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NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK

General Acute Care Hospital, Critical Access·TILLAMOOK, OR·NPI: 1871575225Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.4M

$22,371,700

Total Claims

257K

Beneficiaries

197K

1.3 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-4%
2019
$3.1M
-17%
2020
$2.5M
+12%
2021
$2.9M
+27%
2022
$3.6M
+4%
2023
$3.8M
-15%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 28% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$6.2M

22K claims · 27.5%

Your Cost: $281.94/claim|Median: $69.51
4.1× median
99213Top 25%

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

$3.5M

55K claims · 15.6%

Your Cost: $63.83/claim|Median: $37.81
1.7× median
99283Top 5%

Emergency dept visit, moderate complexity

$3.3M

16K claims · 14.9%

Your Cost: $204.17/claim|Median: $42.48
4.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$3.2M

8,284 claims · 14.5%

Your Cost: $392.28/claim|Median: $85.65
4.6× median
99214Top 25%

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

$2.8M

33K claims · 12.3%

Your Cost: $82.98/claim|Median: $53.41
1.6× median
80053Top 10%

Comprehensive metabolic panel

$377K

15K claims · 1.7%

Your Cost: $24.72/claim|Median: $7.24
3.4× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$310K

17K claims · 1.4%

Your Cost: $18.76/claim|Median: $4.71
4.0× median
97110Top 5%

Therapeutic exercises, each 15 min

$213K

2,425 claims · 1.0%

Your Cost: $87.65/claim|Median: $24.49
3.6× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$199K

2,300 claims · 0.9%

Your Cost: $86.60/claim|Median: $69.35
1.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$162K

1,551 claims · 0.7%

Your Cost: $104.20/claim|Median: $75.18
1.4× median
99203Normal range

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

$129K

1,701 claims · 0.6%

Your Cost: $76.08/claim|Median: $57.85
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$125K

1,277 claims · 0.6%

Your Cost: $98.03/claim|Median: $74.09
1.3× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$122K

3,000 claims · 0.5%

Your Cost: $40.83/claim|Median: $9.87
4.1× median
90471Top 25%

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

$122K

7,290 claims · 0.5%

Your Cost: $16.68/claim|Median: $9.80
1.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$115K

3,209 claims · 0.5%

Your Cost: $35.94/claim|Median: $39.70
0.9× median
99282Top 25%

Emergency dept visit, low complexity

$96K

677 claims · 0.4%

Your Cost: $142.48/claim|Median: $37.72
3.8× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$93K

3,181 claims · 0.4%

Your Cost: $29.39/claim|Median: $5.50
5.3× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$88K

1,444 claims · 0.4%

Your Cost: $60.69/claim|Median: $7.50
8.1× median
99204Top 25%

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

$84K

677 claims · 0.4%

Your Cost: $124.58/claim|Median: $84.03
1.5× median
80061Top 5%

Lipid panel

$78K

2,225 claims · 0.3%

Your Cost: $35.05/claim|Median: $8.41
4.2× median
97530Top 1%

Therapeutic activities, each 15 min

$65K

292 claims · 0.3%

Your Cost: $221.61/claim|Median: $33.11
6.7× median
90472Top 25%

Immunization administration, each additional vaccine

$60K

3,064 claims · 0.3%

Your Cost: $19.54/claim|Median: $11.79
1.7× median
82306Top 5%

Vitamin D, 25 hydroxy

$60K

663 claims · 0.3%

Your Cost: $90.17/claim|Median: $18.18
5.0× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$52K

388 claims · 0.2%

Your Cost: $133.81/claim|Median: $65.64
2.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$46K

2,520 claims · 0.2%

Your Cost: $18.08/claim|Median: $21.76
0.8× median
71045Top 5%

Chest X-ray, single view

$40K

673 claims · 0.2%

Your Cost: $58.86/claim|Median: $4.93
11.9× median
U0003Top 25%

Infectious disease detection (COVID-19)

$38K

448 claims · 0.2%

Your Cost: $85.22/claim|Median: $63.08
1.4× median
92504Top 25%

$37K

1,158 claims · 0.2%

Your Cost: $31.65/claim|Median: $16.07
2.0× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$33K

342 claims · 0.1%

Your Cost: $95.60/claim|Median: $74.82
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$32K

940 claims · 0.1%

Your Cost: $34.26/claim|Median: $25.06
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$32K

835 claims · 0.1%

Your Cost: $38.08/claim|Median: $40.11
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$29K

533 claims · 0.1%

Your Cost: $53.60/claim|Median: $85.66
0.6× median
81001Top 5%

Urinalysis, automated, with microscopy

$27K

1,520 claims · 0.1%

Your Cost: $17.44/claim|Median: $2.03
8.6× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$26K

414 claims · 0.1%

Your Cost: $62.80/claim|Median: $16.79
3.7× median
G0463Normal range

Hospital outpatient clinic visit

$23K

1,558 claims · 0.1%

Your Cost: $15.02/claim|Median: $26.41
0.6× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$20K

184 claims · 0.1%

Your Cost: $109.49/claim|Median: $24.95
4.4× median
90834Normal range

Psychotherapy, 45 minutes

$18K

295 claims · 0.1%

Your Cost: $60.09/claim|Median: $63.65
0.9× median
87798Top 10%

Infectious agent detection, nucleic acid, not otherwise specified

$17K

170 claims · 0.1%

Your Cost: $102.42/claim|Median: $26.72
3.8× median
D0191Normal range

$17K

2,867 claims · 0.1%

Your Cost: $6.04/claim|Median: $11.16
0.5× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$16K

184 claims · 0.1%

Your Cost: $86.00/claim|Median: $23.39
3.7× median
71046Top 5%

Chest X-ray, 2 views

$15K

245 claims · 0.1%

Your Cost: $62.18/claim|Median: $8.92
7.0× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$15K

264 claims · 0.1%

Your Cost: $56.92/claim|Median: $11.48
5.0× median
99188Normal range

$14K

1,845 claims · 0.1%

Your Cost: $7.85/claim|Median: $12.80
0.6× median
87637Top 1%

Respiratory virus detection, 3-5 targets, nucleic acid

$14K

44 claims · 0.1%

Your Cost: $324.47/claim|Median: $100.62
3.2× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$14K

296 claims · 0.1%

Your Cost: $48.04/claim|Median: $28.46
1.7× median
96361Normal range

IV infusion, hydration, each additional hour

$13K

273 claims · 0.1%

Your Cost: $47.78/claim|Median: $38.92
1.2× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$13K

135 claims · 0.1%

Your Cost: $94.65/claim|Median: $36.79
2.6× median
84484Top 5%

Troponin, quantitative

$13K

358 claims · 0.1%

Your Cost: $35.34/claim|Median: $4.84
7.3× median
85027Top 5%

Complete blood count (CBC), automated

$12K

516 claims · 0.1%

Your Cost: $23.83/claim|Median: $3.72
6.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$12K

450 claims · 0.1%

Your Cost: $26.30/claim|Median: $14.92
1.8× median

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