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ST. MARY'S HEALTHCARE

General Acute Care Hospital·AMSTERDAM, NY·NPI: 1811977796Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $67.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$67.3M

$67,341,210

Total Claims

1.2M

Beneficiaries

921K

1.3 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+360%
2019
$6.0M
+127%
2020
$13.6M
-0%
2021
$13.6M
-16%
2022
$11.4M
+5%
2023
$12.0M
-21%
2024
$9.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 12% of total spending.

99213Top 5%

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

$8.4M

96K claims · 12.5%

Your Cost: $87.56/claim|Median: $37.81
2.3× median
G9005Top 25%

Coordinated care fee, risk-adjusted, ESRD

$5.3M

15K claims · 7.8%

Your Cost: $350.88/claim|Median: $47.08
7.5× median
H0040Top 10%

Assertive community treatment, face-to-face, per 15 minutes

$4.5M

2,510 claims · 6.7%

Your Cost: $1,792.73/claim|Median: $266.41
6.7× median
99214Top 25%

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

$3.9M

43K claims · 5.8%

Your Cost: $89.69/claim|Median: $53.41
1.7× median
H0020Normal range

Alcohol/drug services; methadone administration

$3.6M

135K claims · 5.4%

Your Cost: $26.95/claim|Median: $18.95
1.4× median
90832Top 25%

Psychotherapy, 30 minutes

$3.3M

39K claims · 4.8%

Your Cost: $83.44/claim|Median: $41.28
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$2.4M

26K claims · 3.6%

Your Cost: $95.06/claim|Median: $25.06
3.8× median
90834Top 10%

Psychotherapy, 45 minutes

$2.4M

22K claims · 3.6%

Your Cost: $108.81/claim|Median: $63.65
1.7× median
T2022Top 10%

Case management, per month

$1.9M

4,826 claims · 2.8%

Your Cost: $391.79/claim|Median: $202.77
1.9× median
H2016Normal range

Comprehensive community support services, per 15 min

$1.9M

2,720 claims · 2.8%

Your Cost: $693.97/claim|Median: $321.53
2.2× median
G2067Top 25%

Medication-assisted treatment, opioid use disorder, per month

$1.8M

9,407 claims · 2.7%

Your Cost: $196.59/claim|Median: $73.29
2.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

15K claims · 2.6%

Your Cost: $119.56/claim|Median: $42.48
2.8× median
99284Top 25%

Emergency dept visit, high complexity

$1.6M

13K claims · 2.3%

Your Cost: $121.69/claim|Median: $69.51
1.8× median
H2019Top 5%

Therapeutic behavioral services, per 15 min

$1.5M

2,428 claims · 2.3%

Your Cost: $628.03/claim|Median: $84.12
7.5× median
G0396Normal range

Alcohol/substance abuse structured assessment, 15-30 minutes

$1.2M

13K claims · 1.8%

Your Cost: $92.92/claim|Median: $40.58
2.3× median
H0005Normal range

Alcohol and/or drug services, group counseling

$1.0M

19K claims · 1.5%

Your Cost: $53.53/claim|Median: $47.35
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$972K

8,274 claims · 1.4%

Your Cost: $117.53/claim|Median: $85.65
1.4× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$955K

9,613 claims · 1.4%

Your Cost: $99.30/claim|Median: $135.70
0.7× median
90791Top 25%

Psychiatric diagnostic evaluation

$892K

5,522 claims · 1.3%

Your Cost: $161.55/claim|Median: $99.21
1.6× median
96361Top 25%

IV infusion, hydration, each additional hour

$868K

4,331 claims · 1.3%

Your Cost: $200.43/claim|Median: $38.92
5.1× median
90853Top 25%

Group psychotherapy

$717K

14K claims · 1.1%

Your Cost: $51.86/claim|Median: $25.02
2.1× median
U0002Normal range

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

$714K

19K claims · 1.1%

Your Cost: $37.34/claim|Median: $34.62
1.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$678K

