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MONTEFIORE MOUNT VERNON HOSPITAL

General Acute Care Hospital·MOUNT VERNON, NY·NPI: 1992131320Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$24.6M

$24,601,557

Total Claims

329K

Beneficiaries

192K

1.7 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$295K
+410%
2019
$1.5M
+141%
2020
$3.6M
+21%
2021
$4.4M
+38%
2022
$6.0M
-8%
2023
$5.5M
-42%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (H0040 (Assertive community treatment, face-to-face, per 15 minutes)) accounts for 20% of total spending.

H0040Top 10%

Assertive community treatment, face-to-face, per 15 minutes

$4.8M

2,614 claims · 19.6%

Your Cost: $1,847.37/claim|Median: $266.41
6.9× median
H0020Normal range

Alcohol/drug services; methadone administration

$3.4M

114K claims · 14.0%

Your Cost: $30.03/claim|Median: $18.95
1.6× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.2M

12K claims · 8.8%

Your Cost: $174.77/claim|Median: $42.48
4.1× median
G2067Top 10%

Medication-assisted treatment, opioid use disorder, per month

$2.1M

10K claims · 8.4%

Your Cost: $205.97/claim|Median: $73.29
2.8× median
99282Top 5%

Emergency dept visit, low complexity

$1.7M

8,276 claims · 6.9%

Your Cost: $205.87/claim|Median: $37.72
5.5× median
99284Top 25%

Emergency dept visit, high complexity

$1.3M

8,984 claims · 5.4%

Your Cost: $147.03/claim|Median: $69.51
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$841K

6,214 claims · 3.4%

Your Cost: $135.35/claim|Median: $85.65
1.6× median
99213Top 1%

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

$822K

4,848 claims · 3.3%

Your Cost: $169.63/claim|Median: $37.81
4.5× median
80053Top 5%

Comprehensive metabolic panel

$720K

12K claims · 2.9%

Your Cost: $58.23/claim|Median: $7.24
8.0× median
96365Top 1%

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

$711K

2,346 claims · 2.9%

Your Cost: $303.13/claim|Median: $54.77
5.5× median
97110Top 5%

Therapeutic exercises, each 15 min

$628K

5,059 claims · 2.6%

Your Cost: $124.23/claim|Median: $24.49
5.1× median
G0396Top 10%

Alcohol/substance abuse structured assessment, 15-30 minutes

$610K

5,285 claims · 2.5%

Your Cost: $115.45/claim|Median: $40.58
2.8× median
70450Top 5%

CT head/brain without contrast

$531K

1,850 claims · 2.2%

Your Cost: $287.06/claim|Median: $45.53
6.3× median
99214Top 5%

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

$521K

2,775 claims · 2.1%

Your Cost: $187.58/claim|Median: $53.41
3.5× median
99212Top 5%

Office/outpatient visit, low complexity

$460K

2,963 claims · 1.9%

Your Cost: $155.15/claim|Median: $25.06
6.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$408K

6,529 claims · 1.7%

Your Cost: $62.56/claim|Median: $9.56
6.5× median
97597Top 1%

$337K

1,112 claims · 1.4%

Your Cost: $302.72/claim|Median: $21.22
14.3× median
99215Top 5%

Office/outpatient visit, high complexity

$257K

1,105 claims · 1.0%

Your Cost: $233.01/claim|Median: $74.09
3.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$186K

731 claims · 0.8%

Your Cost: $254.40/claim|Median: $65.76
3.9× median
99281Top 5%

Emergency dept visit, minimal complexity

$171K

699 claims · 0.7%

Your Cost: $244.74/claim|Median: $52.03
4.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$157K

5,732 claims · 0.6%

Your Cost: $27.32/claim|Median: $39.70
0.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$133K

1,796 claims · 0.5%

Your Cost: $73.86/claim|Median: $39.33
1.9× median
G0397Normal range

$117K

775 claims · 0.5%

Your Cost: $151.60/claim|Median: $142.31
1.1× median
36415Top 5%

Collection of venous blood by venipuncture

$115K

5,958 claims · 0.5%

Your Cost: $19.36/claim|Median: $1.57
12.3× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$105K

1,853 claims · 0.4%

Your Cost: $56.46/claim|Median: $24.95
2.3× median
G0463Normal range

Hospital outpatient clinic visit

$97K

3,102 claims · 0.4%

Your Cost: $31.28/claim|Median: $26.41
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$95K

2,274 claims · 0.4%

Your Cost: $41.75/claim|Median: $35.43
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$75K

905 claims · 0.3%

Your Cost: $83.29/claim|Median: $91.47
0.9× median
82803Top 25%

$58K

2,861 claims · 0.2%

Your Cost: $20.27/claim|Median: $8.90
2.3× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$57K

1,024 claims · 0.2%

Your Cost: $56.15/claim|Median: $74.63
0.8× median
80048Top 5%

Basic metabolic panel

$54K

1,176 claims · 0.2%

Your Cost: $45.96/claim|Median: $5.78
8.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$52K

1,395 claims · 0.2%

Your Cost: $36.94/claim|Median: $65.64
0.6× median
76856Top 5%

Ultrasound, pelvic, complete

$38K

163 claims · 0.2%

Your Cost: $232.84/claim|Median: $47.58
4.9× median
86850Top 5%

$36K

946 claims · 0.1%

Your Cost: $38.09/claim|Median: $5.44
7.0× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$33K

539 claims · 0.1%

Your Cost: $61.65/claim|Median: $38.35
1.6× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$33K

1,843 claims · 0.1%

Your Cost: $17.74/claim|Median: $23.39
0.8× median
80061Normal range

Lipid panel

$32K

3,033 claims · 0.1%

Your Cost: $10.71/claim|Median: $8.41
1.3× median
97140Normal range

Manual therapy techniques, per 15 minutes

$31K

1,417 claims · 0.1%

Your Cost: $22.12/claim|Median: $16.79
1.3× median
86901Top 5%

$27K

946 claims · 0.1%

Your Cost: $28.15/claim|Median: $2.26
12.5× median
C9803Normal range

$24K

4,784 claims · 0.1%

Your Cost: $5.11/claim|Median: $13.20
0.4× median
76830Normal range

Ultrasound, transvaginal

$24K

465 claims · 0.1%

Your Cost: $51.38/claim|Median: $57.47
0.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$24K

95 claims · 0.1%

Your Cost: $250.37/claim|Median: $60.19
4.2× median
H0050Normal range

$24K

488 claims · 0.1%

Your Cost: $48.21/claim|Median: $46.71
1.0× median
97161Top 10%

Physical therapy evaluation, low complexity

$23K

191 claims · 0.1%

Your Cost: $118.90/claim|Median: $47.89
2.5× median
90834Top 10%

Psychotherapy, 45 minutes

$20K

162 claims · 0.1%

Your Cost: $124.41/claim|Median: $63.65
2.0× median
G0378Top 5%

Hospital observation service, per hour

$18K

13 claims · 0.1%

Your Cost: $1,386.54/claim|Median: $99.39
14.0× median
71046Normal range

Chest X-ray, 2 views

$18K

2,955 claims · 0.1%

Your Cost: $6.04/claim|Median: $8.92
0.7× median
86900Top 25%

$17K

946 claims · 0.1%

Your Cost: $18.08/claim|Median: $2.55
7.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$17K

2,249 claims · 0.1%

Your Cost: $7.58/claim|Median: $21.76
0.3× median
H0034Normal range

Medication training and management, per 15 min

$17K

746 claims · 0.1%

Your Cost: $22.78/claim|Median: $56.90
0.4× median

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