Suny Health Science Center at Syracuse
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $9.3M (2019) to $28.1M (2020) — a 203% swing with $18.8M absolute change.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $182.62 per claim for 99283 (Emergency dept visit, moderate complexity) — 4.3× the national median of $42.48.
Bills $164.28 per claim for 99213 (Office/outpatient visit, est. patient, low-mod complexity) — 4.3× the national median of $37.81.
Bills $173.42 per claim for 99214 (Office/outpatient visit, est. patient, mod-high complexity) — 3.3× the national median of $53.41.
Billing in the top 1% nationally for 4 procedure codes: 99213, 97110, 93976.
This is a statistical summary, not an accusation. See our methodology.
Compared to General Acute Care Hospital Peers
Total spending distribution among 156 providers in this specialty
This provider's total spending of $179.8M is at the 50th percentile among 156 General Acute Care Hospital providers.
Total Paid
$179.8M
$179,830,985
Total Claims
3.3M
Beneficiaries
2.9M
1.1 claims/patient
Avg Cost/Claim
$55
#531 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Suny Health Science Center at Syracuse is a General Acute Care Hospital provider based in Syracuse, NY. From the 2018–2024 period, this provider received $179.8M in Medicaid payments across 3.3M claims.
Why This Matters
This provider received $179.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,478 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (J9271 (Injection, pembrolizumab, 1 mg)) accounts for 7% of total spending.
$11.8M
2K claims
$7,238.97
$5,391.55
Injection, pembrolizumab, 1 mg
$11.8M
2K claims · 6.6%
$10.5M
61K claims
$171.94
$69.51
Emergency dept visit, high complexity
$10.5M
61K claims · 5.8%
$9.1M
50K claims
$182.62
$42.48
Emergency dept visit, moderate complexity
$9.1M
50K claims · 5.1%
$7.7M
47K claims
$164.28
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$7.7M
47K claims · 4.3%
$7.1M
41K claims
$173.42
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$7.1M
41K claims · 4.0%
$5.2M
29K claims
$177.76
$54.77
IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour
$5.2M
29K claims · 2.9%
$5.0M
67K claims
$74.66
$60.05
COVID-19 test, nucleic acid detection, CDC lab only
$5.0M
67K claims · 2.8%
$4.9M
4K claims
$1,115.72
$763.43
Unlisted procedure, dentoalveolar structures
$4.9M
4K claims · 2.7%
$4.9M
21K claims
$237.57
$38.92
IV infusion, hydration, each additional hour
$4.9M
21K claims · 2.7%
Therapeutic exercises, each 15 min
$4.2M
29K claims · 2.3%
Emergency dept visit, low complexity
$4.1M
22K claims · 2.3%
$4.1M
28K claims
$144.09
$85.65
Emergency dept visit, high/urgent complexity
$4.1M
28K claims · 2.3%
$3.6M
61K claims
$59.31
$169.17
Respiratory virus detection, 12-25 targets, nucleic acid
$3.6M
61K claims · 2.0%
CT head/brain without contrast
$2.8M
8K claims · 1.5%
$2.6M
6K claims · 1.5%
Therapeutic activities, each 15 min
$2.3M
17K claims · 1.3%
$2.3M
11K claims
$219.72
$99.39
Hospital observation service, per hour
$2.3M
11K claims · 1.3%
CT abdomen and pelvis with contrast
$2.3M
9K claims · 1.3%
Comprehensive metabolic panel
$2.1M
117K claims · 1.2%
$2.1M
61K claims · 1.2%
$1.9M
10K claims
$191.85
$52.03
Emergency dept visit, minimal complexity
$1.9M
10K claims · 1.1%
$1.9M
13K claims
$148.39
$101.33
Unspecified diagnostic procedure, by report
$1.9M
13K claims · 1.0%
Ultrasound, retroperitoneal, complete
$1.8M
7K claims · 1.0%
$1.8M
11K claims
$161.18
$75.28
Chemotherapy administration, IV infusion, up to 1 hour
$1.8M
11K claims · 1.0%
$1.8M
9K claims
$189.76
$40.12
IV infusion, therapeutic/prophylactic/diagnostic, each additional hour
$1.8M
9K claims · 1.0%
$1.7M
46K claims
$37.76
$39.70
COVID-19 SARS-CoV-2 amplified probe detection
$1.7M
46K claims · 1.0%
$1.7M
10K claims
$177.13
$25.06
Office/outpatient visit, low complexity
$1.7M
10K claims · 1.0%
Psychotherapy, 45 minutes
$1.7M
11K claims · 0.9%
$1.6M
9K claims
$185.02
$74.09
Office/outpatient visit, high complexity
$1.6M
9K claims · 0.9%
$1.6M
4K claims
$348.49
$133.68
MRI brain without contrast, then with contrast
$1.6M
4K claims · 0.9%
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