/claim|Median: $25.18
1.2× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$108K

1,359 claims · 0.3%

Your Cost: $79.73/claim|Median: $37.22
2.1× median
71046Normal range

Chest X-ray, 2 views

$106K

10K claims · 0.3%

Your Cost: $10.11/claim|Median: $8.92
1.1× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$105K

3,404 claims · 0.3%

Your Cost: $30.74/claim|Median: $16.77
1.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$101K

2,104 claims · 0.3%

Your Cost: $47.85/claim|Median: $58.55
0.8× median
90471Top 10%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$95K

4,700 claims · 0.2%

Your Cost: $20.27/claim|Median: $9.80
2.1× median
90847Top 25%

Family psychotherapy with patient, 50 min

$94K

717 claims · 0.2%

Your Cost: $131.71/claim|Median: $77.33
1.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$94K

3,110 claims · 0.2%

Your Cost: $30.12/claim|Median: $28.46
1.1× median
88342Normal range

$93K

3,320 claims · 0.2%

Your Cost: $28.02/claim|Median: $23.66
1.2× median
00731Top 10%

$86K

635 claims · 0.2%

Your Cost: $135.69/claim|Median: $64.75
2.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$86K

2,286 claims · 0.2%

Your Cost: $37.48/claim|Median: $39.33
1.0× median
90962Top 25%

$84K

1,092 claims · 0.2%

Your Cost: $76.85/claim|Median: $40.91
1.9× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$80K

1,176 claims · 0.2%

Your Cost: $68.44/claim|Median: $40.11
1.7× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$72K

361 claims · 0.2%

Your Cost: $199.57/claim|Median: $111.09
1.8× median
99221Top 10%

Initial hospital care, straightforward/low

$69K

805 claims · 0.2%

Your Cost: $85.91/claim|Median: $39.96
2.1× median

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