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MAINEHEALTH

General Acute Care Hospital·ROCKPORT, ME·NPI: 1982645305Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$31.5M

$31,537,533

Total Claims

967K

Beneficiaries

811K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$3.4M
+17%
2019
$4.0M
-15%
2020
$3.4M
+40%
2021
$4.7M
+6%
2022
$5.0M
+6%
2023
$5.3M
+9%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 34% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$10.9M

157K claims · 34.5%

Your Cost: $69.25/claim|Median: $26.41
2.6× median
99284Top 10%

Emergency dept visit, high complexity

$3.6M

19K claims · 11.5%

Your Cost: $185.47/claim|Median: $69.51
2.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.6M

4,766 claims · 5.0%

Your Cost: $333.55/claim|Median: $85.65
3.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.5M

11K claims · 4.7%

Your Cost: $134.16/claim|Median: $42.48
3.2× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$708K

6,792 claims · 2.2%

Your Cost: $104.19/claim|Median: $21.76
4.8× median
99282Normal range

Emergency dept visit, low complexity

$668K

7,724 claims · 2.1%

Your Cost: $86.42/claim|Median: $37.72
2.3× median
92507Normal range

Speech/hearing/language treatment

$646K

15K claims · 2.0%

Your Cost: $42.59/claim|Median: $49.45
0.9× median
90471Top 5%

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

$532K

14K claims · 1.7%

Your Cost: $38.30/claim|Median: $9.80
3.9× median
74177Normal range

CT abdomen and pelvis with contrast

$442K

3,620 claims · 1.4%

Your Cost: $122.04/claim|Median: $65.76
1.9× median
43239Top 25%

Upper GI endoscopy with biopsy

$414K

1,253 claims · 1.3%

Your Cost: $330.67/claim|Median: $151.68
2.2× median
97110Normal range

Therapeutic exercises, each 15 min

$375K

18K claims · 1.2%

Your Cost: $20.82/claim|Median: $24.49
0.8× median
97530Normal range

Therapeutic activities, each 15 min

$371K

13K claims · 1.2%

Your Cost: $29.23/claim|Median: $33.11
0.9× median
96365Normal range

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

$341K

3,966 claims · 1.1%

Your Cost: $85.97/claim|Median: $54.77
1.6× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$301K

2,111 claims · 1.0%

Your Cost: $142.69/claim|Median: $75.28
1.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$300K

4,996 claims · 1.0%

Your Cost: $60.06/claim|Median: $75.18
0.8× median
90834Top 25%

Psychotherapy, 45 minutes

$290K

3,101 claims · 0.9%

Your Cost: $93.54/claim|Median: $63.65
1.5× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$285K

1,587 claims · 0.9%

Your Cost: $179.53/claim|Median: $54.68
3.3× median
71046Top 10%

Chest X-ray, 2 views

$276K

7,498 claims · 0.9%

Your Cost: $36.75/claim|Median: $8.92
4.1× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$273K

514 claims · 0.9%

Your Cost: $531.87/claim|Median: $255.17
2.1× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$270K

9,472 claims · 0.9%

Your Cost: $28.50/claim|Median: $20.04
1.4× median
99393Normal range

Preventive medicine, established patient, age 5-11

$260K

4,235 claims · 0.8%

Your Cost: $61.47/claim|Median: $74.82
0.8× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$257K

2,510 claims · 0.8%

Your Cost: $102.47/claim|Median: $29.03
3.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$244K

13K claims · 0.8%

Your Cost: $18.40/claim|Median: $16.79
1.1× median
90832Top 10%

Psychotherapy, 30 minutes

$238K

2,170 claims · 0.8%

Your Cost: $109.57/claim|Median: $41.28
2.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$236K

4,649 claims · 0.7%

Your Cost: $50.76/claim|Median: $69.35
0.7× median
70450Top 25%

CT head/brain without contrast

$233K

2,992 claims · 0.7%

Your Cost: $77.88/claim|Median: $45.53
1.7× median
96360Normal range

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

$226K

2,280 claims · 0.7%

Your Cost: $99.33/claim|Median: $61.57
1.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$196K

2,939 claims · 0.6%

Your Cost: $66.64/claim|Median: $76.06
0.9× median
G0008Top 10%

$195K

8,290 claims · 0.6%

Your Cost: $23.55/claim|Median: $2.54
9.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$194K

2,988 claims · 0.6%

Your Cost: $64.78/claim|Median: $80.15
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$193K

2,969 claims · 0.6%

Your Cost: $64.91/claim|Median: $72.71
0.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$190K

2,672 claims · 0.6%

Your Cost: $71.01/claim|Median: $97.61
0.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$182K

5,511 claims · 0.6%

Your Cost: $33.06/claim|Median: $14.92
2.2× median
96361Normal range

IV infusion, hydration, each additional hour

$181K

5,135 claims · 0.6%

Your Cost: $35.32/claim|Median: $38.92
0.9× median
C9803Normal range

$158K

15K claims · 0.5%

Your Cost: $10.78/claim|Median: $13.20
0.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$156K

3,233 claims · 0.5%

Your Cost: $48.28/claim|Median: $63.08
0.8× median
71260Top 25%

CT chest with contrast

$148K

1,200 claims · 0.5%

Your Cost: $123.20/claim|Median: $48.36
2.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$144K

8,140 claims · 0.5%

Your Cost: $17.70/claim|Median: $9.56
1.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$126K

2,380 claims · 0.4%

Your Cost: $53.14/claim|Median: $39.33
1.4× median
94060Top 5%

$125K

875 claims · 0.4%

Your Cost: $143.42/claim|Median: $25.18
5.7× median
90791Normal range

Psychiatric diagnostic evaluation

$117K

1,164 claims · 0.4%

Your Cost: $100.92/claim|Median: $99.21
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$108K

1,237 claims · 0.3%

Your Cost: $87.02/claim|Median: $60.19
1.4× median
76705Top 25%

Ultrasound, abdominal, limited

$107K

1,616 claims · 0.3%

Your Cost: $66.11/claim|Median: $23.81
2.8× median
76830Top 25%

Ultrasound, transvaginal

$97K

1,173 claims · 0.3%

Your Cost: $82.36/claim|Median: $57.47
1.4× median
97535Normal range

Self-care/home management training, per 15 minutes

$94K

3,544 claims · 0.3%

Your Cost: $26.40/claim|Median: $18.18
1.5× median
70551Normal range

MRI brain without contrast

$91K

741 claims · 0.3%

Your Cost: $122.68/claim|Median: $85.39
1.4× median
80061Normal range

Lipid panel

$86K

11K claims · 0.3%

Your Cost: $7.54/claim|Median: $8.41
0.9× median
97161Normal range

Physical therapy evaluation, low complexity

$86K

2,572 claims · 0.3%

Your Cost: $33.30/claim|Median: $47.89
0.7× median
90677Top 25%

$84K

1,044 claims · 0.3%

Your Cost: $80.89/claim|Median: $12.96
6.2× median
80053Normal range

Comprehensive metabolic panel

$83K

41K claims · 0.3%

Your Cost: $2.04/claim|Median: $7.24
0.3× median

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$1.08B

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$961.1M

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$863.5M

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Boston Medical Center Corporation

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$768.5M

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