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Brockton Hospital, Inc.

General Acute Care Hospital·Brockton, MA·NPI: 1063431286Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $160.7M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$160.7M

$160,743,522

Total Claims

3.6M

Beneficiaries

3.1M

1.2 claims/patient

Avg Cost/Claim

$45

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

🔍 Analysis

Provider Overview

Brockton Hospital, Inc. is a General Acute Care Hospital provider based in Brockton, MA. From the 2018–2024 period, this provider received $160.7M in Medicaid payments across 3.6M claims.

Why This Matters

This provider received $160.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,092 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 42% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$25.6M
-11%
2019
$22.9M
-17%
2020
$19.1M
+39%
2021
$26.5M
+19%
2022
$31.6M
-37%
2023
$20.0M
-25%
2024
$15.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99211 (Office/outpatient visit, minimal complexity)) accounts for 10% of total spending.

99211Top 5%

Office/outpatient visit, minimal complexity

$15.5M

105K claims · 9.6%

Your Cost: $146.81/claim|Median: $12.93
11.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$10.9M

90K claims · 6.8%

Your Cost: $120.34/claim|Median: $42.48
2.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$10.8M

73K claims · 6.7%

Your Cost: $148.03/claim|Median: $85.65
1.7× median
99284Top 25%

Emergency dept visit, high complexity

$10.0M

84K claims · 6.2%

Your Cost: $119.15/claim|Median: $69.51
1.7× median
99212Top 5%

Office/outpatient visit, low complexity

$9.8M

69K claims · 6.1%

Your Cost: $143.15/claim|Median: $25.06
5.7× median
99213Top 1%

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

$9.4M

58K claims · 5.9%

Your Cost: $162.32/claim|Median: $37.81
4.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$6.7M

106K claims · 4.1%

Your Cost: $62.63/claim|Median: $24.49
2.6× median
96361Top 10%

IV infusion, hydration, each additional hour

$6.5M

20K claims · 4.1%

Your Cost: $333.98/claim|Median: $38.92
8.6× median
G0378Normal range

Hospital observation service, per hour

$3.1M

24K claims · 1.9%

Your Cost: $132.91/claim|Median: $99.39
1.3× median
G0463Normal range

Hospital outpatient clinic visit

$3.0M

109K claims · 1.8%

Your Cost: $27.27/claim|Median: $26.41
1.0× median
99214Top 5%

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

$2.9M

16K claims · 1.8%

Your Cost: $188.12/claim|Median: $53.41
3.5× median
76856Top 10%

Ultrasound, pelvic, complete

$2.2M

16K claims · 1.3%

Your Cost: $134.11/claim|Median: $47.58
2.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.2M

12K claims · 1.3%

Your Cost: $172.45/claim|Median: $65.76
2.6× median
96365Top 10%

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

$2.1M

14K claims · 1.3%

Your Cost: $145.90/claim|Median: $54.77
2.7× median
59025Top 5%

Fetal non-stress test

$2.0M

8K claims · 1.3%

Your Cost: $253.21/claim|Median: $26.45
9.6× median
99282Top 25%

Emergency dept visit, low complexity

$1.8M

17K claims · 1.1%

Your Cost: $101.97/claim|Median: $37.72
2.7× median
70450Top 25%

CT head/brain without contrast

$1.7M

13K claims · 1.1%

Your Cost: $134.42/claim|Median: $45.53
3.0× median
76830Top 25%

Ultrasound, transvaginal

$1.4M

14K claims · 0.9%

Your Cost: $100.00/claim|Median: $57.47
1.7× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$1.4M

18K claims · 0.9%

Your Cost: $75.07/claim|Median: $21.41
3.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.3M

28K claims · 0.8%

Your Cost: $47.91/claim|Median: $39.70
1.2× median
76801Top 5%

Ultrasound, pregnant uterus, single fetus, first trimester

$1.3M

10K claims · 0.8%

Your Cost: $135.37/claim|Median: $58.16
2.3× median
45378Top 5%

Colonoscopy, diagnostic

$1.3M

1K claims · 0.8%

Your Cost: $1,211.68/claim|Median: $225.49
5.4× median
45385Top 5%

Colonoscopy with polyp removal, snare technique

$1.2M

1K claims · 0.7%

Your Cost: $1,092.28/claim|Median: $255.17
4.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$1.1M

26K claims · 0.7%

Your Cost: $42.34/claim|Median: $37.56
1.1× median
97161Top 25%

Physical therapy evaluation, low complexity

$1.1M

15K claims · 0.7%

Your Cost: $71.48/claim|Median: $47.89
1.5× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$1.1M

7K claims · 0.7%

Your Cost: $150.31/claim|Median: $58.55
2.6× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$1.1M

7K claims · 0.7%

Your Cost: $142.34/claim|Median: $69.35
2.0× median
43239Top 5%

Upper GI endoscopy with biopsy

$1.0M

1K claims · 0.6%

Your Cost: $718.50/claim|Median: $151.68
4.7× median
96366Top 25%

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

$994K

5K claims · 0.6%

Your Cost: $180.91/claim|Median: $40.12
4.5× median
96360Top 25%

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

$969K

6K claims · 0.6%

Your Cost: $151.19/claim|Median: $61.57
2.5× median

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