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ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.

General Acute Care Hospital, Critical Access·BARBOURVILLE, KY·NPI: 1992176655Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$33.2M

$33,182,478

Total Claims

551K

Beneficiaries

374K

1.5 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$3.9M
+4%
2019
$4.0M
+15%
2020
$4.6M
+14%
2021
$5.3M
-2%
2022
$5.1M
+0%
2023
$5.1M
+0%
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 17% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$5.7M

11K claims · 17.3%

Your Cost: $529.55/claim|Median: $69.51
7.6× median
74176Top 1%

CT abdomen and pelvis without contrast

$3.3M

4,350 claims · 10.1%

Your Cost: $767.08/claim|Median: $60.19
12.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.4M

22K claims · 7.3%

Your Cost: $111.74/claim|Median: $42.48
2.6× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$2.2M

3,655 claims · 6.6%

Your Cost: $597.32/claim|Median: $85.65
7.0× median
43239Top 5%

Upper GI endoscopy with biopsy

$1.3M

1,738 claims · 4.0%

Your Cost: $771.96/claim|Median: $151.68
5.1× median
70450Top 5%

CT head/brain without contrast

$953K

2,623 claims · 2.9%

Your Cost: $363.36/claim|Median: $45.53
8.0× median
80053Top 25%

Comprehensive metabolic panel

$839K

45K claims · 2.5%

Your Cost: $18.75/claim|Median: $7.24
2.6× median
G0378Top 25%

Hospital observation service, per hour

$812K

1,999 claims · 2.4%

Your Cost: $406.30/claim|Median: $99.39
4.1× median
96365Normal range

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

$789K

13K claims · 2.4%

Your Cost: $60.30/claim|Median: $54.77
1.1× median
99282Normal range

Emergency dept visit, low complexity

$719K

8,840 claims · 2.2%

Your Cost: $81.31/claim|Median: $37.72
2.2× median
76700Top 5%

Ultrasound, abdominal, complete

$660K

2,843 claims · 2.0%

Your Cost: $232.00/claim|Median: $50.69
4.6× median
99291Top 5%

Critical care, first 30-74 minutes

$644K

1,257 claims · 1.9%

Your Cost: $512.13/claim|Median: $101.24
5.1× median
74177Top 5%

CT abdomen and pelvis with contrast

$543K

583 claims · 1.6%

Your Cost: $930.61/claim|Median: $65.76
14.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$474K

10K claims · 1.4%

Your Cost: $46.63/claim|Median: $7.50
6.2× median
96361Normal range

IV infusion, hydration, each additional hour

$459K

7,147 claims · 1.4%

Your Cost: $64.29/claim|Median: $38.92
1.7× median
71045Top 5%

Chest X-ray, single view

$386K

8,476 claims · 1.2%

Your Cost: $45.50/claim|Median: $4.93
9.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$385K

13K claims · 1.2%

Your Cost: $28.73/claim|Median: $9.56
3.0× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$385K

4,483 claims · 1.2%

Your Cost: $85.80/claim|Median: $65.45
1.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$350K

7,050 claims · 1.1%

Your Cost: $49.65/claim|Median: $21.76
2.3× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$350K

33K claims · 1.1%

Your Cost: $10.63/claim|Median: $4.71
2.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$332K

633 claims · 1.0%

Your Cost: $524.38/claim|Median: $54.68
9.6× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$322K

2,319 claims · 1.0%

Your Cost: $139.00/claim|Median: $37.56
3.7× median
36415Top 25%

Collection of venous blood by venipuncture

$300K

104K claims · 0.9%

Your Cost: $2.90/claim|Median: $1.57
1.8× median
71046Top 5%

Chest X-ray, 2 views

$278K

4,659 claims · 0.8%

Your Cost: $59.60/claim|Median: $8.92
6.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$266K

6,204 claims · 0.8%

Your Cost: $42.80/claim|Median: $14.92
2.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$238K

5,048 claims · 0.7%

Your Cost: $47.22/claim|Median: $35.43
1.3× median
45378Top 5%

Colonoscopy, diagnostic

$198K

202 claims · 0.6%

Your Cost: $980.29/claim|Median: $225.49
4.3× median
80061Top 5%

Lipid panel

$196K

6,262 claims · 0.6%

Your Cost: $31.23/claim|Median: $8.41
3.7× median
96360Normal range

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

$193K

3,202 claims · 0.6%

Your Cost: $60.36/claim|Median: $61.57
1.0× median
84484Top 10%

Troponin, quantitative

$191K

7,565 claims · 0.6%

Your Cost: $25.31/claim|Median: $4.84
5.2× median
92507Normal range

Speech/hearing/language treatment

$189K

4,150 claims · 0.6%

Your Cost: $45.43/claim|Median: $49.45
0.9× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$181K

183 claims · 0.5%

Your Cost: $990.57/claim|Median: $763.43
1.3× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$181K

2,848 claims · 0.5%

Your Cost: $63.40/claim|Median: $10.88
5.8× median
72100Top 5%

$161K

1,833 claims · 0.5%

Your Cost: $87.67/claim|Median: $15.14
5.8× median
87040Top 5%

$159K

4,002 claims · 0.5%

Your Cost: $39.63/claim|Median: $5.54
7.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$146K

2,732 claims · 0.4%

Your Cost: $53.51/claim|Median: $24.49
2.2× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$142K

1,598 claims · 0.4%

Your Cost: $89.12/claim|Median: $35.80
2.5× median
Q9967Top 10%

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

$140K

1,869 claims · 0.4%

Your Cost: $74.86/claim|Median: $3.42
21.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$137K

2,505 claims · 0.4%

Your Cost: $54.50/claim|Median: $91.47
0.6× median
83605Top 5%

$129K

5,243 claims · 0.4%

Your Cost: $24.57/claim|Median: $4.66
5.3× median
83690Top 5%

$126K

5,193 claims · 0.4%

Your Cost: $24.32/claim|Median: $3.35
7.3× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$124K

5,699 claims · 0.4%

Your Cost: $21.77/claim|Median: $9.87
2.2× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$123K

1,621 claims · 0.4%

Your Cost: $75.98/claim|Median: $12.06
6.3× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$120K

1,916 claims · 0.4%

Your Cost: $62.62/claim|Median: $40.12
1.6× median
72125Top 1%

CT cervical spine without contrast

$112K

193 claims · 0.3%

Your Cost: $578.17/claim|Median: $32.30
17.9× median
45380Top 5%

Colonoscopy with biopsy

$107K

133 claims · 0.3%

Your Cost: $806.79/claim|Median: $200.68
4.0× median
80074Top 5%

$105K

1,556 claims · 0.3%

Your Cost: $67.77/claim|Median: $27.54
2.5× median
80048Top 25%

Basic metabolic panel

$97K

7,453 claims · 0.3%

Your Cost: $12.96/claim|Median: $5.78
2.2× median
87522Top 25%

$96K

2,383 claims · 0.3%

Your Cost: $40.09/claim|Median: $29.66
1.4× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$95K

1,161 claims · 0.3%

Your Cost: $81.98/claim|Median: $13.55
6.1× median

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