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PINELAKE REGIONAL HOSPITAL LLC

General Acute Care Hospital, Rural·MAYFIELD, KY·NPI: 1891892741Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$43.3M

$43,342,643

Total Claims

917K

Beneficiaries

637K

1.4 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$8.7M
-16%
2019
$7.3M
-29%
2020
$5.2M
+5%
2021
$5.5M
-1%
2022
$5.4M
+12%
2023
$6.0M
-13%
2024
$5.2M

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 13% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$5.8M

25K claims · 13.4%

Your Cost: $234.42/claim|Median: $69.51
3.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.6M

34K claims · 10.6%

Your Cost: $136.26/claim|Median: $42.48
3.2× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$3.0M

8,248 claims · 6.9%

Your Cost: $364.90/claim|Median: $85.65
4.3× median
74176Top 5%

CT abdomen and pelvis without contrast

$2.6M

3,885 claims · 6.0%

Your Cost: $668.49/claim|Median: $60.19
11.1× median
74177Top 5%

CT abdomen and pelvis with contrast

$2.1M

2,777 claims · 4.9%

Your Cost: $769.57/claim|Median: $65.76
11.7× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$1.7M

4,978 claims · 3.9%

Your Cost: $343.25/claim|Median: $169.17
2.0× median
70450Top 5%

CT head/brain without contrast

$1.5M

5,583 claims · 3.4%

Your Cost: $263.97/claim|Median: $45.53
5.8× median
G0378Top 25%

Hospital observation service, per hour

$1.4M

2,773 claims · 3.3%

Your Cost: $520.09/claim|Median: $99.39
5.2× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.3M

3,490 claims · 2.9%

Your Cost: $364.37/claim|Median: $151.68
2.4× median
99282Top 25%

Emergency dept visit, low complexity

$1.1M

11K claims · 2.7%

Your Cost: $105.86/claim|Median: $37.72
2.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$888K

21K claims · 2.0%

Your Cost: $41.83/claim|Median: $24.49
1.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$819K

9,473 claims · 1.9%

Your Cost: $86.42/claim|Median: $21.76
4.0× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$714K

5,833 claims · 1.6%

Your Cost: $122.37/claim|Median: $14.92
8.2× median
92507Normal range

Speech/hearing/language treatment

$580K

18K claims · 1.3%

Your Cost: $32.99/claim|Median: $49.45
0.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$558K

17K claims · 1.3%

Your Cost: $32.19/claim|Median: $9.56
3.4× median
96365Top 25%

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

$527K

4,924 claims · 1.2%

Your Cost: $107.11/claim|Median: $54.77
2.0× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$502K

4,746 claims · 1.2%

Your Cost: $105.83/claim|Median: $3.42
30.9× median
96361Normal range

IV infusion, hydration, each additional hour

$474K

18K claims · 1.1%

Your Cost: $26.28/claim|Median: $38.92
0.7× median
45380Top 25%

Colonoscopy with biopsy

$460K

1,033 claims · 1.1%

Your Cost: $445.61/claim|Median: $200.68
2.2× median
36415Top 25%

Collection of venous blood by venipuncture

$424K

123K claims · 1.0%

Your Cost: $3.45/claim|Median: $1.57
2.2× median
97530Normal range

Therapeutic activities, each 15 min

$408K

8,271 claims · 0.9%

Your Cost: $49.32/claim|Median: $33.11
1.5× median
80053Normal range

Comprehensive metabolic panel

$399K

49K claims · 0.9%

Your Cost: $8.18/claim|Median: $7.24
1.1× median
76705Top 5%

Ultrasound, abdominal, limited

$370K

2,229 claims · 0.9%

Your Cost: $165.91/claim|Median: $23.81
7.0× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$360K

6,027 claims · 0.8%

Your Cost: $59.79/claim|Median: $12.06
5.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$353K

49K claims · 0.8%

Your Cost: $7.23/claim|Median: $4.71
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$333K

7,667 claims · 0.8%

Your Cost: $43.49/claim|Median: $35.43
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$299K

6,093 claims · 0.7%

Your Cost: $49.03/claim|Median: $63.08
0.8× median
72125Top 5%

CT cervical spine without contrast

$291K

845 claims · 0.7%

Your Cost: $344.62/claim|Median: $32.30
10.7× median
59025Top 25%

Fetal non-stress test

$268K

3,723 claims · 0.6%

Your Cost: $72.11/claim|Median: $26.45
2.7× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$265K

7,460 claims · 0.6%

Your Cost: $35.53/claim|Median: $20.04
1.8× median
73030Top 5%

$258K

3,704 claims · 0.6%

Your Cost: $69.53/claim|Median: $10.94
6.4× median
71045Top 25%

Chest X-ray, single view

$256K

13K claims · 0.6%

Your Cost: $19.76/claim|Median: $4.93
4.0× median
73562Top 5%

$240K

3,529 claims · 0.6%

Your Cost: $68.08/claim|Median: $12.28
5.5× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$236K

3,270 claims · 0.5%

Your Cost: $72.07/claim|Median: $13.55
5.3× median
71275Top 10%

CT angiography, chest, with contrast

$233K

745 claims · 0.5%

Your Cost: $313.05/claim|Median: $92.96
3.4× median
96360Normal range

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

$223K

4,913 claims · 0.5%

Your Cost: $45.47/claim|Median: $61.57
0.7× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$216K

1,381 claims · 0.5%

Your Cost: $156.29/claim|Median: $54.68
2.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$212K

8,567 claims · 0.5%

Your Cost: $24.76/claim|Median: $7.50
3.3× median
73130Top 5%

$193K

2,886 claims · 0.4%

Your Cost: $66.97/claim|Median: $10.69
6.3× median
73110Top 5%

X-ray of wrist, complete, minimum three views

$183K

2,325 claims · 0.4%

Your Cost: $78.74/claim|Median: $12.64
6.2× median
71046Top 25%

Chest X-ray, 2 views

$181K

7,022 claims · 0.4%

Your Cost: $25.72/claim|Median: $8.92
2.9× median
72131Top 5%

$179K

626 claims · 0.4%

Your Cost: $286.04/claim|Median: $42.82
6.7× median
97597Top 25%

$172K

2,592 claims · 0.4%

Your Cost: $66.28/claim|Median: $21.22
3.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$170K

13K claims · 0.4%

Your Cost: $13.57/claim|Median: $9.87
1.4× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$162K

2,000 claims · 0.4%

Your Cost: $80.98/claim|Median: $37.35
2.2× median
G0283Top 25%

$162K

11K claims · 0.4%

Your Cost: $14.70/claim|Median: $3.52
4.2× median
72110Top 10%

$153K

2,101 claims · 0.4%

Your Cost: $72.96/claim|Median: $21.02
3.5× median
87486Normal range

$149K

5,947 claims · 0.3%

Your Cost: $25.03/claim|Median: $19.16
1.3× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$146K

5,025 claims · 0.3%

Your Cost: $28.99/claim|Median: $26.72
1.1× median
87581Top 25%

$144K

4,967 claims · 0.3%

Your Cost: $29.06/claim|Median: $17.13
1.7× median

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