2,720 claims · 1.0%

Your Cost: $249.22/claim|Median: $65.76
3.8× median
80053Top 25%

Comprehensive metabolic panel

$650K

36K claims · 1.0%

Your Cost: $17.94/claim|Median: $7.24
2.5× median
99203Top 10%

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

$596K

6,012 claims · 0.9%

Your Cost: $99.20/claim|Median: $57.85
1.7× median
G0397Normal range

$578K

4,635 claims · 0.9%

Your Cost: $124.79/claim|Median: $142.31
0.9× median
70450Top 5%

CT head/brain without contrast

$525K

1,935 claims · 0.8%

Your Cost: $271.14/claim|Median: $45.53
6.0× median
T1015Top 10%

Clinic visit/encounter, all-inclusive

$448K

1,735 claims · 0.7%

Your Cost: $258.03/claim|Median: $121.16
2.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$410K

4,922 claims · 0.6%

Your Cost: $83.31/claim|Median: $75.18
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$390K

3,848 claims · 0.6%

Your Cost: $101.22/claim|Median: $74.09
1.4× median
74176Top 10%

CT abdomen and pelvis without contrast

$389K

1,454 claims · 0.6%

Your Cost: $267.43/claim|Median: $60.19
4.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$385K

2,477 claims · 0.6%

Your Cost: $155.25/claim|Median: $215.80
0.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$376K

3,739 claims · 0.6%

Your Cost: $100.61/claim|Median: $72.71
1.4× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$375K

5,180 claims · 0.6%

Your Cost: $72.35/claim|Median: $100.62
0.7× median
99204Normal range

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

$372K

3,410 claims · 0.6%

Your Cost: $109.04/claim|Median: $84.03
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$370K

4,407 claims · 0.6%

Your Cost: $84.06/claim|Median: $69.35
1.2× median
43239Top 10%

Upper GI endoscopy with biopsy

$316K

622 claims · 0.5%

Your Cost: $508.14/claim|Median: $151.68
3.4× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$309K

3,055 claims · 0.5%

Your Cost: $101.19/claim|Median: $76.06
1.3× median
G0463Normal range

Hospital outpatient clinic visit

$298K

9,479 claims · 0.4%

Your Cost: $31.44/claim|Median: $26.41
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$277K

3,216 claims · 0.4%

Your Cost: $86.23/claim|Median: $74.82
1.2× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$270K

1,441 claims · 0.4%

Your Cost: $187.65/claim|Median: $108.91
1.7× median
H0001Normal range

Alcohol and/or drug assessment

$255K

1,802 claims · 0.4%

Your Cost: $141.49/claim|Median: $94.22
1.5× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$236K

5,125 claims · 0.4%

Your Cost: $46.07/claim|Median: $74.63
0.6× median
99282Top 25%

Emergency dept visit, low complexity

$235K

2,026 claims · 0.3%

Your Cost: $115.92/claim|Median: $37.72
3.1× median
90837Top 25%

Psychotherapy, 60 minutes

$208K

1,903 claims · 0.3%

Your Cost: $109.41/claim|Median: $85.66
1.3× median
96360Top 25%

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

$205K

1,370 claims · 0.3%

Your Cost: $149.46/claim|Median: $61.57
2.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$199K

2,140 claims · 0.3%

Your Cost: $92.84/claim|Median: $80.15
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$192K

5,999 claims · 0.3%

Your Cost: $31.99/claim|Median: $24.95
1.3× median
82306Top 25%

Vitamin D, 25 hydroxy

$192K

6,397 claims · 0.3%

Your Cost: $29.98/claim|Median: $18.18
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$175K

15K claims · 0.3%

Your Cost: $11.53/claim|Median: $9.56
1.2× median

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$1.08B

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$961.1M

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$863.5M

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$777.5M

Boston Medical Center Corporation

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$768.5M

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