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William Beaumont Hospital

Internal Medicine, Cardiovascular Disease·Royal Oak, MI·NPI: 1811044878Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$168.0M

$168,035,919

Total Claims

4.0M

Beneficiaries

3.4M

1.2 claims/patient

Avg Cost/Claim

$42

#594 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

William Beaumont Hospital is a Internal Medicine, Cardiovascular Disease provider based in Royal Oak, MI. From the 2018–2024 period, this provider received $168.0M in Medicaid payments across 4.0M claims.

Why This Matters

This provider received $168.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,004 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 34% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.8M
+13%
2019
$21.3M
-6%
2020
$20.1M
+30%
2021
$26.1M
+2%
2022
$26.7M
+11%
2023
$29.7M
-15%
2024
$25.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 10% of total spending.

99214Normal range

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

$16.4M

245K claims · 9.8%

Your Cost: $67.11/claim|Median: $53.41
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$13.7M

174K claims · 8.1%

Your Cost: $78.48/claim|Median: $85.65
0.9× median
99284Normal range

Emergency dept visit, high complexity

$11.3M

184K claims · 6.7%

Your Cost: $61.45/claim|Median: $69.51
0.9× median
99213Normal range

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

$9.6M

206K claims · 5.7%

Your Cost: $46.64/claim|Median: $37.81
1.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$7.7M

130K claims · 4.6%

Your Cost: $58.86/claim|Median: $35.30
1.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$5.4M

52K claims · 3.2%

Your Cost: $104.45/claim|Median: $67.32
1.6× median
99204Normal range

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

$5.0M

59K claims · 3.0%

Your Cost: $85.15/claim|Median: $84.03
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$4.9M

117K claims · 2.9%

Your Cost: $41.48/claim|Median: $23.99
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$4.6M

57K claims · 2.8%

Your Cost: $81.57/claim|Median: $74.09
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$4.2M

34K claims · 2.5%

Your Cost: $123.26/claim|Median: $101.24
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$3.9M

66K claims · 2.3%

Your Cost: $58.58/claim|Median: $42.48
1.4× median
59409Normal range

Vaginal delivery only

$3.5M

5K claims · 2.1%

Your Cost: $756.93/claim|Median: $619.91
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$2.6M

24K claims · 1.5%

Your Cost: $105.71/claim|Median: $111.09
0.9× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$2.5M

8K claims · 1.5%

Your Cost: $308.95/claim|Median: $307.98
1.0× median
59426Normal range

$2.4M

3K claims · 1.4%

Your Cost: $712.32/claim|Median: $122.30
5.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$2.3M

25K claims · 1.4%

Your Cost: $91.35/claim|Median: $76.06
1.2× median
88305Normal range

Surgical pathology, gross and microscopic examination

$2.2M

61K claims · 1.3%

Your Cost: $36.02/claim|Median: $35.80
1.0× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$2.1M

29K claims · 1.3%

Your Cost: $74.24/claim|Median: $51.25
1.4× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$2.1M

6K claims · 1.3%

Your Cost: $328.71/claim|Median: $293.45
1.1× median
99203Normal range

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

$2.0M

38K claims · 1.2%

Your Cost: $52.66/claim|Median: $57.85
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$2.0M

39K claims · 1.2%

Your Cost: $51.23/claim|Median: $65.76
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$1.9M

24K claims · 1.1%

Your Cost: $81.16/claim|Median: $72.71
1.1× median
59514Top 25%

$1.7M

3K claims · 1.0%

Your Cost: $668.83/claim|Median: $452.80
1.5× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$1.7M

16K claims · 1.0%

Your Cost: $103.26/claim|Median: $103.70
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$1.3M

30K claims · 0.8%

Your Cost: $42.29/claim|Median: $37.22
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

20K claims · 0.7%

Your Cost: $58.29/claim|Median: $69.35
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.1M

26K claims · 0.6%

Your Cost: $39.96/claim|Median: $54.68
0.7× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.0M

10K claims · 0.6%

Your Cost: $98.18/claim|Median: $98.15
1.0× median
70450Normal range

CT head/brain without contrast

$979K

42K claims · 0.6%

Your Cost: $23.46/claim|Median: $45.53
0.5× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$938K

17K claims · 0.6%

Your Cost: $56.83/claim|Median: $59.38
1.0× median

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