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The Lowell General Hospital

Pharmacy, Institutional Pharmacy·Lowell, MA·NPI: 1407804669Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$159.9M

$159,906,583

Total Claims

4.7M

Beneficiaries

4.1M

1.1 claims/patient

Avg Cost/Claim

$34

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

🔍 Analysis

Provider Overview

The Lowell General Hospital is a Pharmacy, Institutional Pharmacy provider based in Lowell, MA. From the 2018–2024 period, this provider received $159.9M in Medicaid payments across 4.7M claims.

Why This Matters

This provider received $159.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,988 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 17% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$27.4M
-15%
2019
$23.3M
-26%
2020
$17.3M
+21%
2021
$20.9M
+5%
2022
$22.0M
+18%
2023
$26.0M
-12%
2024
$22.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 10% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$16.1M

101K claims · 10.1%

Your Cost: $159.66/claim|Median: $42.48
3.8× median
99284Top 25%

Emergency dept visit, high complexity

$14.8M

98K claims · 9.3%

Your Cost: $150.84/claim|Median: $69.51
2.2× median
96361Top 5%

IV infusion, hydration, each additional hour

$14.2M

41K claims · 8.9%

Your Cost: $344.51/claim|Median: $38.92
8.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$9.5M

56K claims · 6.0%

Your Cost: $171.03/claim|Median: $85.65
2.0× median
59025Top 5%

Fetal non-stress test

$3.4M

14K claims · 2.2%

Your Cost: $238.59/claim|Median: $26.45
9.0× median
G0378Normal range

Hospital observation service, per hour

$2.8M

45K claims · 1.7%

Your Cost: $62.29/claim|Median: $99.39
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$2.6M

19K claims · 1.7%

Your Cost: $142.60/claim|Median: $65.76
2.2× median
70450Top 25%

CT head/brain without contrast

$2.6M

22K claims · 1.6%

Your Cost: $117.16/claim|Median: $45.53
2.6× median
43239Top 5%

Upper GI endoscopy with biopsy

$2.6M

4K claims · 1.6%

Your Cost: $733.69/claim|Median: $151.68
4.8× median
45385Top 5%

Colonoscopy with polyp removal, snare technique

$2.6M

3K claims · 1.6%

Your Cost: $991.28/claim|Median: $255.17
3.9× median
99212Top 5%

Office/outpatient visit, low complexity

$2.4M

17K claims · 1.5%

Your Cost: $141.08/claim|Median: $25.06
5.6× median
S9485Normal range

Crisis intervention mental health services, per diem

$2.4M

6K claims · 1.5%

Your Cost: $407.15/claim|Median: $501.33
0.8× median
99211Top 5%

Office/outpatient visit, minimal complexity

$2.4M

18K claims · 1.5%

Your Cost: $136.25/claim|Median: $12.93
10.5× median
99282Top 10%

Emergency dept visit, low complexity

$2.1M

14K claims · 1.3%

Your Cost: $152.60/claim|Median: $37.72
4.0× median
96365Top 25%

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

$2.0M

18K claims · 1.3%

Your Cost: $116.02/claim|Median: $54.77
2.1× median
J9271Top 25%

Injection, pembrolizumab, 1 mg

$2.0M

212 claims · 1.3%

Your Cost: $9,595.74/claim|Median: $5,391.55
1.8× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$2.0M

33K claims · 1.2%

Your Cost: $61.22/claim|Median: $21.41
2.9× median
76700Top 10%

Ultrasound, abdominal, complete

$2.0M

13K claims · 1.2%

Your Cost: $151.09/claim|Median: $50.69
3.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.9M

32K claims · 1.2%

Your Cost: $59.85/claim|Median: $63.08
0.9× median
45380Top 5%

Colonoscopy with biopsy

$1.9M

2K claims · 1.2%

Your Cost: $997.27/claim|Median: $200.68
5.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.8M

57K claims · 1.2%

Your Cost: $32.16/claim|Median: $35.43
0.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.7M

25K claims · 1.1%

Your Cost: $67.78/claim|Median: $91.47
0.7× median
99213Top 5%

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

$1.6M

11K claims · 1.0%

Your Cost: $146.10/claim|Median: $37.81
3.9× median
96360Top 25%

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

$1.5M

12K claims · 1.0%

Your Cost: $131.78/claim|Median: $61.57
2.1× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$1.5M

13K claims · 0.9%

Your Cost: $116.11/claim|Median: $36.79
3.2× median
71046Top 25%

Chest X-ray, 2 views

$1.3M

60K claims · 0.8%

Your Cost: $22.47/claim|Median: $8.92
2.5× median
76856Top 25%

Ultrasound, pelvic, complete

$1.3M

12K claims · 0.8%

Your Cost: $110.74/claim|Median: $47.58
2.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.2M

8K claims · 0.8%

Your Cost: $146.36/claim|Median: $60.19
2.4× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$1.2M

8K claims · 0.7%

Your Cost: $149.30/claim|Median: $58.55
2.5× median
99214Top 5%

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

$1.1M

7K claims · 0.7%

Your Cost: $150.76/claim|Median: $53.41
2.8× median

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