Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Kadlec Regional Medical Center

General Acute Care Hospital·Richland, WA·NPI: 1972507580Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $151.6M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$151.6M

$151,598,939

Total Claims

3.6M

Beneficiaries

3.1M

1.2 claims/patient

Avg Cost/Claim

$42

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

🔍 Analysis

Provider Overview

Kadlec Regional Medical Center is a General Acute Care Hospital provider based in Richland, WA. From the 2018–2024 period, this provider received $151.6M in Medicaid payments across 3.6M claims.

Why This Matters

This provider received $151.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,949 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 31% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$26.6M
-9%
2019
$24.2M
-24%
2020
$18.3M
+12%
2021
$20.5M
+11%
2022
$22.8M
-9%
2023
$20.8M
-11%
2024
$18.5M

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 21% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$31.7M

377K claims · 20.9%

Your Cost: $84.10/claim|Median: $26.41
3.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$14.0M

118K claims · 9.2%

Your Cost: $118.63/claim|Median: $42.48
2.8× median
99214Normal range

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

$11.8M

240K claims · 7.8%

Your Cost: $49.06/claim|Median: $53.41
0.9× median
99213Normal range

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

$8.2M

193K claims · 5.4%

Your Cost: $42.39/claim|Median: $37.81
1.1× median
96361Top 10%

IV infusion, hydration, each additional hour

$8.0M

26K claims · 5.3%

Your Cost: $303.49/claim|Median: $38.92
7.8× median
99284Normal range

Emergency dept visit, high complexity

$6.4M

69K claims · 4.2%

Your Cost: $92.57/claim|Median: $69.51
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.6M

42K claims · 2.4%

Your Cost: $86.13/claim|Median: $85.65
1.0× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$2.8M

695 claims · 1.9%

Your Cost: $4,091.32/claim|Median: $5,391.55
0.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.3M

13K claims · 1.5%

Your Cost: $172.76/claim|Median: $65.76
2.6× median
99282Normal range

Emergency dept visit, low complexity

$1.9M

21K claims · 1.2%

Your Cost: $89.39/claim|Median: $37.72
2.4× median
92507Normal range

Speech/hearing/language treatment

$1.7M

39K claims · 1.1%

Your Cost: $43.88/claim|Median: $49.45
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.6M

21K claims · 1.1%

Your Cost: $79.73/claim|Median: $75.18
1.1× median
96365Top 25%

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

$1.6M

16K claims · 1.1%

Your Cost: $98.52/claim|Median: $54.77
1.8× median
97110Normal range

Therapeutic exercises, each 15 min

$1.6M

56K claims · 1.0%

Your Cost: $27.98/claim|Median: $24.49
1.1× median
97530Normal range

Therapeutic activities, each 15 min

$1.5M

38K claims · 1.0%

Your Cost: $37.87/claim|Median: $33.11
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.5M

15K claims · 1.0%

Your Cost: $95.81/claim|Median: $54.68
1.8× median
99281Top 25%

Emergency dept visit, minimal complexity

$1.4M

10K claims · 0.9%

Your Cost: $134.65/claim|Median: $52.03
2.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.4M

18K claims · 0.9%

Your Cost: $76.09/claim|Median: $75.28
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.3M

17K claims · 0.8%

Your Cost: $73.41/claim|Median: $69.35
1.1× median
70450Top 25%

CT head/brain without contrast

$1.2M

9K claims · 0.8%

Your Cost: $136.07/claim|Median: $45.53
3.0× median
44970Top 25%

$1.2M

381 claims · 0.8%

Your Cost: $3,077.01/claim|Median: $1,699.18
1.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.1M

29K claims · 0.7%

Your Cost: $38.90/claim|Median: $35.30
1.1× median
96360Top 25%

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

$1.1M

8K claims · 0.7%

Your Cost: $133.36/claim|Median: $61.57
2.2× median
96366Top 10%

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

$1.1M

4K claims · 0.7%

Your Cost: $238.34/claim|Median: $40.12
5.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$947K

5K claims · 0.6%

Your Cost: $175.06/claim|Median: $60.19
2.9× median
76705Top 25%

Ultrasound, abdominal, limited

$918K

11K claims · 0.6%

Your Cost: $87.19/claim|Median: $23.81
3.7× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$882K

31K claims · 0.6%

Your Cost: $28.16/claim|Median: $23.99
1.2× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$865K

8K claims · 0.6%

Your Cost: $110.71/claim|Median: $36.13
3.1× median
99215Normal range

Office/outpatient visit, high complexity

$859K

12K claims · 0.6%

Your Cost: $70.27/claim|Median: $74.09
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$794K

5K claims · 0.5%

Your Cost: $174.59/claim|Median: $151.68
1.1× median

Other Top Providers in Washington

View all →

Stillaguamish Tribe of Indians

Clinic/Center Rehabilitation Substance Use Disor

$349.3M

We Care Daily Clinics LLC

Clinic/Center Methadone Clinic

$260.6M

Ideal Option, PLLC

Preventive Medicine, Addiction Medicine

$259.1M

Seattle Children's Hospital

Prosthetic/Orthotic Supplier

$219.5M

Swinomish Health Services

Clinic/Center Rehabilitation Substance Use Disor

$195.9M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in Washington →How we detect fraud →