Bridgeport Hospital
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 66 procedure codes: 99284 at 3.6× median, 99285 at 6.4× median.
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:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
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 $253.21 per claim for 99284 (Emergency dept visit, high complexity) — 3.6× the national median of $69.51.
Bills $549.88 per claim for 99285 (Emergency dept visit, high/urgent complexity) — 6.4× the national median of $85.65.
Bills $141.40 per claim for 99283 (Emergency dept visit, moderate complexity) — 3.3× the national median of $42.48.
Billing above the 90th percentile for 15 procedure codes simultaneously.
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 $287.3M is at the 75th percentile among 156 General Acute Care Hospital providers.
Total Paid
$287.3M
$287,340,554
Total Claims
7.0M
Beneficiaries
5.5M
1.3 claims/patient
Avg Cost/Claim
$41
#261 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Bridgeport Hospital is a General Acute Care Hospital provider based in Bridgeport, CT. From the 2018–2024 period, this provider received $287.3M in Medicaid payments across 7.0M claims.
Why This Matters
This provider received $287.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 35,917 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 (99284 (Emergency dept visit, high complexity)) accounts for 19% of total spending.
$53.6M
211K claims
$253.21
$69.51
Emergency dept visit, high complexity
$53.6M
211K claims · 18.6%
$45.3M
82K claims
$549.88
$85.65
Emergency dept visit, high/urgent complexity
$45.3M
82K claims · 15.8%
$31.5M
223K claims
$141.40
$42.48
Emergency dept visit, moderate complexity
$31.5M
223K claims · 11.0%
Hospital outpatient clinic visit
$23.2M
218K claims · 8.1%
Therapeutic exercises, each 15 min
$10.4M
164K claims · 3.6%
$7.4M
52K claims
$142.93
$21.76
Therapeutic/prophylactic/diagnostic IV push, single substance
$7.4M
52K claims · 2.6%
$7.3M
108K claims
$67.72
$63.08
Infectious disease detection (COVID-19)
$7.3M
108K claims · 2.6%
Critical care, first 30-74 minutes
$5.7M
8K claims · 2.0%
Emergency dept visit, low complexity
$4.6M
49K claims · 1.6%
Chest X-ray, 2 views
$3.5M
61K claims · 1.2%
$3.3M
36K claims · 1.1%
$3.1M
15K claims
$208.56
$54.68
Echocardiography, transthoracic, complete, with Doppler
$3.1M
15K claims · 1.1%
$3.1M
19K claims
$162.75
$65.76
CT abdomen and pelvis with contrast
$3.1M
19K claims · 1.1%
Fetal non-stress test
$2.9M
18K claims · 1.0%
Colonoscopy with biopsy
$2.8M
4K claims · 1.0%
$2.7M
24K claims
$110.75
$91.47
Proprietary lab analysis, genomic sequencing
$2.7M
24K claims · 0.9%
$2.5M
22K claims
$110.73
$135.70
Intensive outpatient psychiatric services, per diem
$2.5M
22K claims · 0.9%
Speech/hearing/language treatment
$2.4M
26K claims · 0.8%
Upper GI endoscopy with biopsy
$2.2M
5K claims · 0.8%
$2.0M
14K claims
$144.66
$61.57
IV infusion, hydration, initial, 31 minutes to 1 hour
$2.0M
14K claims · 0.7%
$2.0M
3K claims
$590.38
$255.17
Colonoscopy with polyp removal, snare technique
$2.0M
3K claims · 0.7%
$1.9M
18K claims
$108.02
$39.33
Screening mammography, bilateral, including CAD
$1.9M
18K claims · 0.7%
$1.9M
36K claims
$51.57
$38.92
IV infusion, hydration, each additional hour
$1.9M
36K claims · 0.7%
$1.8M
86K claims
$21.29
$15.76
Infectious disease detection, COVID-19, antigen
$1.8M
86K claims · 0.6%
$1.5M
29K claims
$52.45
$33.11
Therapeutic activities, each 15 min
$1.5M
29K claims · 0.5%
$1.4M
2K claims
$572.61
$763.43
Unlisted procedure, dentoalveolar structures
$1.4M
2K claims · 0.5%
CT chest with contrast
$1.3M
6K claims · 0.5%
$1.3M
3K claims
$528.68
$106.14
Myocardial perfusion imaging, SPECT, multiple studies
$1.3M
3K claims · 0.5%
$1.2M
20K claims
$61.74
$58.55
Ultrasound, pregnant uterus, follow-up
$1.2M
20K claims · 0.4%
Colonoscopy, diagnostic
$1.2M
2K claims · 0.4%
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