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INSPIRA MEDICAL CENTERS, INC.

Clinic/Center, Emergency Care·WOODBURY, NJ·NPI: 1972141091Share
Active Billing Period:2019-12→2024-10(59 months)

Total Paid

$27.1M

$27,143,968

Total Claims

428K

Beneficiaries

348K

1.2 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2019
$240K
+1757%
2020
$4.5M
+15%
2021
$5.1M
+20%
2022
$6.1M
+10%
2023
$6.7M
-34%
2024
$4.5M

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 20% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$5.4M

16K claims · 20.0%

Your Cost: $347.79/claim|Median: $69.51
5.0× median
H0035Top 25%

Mental health partial hospitalization, treatment, per hour

$5.4M

16K claims · 19.8%

Your Cost: $329.84/claim|Median: $148.53
2.2× median
99283Top 5%

Emergency dept visit, moderate complexity

$4.6M

16K claims · 17.0%

Your Cost: $282.50/claim|Median: $42.48
6.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$3.5M

6,778 claims · 12.9%

Your Cost: $514.72/claim|Median: $85.65
6.0× median
90837Normal range

Psychotherapy, 60 minutes

$2.3M

27K claims · 8.4%

Your Cost: $84.57/claim|Median: $85.66
1.0× median
G0378Top 10%

Hospital observation service, per hour

$898K

1,076 claims · 3.3%

Your Cost: $834.61/claim|Median: $99.39
8.4× median
99282Top 25%

Emergency dept visit, low complexity

$613K

4,221 claims · 2.3%

Your Cost: $145.28/claim|Median: $37.72
3.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$286K

8,754 claims · 1.1%

Your Cost: $32.70/claim|Median: $21.76
1.5× median
95806Top 1%

$222K

184 claims · 0.8%

Your Cost: $1,206.34/claim|Median: $64.51
18.7× median
90791Normal range

Psychiatric diagnostic evaluation

$211K

2,456 claims · 0.8%

Your Cost: $86.10/claim|Median: $99.21
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$209K

4,312 claims · 0.8%

Your Cost: $48.51/claim|Median: $63.65
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$187K

2,300 claims · 0.7%

Your Cost: $81.25/claim|Median: $65.76
1.2× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$179K

351 claims · 0.7%

Your Cost: $509.20/claim|Median: $54.68
9.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$172K

7,441 claims · 0.6%

Your Cost: $23.09/claim|Median: $7.50
3.1× median
96361Normal range

IV infusion, hydration, each additional hour

$169K

7,345 claims · 0.6%

Your Cost: $22.97/claim|Median: $38.92
0.6× median
99213Normal range

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

$158K

2,956 claims · 0.6%

Your Cost: $53.54/claim|Median: $37.81
1.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$109K

5,577 claims · 0.4%

Your Cost: $19.57/claim|Median: $14.92
1.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$102K

2,299 claims · 0.4%

Your Cost: $44.24/claim|Median: $100.62
0.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$101K

1,024 claims · 0.4%

Your Cost: $99.03/claim|Median: $169.17
0.6× median
96360Normal range

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

$101K

2,662 claims · 0.4%

Your Cost: $37.86/claim|Median: $61.57
0.6× median
Q9967Top 25%

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

$95K

3,581 claims · 0.4%

Your Cost: $26.64/claim|Median: $3.42
7.8× median
90832Normal range

Psychotherapy, 30 minutes

$90K

1,833 claims · 0.3%

Your Cost: $48.96/claim|Median: $41.28
1.2× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$81K

1,249 claims · 0.3%

Your Cost: $64.56/claim|Median: $79.28
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$79K

1,729 claims · 0.3%

Your Cost: $45.85/claim|Median: $60.19
0.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$75K

2,950 claims · 0.3%

Your Cost: $25.49/claim|Median: $16.79
1.5× median
70450Normal range

CT head/brain without contrast

$74K

2,948 claims · 0.3%

Your Cost: $25.00/claim|Median: $45.53
0.5× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$68K

1,267 claims · 0.3%

Your Cost: $53.94/claim|Median: $10.88
5.0× median
71046Normal range

Chest X-ray, 2 views

$68K

4,513 claims · 0.3%

Your Cost: $15.12/claim|Median: $8.92
1.7× median
96365Normal range

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

$60K

1,248 claims · 0.2%

Your Cost: $48.46/claim|Median: $54.77
0.9× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$57K

1,599 claims · 0.2%

Your Cost: $35.54/claim|Median: $65.45
0.5× median
71045Top 25%

Chest X-ray, single view

$57K

4,876 claims · 0.2%

Your Cost: $11.60/claim|Median: $4.93
2.4× median
97110Normal range

Therapeutic exercises, each 15 min

$56K

5,895 claims · 0.2%

Your Cost: $9.55/claim|Median: $24.49
0.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$53K

3,052 claims · 0.2%

Your Cost: $17.30/claim|Median: $35.43
0.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$50K

3,057 claims · 0.2%

Your Cost: $16.24/claim|Median: $39.70
0.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$49K

3,345 claims · 0.2%

Your Cost: $14.67/claim|Median: $9.56
1.5× median
71275Normal range

CT angiography, chest, with contrast

$46K

792 claims · 0.2%

Your Cost: $58.70/claim|Median: $92.96
0.6× median
97530Normal range

Therapeutic activities, each 15 min

$44K

1,245 claims · 0.2%

Your Cost: $35.20/claim|Median: $33.11
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$42K

795 claims · 0.2%

Your Cost: $52.72/claim|Median: $25.06
2.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$37K

1,206 claims · 0.1%

Your Cost: $30.84/claim|Median: $63.08
0.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$37K

902 claims · 0.1%

Your Cost: $41.12/claim|Median: $58.16
0.7× median
OP279Top 25%

$36K

1,093 claims · 0.1%

Your Cost: $33.05/claim|Median: $10.76
3.1× median
80053Normal range

Comprehensive metabolic panel

$35K

9,558 claims · 0.1%

Your Cost: $3.65/claim|Median: $7.24
0.5× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$35K

1,715 claims · 0.1%

Your Cost: $20.31/claim|Median: $26.72
0.8× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$35K

17K claims · 0.1%

Your Cost: $2.08/claim|Median: $0.79
2.6× median
76830Normal range

Ultrasound, transvaginal

$34K

691 claims · 0.1%

Your Cost: $49.01/claim|Median: $57.47
0.9× median
36000Normal range

$31K

2,812 claims · 0.1%

Your Cost: $11.05/claim|Median: $6.65
1.7× median
80048Normal range

Basic metabolic panel

$31K

9,417 claims · 0.1%

Your Cost: $3.26/claim|Median: $5.78
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$28K

18K claims · 0.1%

Your Cost: $1.54/claim|Median: $4.71
0.3× median
99214Normal range

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

$26K

346 claims · 0.1%

Your Cost: $75.08/claim|Median: $53.41
1.4× median
76856Normal range

Ultrasound, pelvic, complete

$26K

982 claims · 0.1%

Your Cost: $26.33/claim|Median: $47.58
0.6× median

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