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MERCY HEALTH PARTNERS

General Acute Care Hospital·MUSKEGON, MI·NPI: 1831132133Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $98.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$98.3M

$98,257,138

Total Claims

3.2M

Beneficiaries

2.9M

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$12.1M
-9%
2019
$10.9M
+8%
2020
$11.8M
+56%
2021
$18.4M
-7%
2022
$17.2M
-5%
2023
$16.3M
-30%
2024
$11.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 14% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$14.0M

48K claims · 14.3%

Your Cost: $290.46/claim|Median: $85.65
3.4× median
G0463Top 25%

Hospital outpatient clinic visit

$13.2M

227K claims · 13.5%

Your Cost: $58.34/claim|Median: $26.41
2.2× median
99284Top 10%

Emergency dept visit, high complexity

$10.5M

56K claims · 10.6%

Your Cost: $185.61/claim|Median: $69.51
2.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$8.7M

71K claims · 8.8%

Your Cost: $122.32/claim|Median: $42.48
2.9× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$4.2M

44K claims · 4.3%

Your Cost: $95.78/claim|Median: $21.76
4.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.9M

32K claims · 1.9%

Your Cost: $60.00/claim|Median: $63.08
1.0× median
99282Normal range

Emergency dept visit, low complexity

$1.8M

25K claims · 1.8%

Your Cost: $71.75/claim|Median: $37.72
1.9× median
74177Normal range

CT abdomen and pelvis with contrast

$1.7M

12K claims · 1.7%

Your Cost: $137.03/claim|Median: $65.76
2.1× median
71046Top 10%

Chest X-ray, 2 views

$1.4M

39K claims · 1.4%

Your Cost: $36.34/claim|Median: $8.92
4.1× median
97110Normal range

Therapeutic exercises, each 15 min

$1.3M

53K claims · 1.4%

Your Cost: $25.21/claim|Median: $24.49
1.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.3M

3,853 claims · 1.3%

Your Cost: $326.28/claim|Median: $151.68
2.2× median
70450Top 25%

CT head/brain without contrast

$1.2M

14K claims · 1.3%

Your Cost: $90.78/claim|Median: $45.53
2.0× median
J3380Normal range

Injection, vedolizumab, one milligram

$1.2M

401 claims · 1.3%

Your Cost: $3,113.64/claim|Median: $4,027.41
0.8× median
G0382Normal range

$1.0M

12K claims · 1.0%

Your Cost: $85.74/claim|Median: $80.53
1.1× median
45380Top 25%

Colonoscopy with biopsy

$994K

2,061 claims · 1.0%

Your Cost: $482.21/claim|Median: $200.68
2.4× median
96365Normal range

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

$926K

11K claims · 0.9%

Your Cost: $85.94/claim|Median: $54.77
1.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$874K

31K claims · 0.9%

Your Cost: $28.26/claim|Median: $14.92
1.9× median
59025Top 25%

Fetal non-stress test

$826K

9,205 claims · 0.8%

Your Cost: $89.76/claim|Median: $26.45
3.4× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$817K

2,055 claims · 0.8%

Your Cost: $397.61/claim|Median: $255.17
1.6× median
J7298Top 25%

$801K

805 claims · 0.8%

Your Cost: $994.57/claim|Median: $751.11
1.3× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$756K

3,882 claims · 0.8%

Your Cost: $194.81/claim|Median: $54.68
3.6× median
71045Top 10%

Chest X-ray, single view

$719K

19K claims · 0.7%

Your Cost: $38.37/claim|Median: $4.93
7.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$687K

7,201 claims · 0.7%

Your Cost: $95.44/claim|Median: $100.62
0.9× median
96361Normal range

IV infusion, hydration, each additional hour

$638K

22K claims · 0.6%

Your Cost: $28.99/claim|Median: $38.92
0.7× median
G0381Normal range

$633K

13K claims · 0.6%

Your Cost: $48.07/claim|Median: $59.47
0.8× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$578K

216 claims · 0.6%

Your Cost: $2,677.53/claim|Median: $331.68
8.1× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$575K

1,389 claims · 0.6%

Your Cost: $414.32/claim|Median: $106.14
3.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$561K

8,813 claims · 0.6%

Your Cost: $63.62/claim|Median: $72.71
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$536K

39K claims · 0.5%

Your Cost: $13.75/claim|Median: $24.95
0.6× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$534K

39K claims · 0.5%

Your Cost: $13.71/claim|Median: $23.39
0.6× median
96360Normal range

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

$525K

5,484 claims · 0.5%

Your Cost: $95.67/claim|Median: $61.57
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$494K

4,616 claims · 0.5%

Your Cost: $106.93/claim|Median: $60.19
1.8× median
80061Top 25%

Lipid panel

$435K

29K claims · 0.4%

Your Cost: $15.00/claim|Median: $8.41
1.8× median
G0383Normal range

$434K

3,991 claims · 0.4%

Your Cost: $108.84/claim|Median: $108.78
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$431K

6,851 claims · 0.4%

Your Cost: $62.84/claim|Median: $76.06
0.8× median
70553Normal range

MRI brain without contrast, then with contrast

$420K

2,022 claims · 0.4%

Your Cost: $207.93/claim|Median: $133.68
1.6× median
71275Normal range

CT angiography, chest, with contrast

$416K

4,496 claims · 0.4%

Your Cost: $92.63/claim|Median: $92.96
1.0× median
41899Top 5%

Unlisted procedure, dentoalveolar structures

$407K

127 claims · 0.4%

Your Cost: $3,206.13/claim|Median: $763.43
4.2× median
76705Top 25%

Ultrasound, abdominal, limited

$407K

7,320 claims · 0.4%

Your Cost: $55.62/claim|Median: $23.81
2.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$399K

8,555 claims · 0.4%

Your Cost: $46.69/claim|Median: $39.33
1.2× median
76830Normal range

Ultrasound, transvaginal

$398K

6,978 claims · 0.4%

Your Cost: $57.00/claim|Median: $57.47
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$385K

33K claims · 0.4%

Your Cost: $11.55/claim|Median: $35.43
0.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$373K

16K claims · 0.4%

Your Cost: $23.25/claim|Median: $37.56
0.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$357K

22K claims · 0.4%

Your Cost: $16.26/claim|Median: $16.79
1.0× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$350K

19K claims · 0.4%

Your Cost: $18.58/claim|Median: $15.76
1.2× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$341K

718 claims · 0.3%

Your Cost: $475.30/claim|Median: $233.73
2.0× median
97161Normal range

Physical therapy evaluation, low complexity

$326K

6,542 claims · 0.3%

Your Cost: $49.79/claim|Median: $47.89
1.0× median
76856Normal range

Ultrasound, pelvic, complete

$319K

5,928 claims · 0.3%

Your Cost: $53.84/claim|Median: $47.58
1.1× median
72148Normal range

MRI lumbar spine without contrast

$316K

2,889 claims · 0.3%

Your Cost: $109.32/claim|Median: $101.03
1.1× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$313K

775 claims · 0.3%

Your Cost: $403.68/claim|Median: $470.36
0.9× median