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SANFORD HEALTH OF NORTHERN MINNESOTA

General Acute Care Hospital, Rural·BEMIDJI, MN·NPI: 1801870191Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$47.5M

$47,453,764

Total Claims

736K

Beneficiaries

660K

1.1 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+192%
2019
$6.7M
-8%
2020
$6.2M
+32%
2021
$8.2M
+2%
2022
$8.4M
+6%
2023
$8.8M
-23%
2024
$6.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 58% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$27.6M

312K claims · 58.2%

Your Cost: $88.60/claim|Median: $26.41
3.4× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$4.6M

12K claims · 9.6%

Your Cost: $379.46/claim|Median: $85.65
4.4× median
99283Top 10%

Emergency dept visit, moderate complexity

$4.4M

25K claims · 9.2%

Your Cost: $174.06/claim|Median: $42.48
4.1× median
99284Top 5%

Emergency dept visit, high complexity

$1.6M

5,449 claims · 3.3%

Your Cost: $284.81/claim|Median: $69.51
4.1× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.3M

14K claims · 2.7%

Your Cost: $88.37/claim|Median: $47.08
1.9× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$720K

5,328 claims · 1.5%

Your Cost: $135.16/claim|Median: $21.76
6.2× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$655K

7,405 claims · 1.4%

Your Cost: $88.42/claim|Median: $59.72
1.5× median
99282Normal range

Emergency dept visit, low complexity

$421K

4,738 claims · 0.9%

Your Cost: $88.80/claim|Median: $37.72
2.4× median
67028Top 10%

Intravitreal injection of a pharmacologic agent

$392K

1,768 claims · 0.8%

Your Cost: $222.00/claim|Median: $58.82
3.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$342K

4,552 claims · 0.7%

Your Cost: $75.21/claim|Median: $63.08
1.2× median
20611Top 5%

Aspiration or injection of intermediate joint or bursa

$312K

1,482 claims · 0.7%

Your Cost: $210.66/claim|Median: $42.51
5.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$281K

4,132 claims · 0.6%

Your Cost: $68.06/claim|Median: $91.47
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$259K

4,204 claims · 0.5%

Your Cost: $61.59/claim|Median: $75.18
0.8× median
71045Top 5%

Chest X-ray, single view

$229K

4,330 claims · 0.5%

Your Cost: $52.90/claim|Median: $4.93
10.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$214K

3,771 claims · 0.5%

Your Cost: $56.84/claim|Median: $69.35
0.8× median
90837Top 25%

Psychotherapy, 60 minutes

$188K

1,624 claims · 0.4%

Your Cost: $115.85/claim|Median: $85.66
1.4× median
97110Normal range

Therapeutic exercises, each 15 min

$181K

4,634 claims · 0.4%

Your Cost: $39.07/claim|Median: $24.49
1.6× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$180K

954 claims · 0.4%

Your Cost: $189.00/claim|Median: $75.28
2.5× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$173K

781 claims · 0.4%

Your Cost: $221.03/claim|Median: $36.13
6.1× median
59025Top 10%

Fetal non-stress test

$153K

1,043 claims · 0.3%

Your Cost: $146.85/claim|Median: $26.45
5.6× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$152K

8,547 claims · 0.3%

Your Cost: $17.82/claim|Median: $7.50
2.4× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$143K

122 claims · 0.3%

Your Cost: $1,172.35/claim|Median: $57.39
20.4× median
D0240Top 1%

$138K

174 claims · 0.3%

Your Cost: $795.47/claim|Median: $15.24
52.2× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$133K

2,626 claims · 0.3%

Your Cost: $50.82/claim|Median: $14.92
3.4× median
90847Top 10%

Family psychotherapy with patient, 50 min

$107K

781 claims · 0.2%

Your Cost: $137.01/claim|Median: $77.33
1.8× median
96361Normal range

IV infusion, hydration, each additional hour

$106K

1,459 claims · 0.2%

Your Cost: $72.62/claim|Median: $38.92
1.9× median
96365Top 10%

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

$104K

721 claims · 0.2%

Your Cost: $143.89/claim|Median: $54.77
2.6× median
92587Top 5%

$102K

521 claims · 0.2%

Your Cost: $195.03/claim|Median: $19.24
10.1× median
90471Normal range

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

$100K

9,493 claims · 0.2%

Your Cost: $10.56/claim|Median: $9.80
1.1× median
D0120Top 1%

Periodic oral evaluation, established patient

$100K

174 claims · 0.2%

Your Cost: $573.70/claim|Median: $24.34
23.6× median
74177Top 10%

CT abdomen and pelvis with contrast

$97K

315 claims · 0.2%

Your Cost: $307.33/claim|Median: $65.76
4.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$94K

1,511 claims · 0.2%

Your Cost: $62.30/claim|Median: $58.55
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$83K

67K claims · 0.2%

Your Cost: $1.23/claim|Median: $1.57
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$75K

1,107 claims · 0.2%

Your Cost: $67.78/claim|Median: $74.82
0.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$72K

3,322 claims · 0.2%

Your Cost: $21.62/claim|Median: $30.04
0.7× median
70450Top 25%

CT head/brain without contrast

$65K

689 claims · 0.1%

Your Cost: $94.55/claim|Median: $45.53
2.1× median
92557Top 10%

Comprehensive audiometry, air, bone, and speech testing

$63K

980 claims · 0.1%

Your Cost: $64.44/claim|Median: $27.28
2.4× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$62K

182 claims · 0.1%

Your Cost: $341.90/claim|Median: $120.85
2.8× median
66984Top 1%

Extracapsular cataract removal with IOL insertion

$57K

36 claims · 0.1%

Your Cost: $1,577.94/claim|Median: $268.70
5.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$57K

430 claims · 0.1%

Your Cost: $131.57/claim|Median: $108.91
1.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$55K

1,943 claims · 0.1%

Your Cost: $28.49/claim|Median: $9.56
3.0× median
90834Normal range

Psychotherapy, 45 minutes

$55K

779 claims · 0.1%

Your Cost: $70.74/claim|Median: $63.65
1.1× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$52K

2,557 claims · 0.1%

Your Cost: $20.19/claim|Median: $15.76
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$51K

14K claims · 0.1%

Your Cost: $3.52/claim|Median: $28.46
0.1× median
90833Normal range

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

$51K

2,868 claims · 0.1%

Your Cost: $17.67/claim|Median: $38.83
0.5× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$50K

13 claims · 0.1%

Your Cost: $3,823.47/claim|Median: $331.68
11.5× median
80053Normal range

Comprehensive metabolic panel

$45K

31K claims · 0.1%

Your Cost: $1.45/claim|Median: $7.24
0.2× median
J0178Normal range

Injection, aflibercept, 1 mg

$39K

39 claims · 0.1%

Your Cost: $990.03/claim|Median: $730.09
1.4× median
0240UNormal range

$38K

751 claims · 0.1%

Your Cost: $50.22/claim|Median: $89.76
0.6× median
99281Normal range

Emergency dept visit, minimal complexity

$38K

1,003 claims · 0.1%

Your Cost: $37.45/claim|Median: $52.03
0.7× median

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