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Southern Ohio Medical Center

Clinical Medical Laboratory·Portsmouth, OH·NPI: 1053342816Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $145.3M is at the 50th percentile among 88 Clinical Medical Laboratory providers.

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

Total Paid

$145.3M

$145,263,355

Total Claims

3.5M

Beneficiaries

2.8M

1.2 claims/patient

Avg Cost/Claim

$42

#753 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Southern Ohio Medical Center is a Clinical Medical Laboratory provider based in Portsmouth, OH. From the 2018–2024 period, this provider received $145.3M in Medicaid payments across 3.5M claims.

Why This Matters

This provider received $145.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,157 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 187% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$11.0M
+13%
2019
$12.5M
+8%
2020
$13.5M
+33%
2021
$17.9M
+25%
2022
$22.4M
+63%
2023
$36.3M
-13%
2024
$31.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 27% of total spending.

G0463Top 10%

Hospital outpatient clinic visit

$38.8M

387K claims · 26.7%

Your Cost: $100.34/claim|Median: $26.41
3.8× median
99213Top 5%

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

$17.8M

189K claims · 12.2%

Your Cost: $93.92/claim|Median: $37.81
2.5× median
99214Top 10%

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

$15.0M

137K claims · 10.3%

Your Cost: $109.43/claim|Median: $53.41
2.0× median
99284Top 25%

Emergency dept visit, high complexity

$6.0M

49K claims · 4.2%

Your Cost: $124.03/claim|Median: $69.51
1.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$4.0M

30K claims · 2.8%

Your Cost: $133.37/claim|Median: $85.65
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.6M

23K claims · 1.8%

Your Cost: $110.58/claim|Median: $42.48
2.6× median
70450Top 5%

CT head/brain without contrast

$2.5M

10K claims · 1.7%

Your Cost: $247.96/claim|Median: $45.53
5.5× median
C9803Top 25%

$2.2M

67K claims · 1.5%

Your Cost: $33.48/claim|Median: $13.20
2.5× median
99212Top 10%

Office/outpatient visit, low complexity

$2.2M

26K claims · 1.5%

Your Cost: $84.34/claim|Median: $25.06
3.4× median
74177Top 10%

CT abdomen and pelvis with contrast

$2.1M

6K claims · 1.5%

Your Cost: $335.17/claim|Median: $65.76
5.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.1M

36K claims · 1.4%

Your Cost: $57.09/claim|Median: $24.49
2.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.9M

64K claims · 1.3%

Your Cost: $28.83/claim|Median: $39.70
0.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.8M

9K claims · 1.2%

Your Cost: $202.21/claim|Median: $38.92
5.2× median
74176Top 10%

CT abdomen and pelvis without contrast

$1.5M

5K claims · 1.0%

Your Cost: $334.75/claim|Median: $60.19
5.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$1.4M

56K claims · 1.0%

Your Cost: $25.56/claim|Median: $65.64
0.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$1.3M

11K claims · 0.9%

Your Cost: $116.13/claim|Median: $169.17
0.7× median
80053Top 25%

Comprehensive metabolic panel

$1.3M

74K claims · 0.9%

Your Cost: $17.18/claim|Median: $7.24
2.4× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$1.1M

11K claims · 0.8%

Your Cost: $97.49/claim|Median: $36.13
2.7× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.0M

3K claims · 0.7%

Your Cost: $326.28/claim|Median: $151.68
2.1× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$927K

4K claims · 0.6%

Your Cost: $235.17/claim|Median: $54.68
4.3× median
96366Top 25%

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

$908K

4K claims · 0.6%

Your Cost: $204.88/claim|Median: $40.12
5.1× median
96365Normal range

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

$882K

11K claims · 0.6%

Your Cost: $79.10/claim|Median: $54.77
1.4× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$872K

8K claims · 0.6%

Your Cost: $115.14/claim|Median: $29.03
4.0× median
G0378Normal range

Hospital observation service, per hour

$870K

9K claims · 0.6%

Your Cost: $91.94/claim|Median: $99.39
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$844K

38K claims · 0.6%

Your Cost: $22.07/claim|Median: $35.43
0.6× median
0223UNormal range

$843K

4K claims · 0.6%

Your Cost: $194.36/claim|Median: $192.77
1.0× median
93458Top 25%

Left heart catheterization with imaging

$839K

717 claims · 0.6%

Your Cost: $1,170.51/claim|Median: $183.33
6.4× median
99211Top 10%

Office/outpatient visit, minimal complexity

$797K

11K claims · 0.5%

Your Cost: $69.96/claim|Median: $12.93
5.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$774K

59K claims · 0.5%

Your Cost: $13.13/claim|Median: $9.87
1.3× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$670K

7K claims · 0.5%

Your Cost: $99.78/claim|Median: $47.65
2.1× median

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$777.5M

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$617.0M

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$574.1M

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$556.6M

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