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Mary Imogene Bassett Hospital

General Acute Care Hospital, Rural·Cooperstown, NY·NPI: 1780600577Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$121.8M

$121,764,268

Total Claims

1.9M

Beneficiaries

1.7M

1.1 claims/patient

Avg Cost/Claim

$66

#980 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Mary Imogene Bassett Hospital is a General Acute Care Hospital, Rural provider based in Cooperstown, NY. From the 2018–2024 period, this provider received $121.8M in Medicaid payments across 1.9M claims.

Why This Matters

This provider received $121.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,220 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 63125% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$28K
+21286%
2019
$5.9M
+189%
2020
$17.2M
+26%
2021
$21.7M
+56%
2022
$33.8M
-24%
2023
$25.6M
-31%
2024
$17.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 18% of total spending.

99213Top 5%

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

$22.0M

157K claims · 18.1%

Your Cost: $140.13/claim|Median: $37.81
3.7× median
99214Top 5%

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

$18.5M

135K claims · 15.2%

Your Cost: $137.42/claim|Median: $53.41
2.6× median
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$11.7M

38K claims · 9.6%

Your Cost: $304.24/claim|Median: $47.08
6.5× median
99215Top 25%

Office/outpatient visit, high complexity

$4.9M

34K claims · 4.0%

Your Cost: $141.82/claim|Median: $74.09
1.9× median
80053Top 5%

Comprehensive metabolic panel

$2.4M

47K claims · 2.0%

Your Cost: $51.55/claim|Median: $7.24
7.1× median
Q3014Top 5%

Telehealth originating site facility fee

$2.4M

42K claims · 2.0%

Your Cost: $57.82/claim|Median: $15.37
3.8× median
99393Top 5%

Preventive medicine, established patient, age 5-11

$2.1M

14K claims · 1.7%

Your Cost: $146.16/claim|Median: $74.82
1.9× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$2.0M

13K claims · 1.6%

Your Cost: $149.80/claim|Median: $75.18
2.0× median
90832Top 5%

Psychotherapy, 30 minutes

$2.0M

16K claims · 1.6%

Your Cost: $124.26/claim|Median: $41.28
3.0× median
99212Top 5%

Office/outpatient visit, low complexity

$1.9M

15K claims · 1.5%

Your Cost: $127.93/claim|Median: $25.06
5.1× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$1.8M

12K claims · 1.5%

Your Cost: $153.07/claim|Median: $69.35
2.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.7M

24K claims · 1.4%

Your Cost: $72.10/claim|Median: $63.08
1.1× median
45380Top 5%

Colonoscopy with biopsy

$1.6M

1K claims · 1.3%

Your Cost: $1,080.93/claim|Median: $200.68
5.4× median
90834Top 5%

Psychotherapy, 45 minutes

$1.4M

9K claims · 1.2%

Your Cost: $153.27/claim|Median: $63.65
2.4× median
43239Top 5%

Upper GI endoscopy with biopsy

$1.4M

2K claims · 1.1%

Your Cost: $752.81/claim|Median: $151.68
5.0× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$1.3M

9K claims · 1.1%

Your Cost: $139.47/claim|Median: $72.71
1.9× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$1.3M

9K claims · 1.1%

Your Cost: $144.43/claim|Median: $80.15
1.8× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.3M

7K claims · 1.0%

Your Cost: $189.74/claim|Median: $42.48
4.5× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.2M

2K claims · 1.0%

Your Cost: $504.50/claim|Median: $65.76
7.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.2M

7K claims · 1.0%

Your Cost: $175.37/claim|Median: $85.65
2.0× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$1.1M

8K claims · 0.9%

Your Cost: $138.00/claim|Median: $76.06
1.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.1M

25K claims · 0.9%

Your Cost: $45.57/claim|Median: $39.70
1.1× median
81025Top 1%

Urine pregnancy test

$1.1M

15K claims · 0.9%

Your Cost: $72.63/claim|Median: $4.81
15.1× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$1.0M

12K claims · 0.8%

Your Cost: $86.01/claim|Median: $65.64
1.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$950K

3K claims · 0.8%

Your Cost: $376.65/claim|Median: $54.68
6.9× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$935K

28K claims · 0.8%

Your Cost: $33.30/claim|Median: $3.67
9.1× median
99284Top 10%

Emergency dept visit, high complexity

$777K

4K claims · 0.6%

Your Cost: $180.94/claim|Median: $69.51
2.6× median
20610Top 1%

Arthrocentesis, aspiration/injection, major joint

$756K

3K claims · 0.6%

Your Cost: $262.41/claim|Median: $29.03
9.0× median
45378Top 5%

Colonoscopy, diagnostic

$700K

666 claims · 0.6%

Your Cost: $1,050.40/claim|Median: $225.49
4.7× median
80048Top 5%

Basic metabolic panel

$647K

13K claims · 0.5%

Your Cost: $48.62/claim|Median: $5.78
8.4× median

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