Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

AVITA ONTARIO HOSPITAL

General Acute Care Hospital·ONTARIO, OH·NPI: 1790131050Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$19.7M

$19,730,434

Total Claims

560K

Beneficiaries

470K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+35%
2019
$1.6M
+25%
2020
$2.0M
+20%
2021
$2.4M
-1%
2022
$2.4M
+126%
2023
$5.4M
-14%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99211 (Office/outpatient visit, minimal complexity)) accounts for 26% of total spending.

99211Top 5%

Office/outpatient visit, minimal complexity

$5.1M

62K claims · 25.6%

Your Cost: $81.44/claim|Median: $12.93
6.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.3M

35K claims · 16.9%

Your Cost: $95.43/claim|Median: $42.48
2.2× median
99284Top 25%

Emergency dept visit, high complexity

$2.3M

23K claims · 11.6%

Your Cost: $101.49/claim|Median: $69.51
1.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.0M

9,633 claims · 5.3%

Your Cost: $108.06/claim|Median: $85.65
1.3× median
99213Top 10%

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

$708K

9,338 claims · 3.6%

Your Cost: $75.85/claim|Median: $37.81
2.0× median
96361Top 25%

IV infusion, hydration, each additional hour

$577K

2,029 claims · 2.9%

Your Cost: $284.29/claim|Median: $38.92
7.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$461K

1,859 claims · 2.3%

Your Cost: $248.20/claim|Median: $60.19
4.1× median
99212Top 10%

Office/outpatient visit, low complexity

$433K

6,074 claims · 2.2%

Your Cost: $71.26/claim|Median: $25.06
2.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$386K

1,613 claims · 2.0%

Your Cost: $239.60/claim|Median: $65.76
3.6× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$336K

3,117 claims · 1.7%

Your Cost: $107.91/claim|Median: $29.03
3.7× median
70450Top 10%

CT head/brain without contrast

$334K

1,447 claims · 1.7%

Your Cost: $231.05/claim|Median: $45.53
5.1× median
99282Top 25%

Emergency dept visit, low complexity

$318K

3,418 claims · 1.6%

Your Cost: $93.10/claim|Median: $37.72
2.5× median
43239Top 25%

Upper GI endoscopy with biopsy

$259K

741 claims · 1.3%

Your Cost: $349.88/claim|Median: $151.68
2.3× median
31231Top 5%

Nasal endoscopy, diagnostic

$253K

1,015 claims · 1.3%

Your Cost: $249.35/claim|Median: $98.77
2.5× median
80053Normal range

Comprehensive metabolic panel

$196K

21K claims · 1.0%

Your Cost: $9.42/claim|Median: $7.24
1.3× median
96365Top 25%

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

$174K

1,341 claims · 0.9%

Your Cost: $129.52/claim|Median: $54.77
2.4× median
52000Top 10%

$161K

341 claims · 0.8%

Your Cost: $472.64/claim|Median: $89.88
5.3× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$149K

1,960 claims · 0.8%

Your Cost: $76.02/claim|Median: $24.33
3.1× median
99214Top 25%

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

$148K

1,842 claims · 0.8%

Your Cost: $80.37/claim|Median: $53.41
1.5× median
G0463Normal range

Hospital outpatient clinic visit

$140K

5,323 claims · 0.7%

Your Cost: $26.33/claim|Median: $26.41
1.0× median
90791Top 25%

Psychiatric diagnostic evaluation

$136K

919 claims · 0.7%

Your Cost: $147.51/claim|Median: $99.21
1.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$135K

8,053 claims · 0.7%

Your Cost: $16.71/claim|Median: $65.64
0.3× median
71275Top 25%

CT angiography, chest, with contrast

$133K

564 claims · 0.7%

Your Cost: $235.10/claim|Median: $92.96
2.5× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$133K

707 claims · 0.7%

Your Cost: $187.52/claim|Median: $40.12
4.7× median
G0378Normal range

Hospital observation service, per hour

$132K

2,132 claims · 0.7%

Your Cost: $61.99/claim|Median: $99.39
0.6× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$113K

511 claims · 0.6%

Your Cost: $220.83/claim|Median: $54.68
4.0× median
59025Top 10%

Fetal non-stress test

$107K

798 claims · 0.5%

Your Cost: $134.68/claim|Median: $26.45
5.1× median
31575Top 5%

$89K

428 claims · 0.5%

Your Cost: $207.82/claim|Median: $68.78
3.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$85K

6,312 claims · 0.4%

Your Cost: $13.53/claim|Median: $9.87
1.4× median
97804Top 10%

$73K

973 claims · 0.4%

Your Cost: $74.98/claim|Median: $17.97
4.2× median
96360Top 25%

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

$70K

426 claims · 0.4%

Your Cost: $163.15/claim|Median: $61.57
2.6× median
82306Normal range

Vitamin D, 25 hydroxy

$64K

3,551 claims · 0.3%

Your Cost: $18.12/claim|Median: $18.18
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$62K

31K claims · 0.3%

Your Cost: $2.00/claim|Median: $4.71
0.4× median
80061Normal range

Lipid panel

$59K

6,106 claims · 0.3%

Your Cost: $9.74/claim|Median: $8.41
1.2× median
96130Normal range

Psychological testing evaluation by professional, first hour

$58K

645 claims · 0.3%

Your Cost: $90.02/claim|Median: $79.21
1.1× median
71250Top 25%

CT scan of chest without contrast

$57K

729 claims · 0.3%

Your Cost: $78.84/claim|Median: $39.11
2.0× median
96110Top 1%

Developmental screening, per standardized instrument

$54K

306 claims · 0.3%

Your Cost: $175.85/claim|Median: $9.10
19.3× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$50K

5,313 claims · 0.3%

Your Cost: $9.46/claim|Median: $5.50
1.7× median
36415Normal range

Collection of venous blood by venipuncture

$47K

36K claims · 0.2%

Your Cost: $1.29/claim|Median: $1.57
0.8× median
76705Top 25%

Ultrasound, abdominal, limited

$42K

640 claims · 0.2%

Your Cost: $65.41/claim|Median: $23.81
2.7× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$40K

580 claims · 0.2%

Your Cost: $69.02/claim|Median: $10.88
6.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$39K

11K claims · 0.2%

Your Cost: $3.68/claim|Median: $39.70
0.1× median
96131Normal range

Psychological testing evaluation, each additional hour

$38K

221 claims · 0.2%

Your Cost: $170.91/claim|Median: $133.38
1.3× median
81003Top 5%

Urinalysis, automated without microscopy

$32K

5,182 claims · 0.2%

Your Cost: $6.14/claim|Median: $1.48
4.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$29K

8,366 claims · 0.1%

Your Cost: $3.46/claim|Median: $7.50
0.5× median
86140Top 25%

$28K

3,821 claims · 0.1%

Your Cost: $7.31/claim|Median: $3.02
2.4× median
71046Normal range

Chest X-ray, 2 views

$27K

3,681 claims · 0.1%

Your Cost: $7.35/claim|Median: $8.92
0.8× median
72148Normal range

MRI lumbar spine without contrast

$27K

191 claims · 0.1%

Your Cost: $139.87/claim|Median: $101.03
1.4× median
43235Top 25%

Upper GI endoscopy, diagnostic, including collection

$26K

75 claims · 0.1%

Your Cost: $351.47/claim|Median: $114.30
3.1× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$26K

96 claims · 0.1%

Your Cost: $269.70/claim|Median: $470.36
0.6× median