New York Presbyterian Hospital – Outpatient Hospital Services – Page 2

All Outpatient Hospital Services

This section provides data about outpatient hospital services provided by the facility. It includes details such as the 'Service Count,' which indicates how many services were provided, and the 'Beneficiary Count,' showing how many individuals received care. The 'Avg Total Charges' reflects the average charge for the services rendered, while the 'Avg Medicare Allowed' and 'Avg Medicare Payment' show the typical amount reimbursed by Medicare. The 'Outlier Services' represents any services that fall outside the normal cost range, with 'Avg Outlier Amount' showing the typical payment for these services. The 'RUCA Classification' gives information about the facility’s location, indicating whether it is in a metropolitan area or rural area.

APC 5154 RUCA 1

Level 4 Airway Endoscopy

525 East 68th Street, New York, NY 10065

Service Count

544

Beneficiary Count

420

Avg Medicare Allowed

$4,006.84

Avg Medicare Payment

$3,188.60

Avg Total Charges

$22,621.27

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5155 RUCA 1

Level 5 Airway Endoscopy

525 East 68th Street, New York, NY 10065

Service Count

182

Beneficiary Count

174

Avg Medicare Allowed

$7,393.07

Avg Medicare Payment

$5,872.19

Avg Total Charges

$30,906.26

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5163 RUCA 1

Level 3 ENT Procedures

525 East 68th Street, New York, NY 10065

Service Count

16

Beneficiary Count

16

Avg Medicare Allowed

$1,673.34

Avg Medicare Payment

$1,333.23

Avg Total Charges

$43,625.10

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5164 RUCA 1

Level 4 ENT Procedures

525 East 68th Street, New York, NY 10065

Service Count

31

Beneficiary Count

31

Avg Medicare Allowed

$3,429.56

Avg Medicare Payment

$2,732.49

Avg Total Charges

$26,588.45

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5165 RUCA 1

Level 5 ENT Procedures

525 East 68th Street, New York, NY 10065

Service Count

308

Beneficiary Count

306

Avg Medicare Allowed

$6,436.84

Avg Medicare Payment

$5,124.44

Avg Total Charges

$37,429.59

Outlier Services

19

Avg Outlier Amount

$3,167.21

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5166 RUCA 1

Cochlear Implant Procedure

525 East 68th Street, New York, NY 10065

Service Count

14

Beneficiary Count

13

Avg Medicare Allowed

$40,055.23

Avg Medicare Payment

$38,446.80

Avg Total Charges

$97,502.18

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5182 RUCA 1

Level 2 Vascular Procedures

525 East 68th Street, New York, NY 10065

Service Count

105

Beneficiary Count

100

Avg Medicare Allowed

$1,776.50

Avg Medicare Payment

$1,413.71

Avg Total Charges

$16,176.70

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5183 RUCA 1

Level 3 Vascular Procedures

525 East 68th Street, New York, NY 10065

Service Count

410

Beneficiary Count

381

Avg Medicare Allowed

$3,563.13

Avg Medicare Payment

$2,832.36

Avg Total Charges

$25,383.72

Outlier Services

19

Avg Outlier Amount

$4,781.80

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5184 RUCA 1

Level 4 Vascular Procedures

525 East 68th Street, New York, NY 10065

Service Count

271

Beneficiary Count

233

Avg Medicare Allowed

$5,720.37

Avg Medicare Payment

$4,550.49

Avg Total Charges

$27,984.63

Outlier Services

16

Avg Outlier Amount

$6,663.27

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5191 RUCA 1

Level 1 Endovascular Procedures

525 East 68th Street, New York, NY 10065

Service Count

1,389

Beneficiary Count

1,361

Avg Medicare Allowed

$3,555.11

Avg Medicare Payment

$2,493.87

Avg Total Charges

$30,888.60

Outlier Services

41

Avg Outlier Amount

$11,050.13

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5192 RUCA 1

Level 2 Endovascular Procedures

525 East 68th Street, New York, NY 10065

Service Count

366

Beneficiary Count

338

Avg Medicare Allowed

$6,260.29

Avg Medicare Payment

$4,978.51

Avg Total Charges

$33,860.97

Outlier Services

23

Avg Outlier Amount

$2,962.80

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5193 RUCA 1

Level 3 Endovascular Procedures

525 East 68th Street, New York, NY 10065

Service Count

833

Beneficiary Count

743

Avg Medicare Allowed

$12,751.22

Avg Medicare Payment

$11,149.49

Avg Total Charges

$49,753.29

Outlier Services

32

Avg Outlier Amount

$2,645.42

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater