New York Presbyterian Hospital – Outpatient Hospital Services – Page 3

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 5194 RUCA 1

Level 4 Endovascular Procedures

525 East 68th Street, New York, NY 10065

Service Count

221

Beneficiary Count

209

Avg Medicare Allowed

$20,569.64

Avg Medicare Payment

$18,962.94

Avg Total Charges

$69,542.09

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5200 RUCA 1

Implantation Wireless PA Pressure Monitor

525 East 68th Street, New York, NY 10065

Service Count

47

Beneficiary Count

47

Avg Medicare Allowed

$32,813.46

Avg Medicare Payment

$31,213.46

Avg Total Charges

$77,386.68

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 5212 RUCA 1

Level 2 Electrophysiologic Procedures

525 East 68th Street, New York, NY 10065

Service Count

NA

Beneficiary Count

NA

Avg Medicare Allowed

NA

Avg Medicare Payment

NA

Avg Total Charges

NA

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5213 RUCA 1

Level 3 Electrophysiologic Procedures

525 East 68th Street, New York, NY 10065

Service Count

324

Beneficiary Count

318

Avg Medicare Allowed

$28,140.56

Avg Medicare Payment

$26,537.82

Avg Total Charges

$102,305.80

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 5222 RUCA 1

Level 2 Pacemaker and Similar Procedures

525 East 68th Street, New York, NY 10065

Service Count

297

Beneficiary Count

297

Avg Medicare Allowed

$9,775.67

Avg Medicare Payment

$8,177.74

Avg Total Charges

$37,762.23

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5223 RUCA 1

Level 3 Pacemaker and Similar Procedures

525 East 68th Street, New York, NY 10065

Service Count

329

Beneficiary Count

328

Avg Medicare Allowed

$12,399.70

Avg Medicare Payment

$10,797.64

Avg Total Charges

$63,313.30

Outlier Services

22

Avg Outlier Amount

$954.42

RUCA Classification

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

APC 5224 RUCA 1

Level 4 Pacemaker and Similar Procedures

525 East 68th Street, New York, NY 10065

Service Count

30

Beneficiary Count

30

Avg Medicare Allowed

$22,448.84

Avg Medicare Payment

$20,848.84

Avg Total Charges

$88,215.03

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 5231 RUCA 1

Level 1 ICD and Similar Procedures

525 East 68th Street, New York, NY 10065

Service Count

30

Beneficiary Count

30

Avg Medicare Allowed

$27,426.73

Avg Medicare Payment

$25,826.73

Avg Total Charges

$88,853.92

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 5232 RUCA 1

Level 2 ICD and Similar Procedures

525 East 68th Street, New York, NY 10065

Service Count

119

Beneficiary Count

118

Avg Medicare Allowed

$38,541.56

Avg Medicare Payment

$36,939.66

Avg Total Charges

$113,092.60

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 5302 RUCA 1

Level 2 Upper GI Procedures

525 East 68th Street, New York, NY 10065

Service Count

904

Beneficiary Count

812

Avg Medicare Allowed

$2,080.03

Avg Medicare Payment

$1,654.32

Avg Total Charges

$15,986.15

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5303 RUCA 1

Level 3 Upper GI Procedures

525 East 68th Street, New York, NY 10065

Service Count

171

Beneficiary Count

163

Avg Medicare Allowed

$3,930.55

Avg Medicare Payment

$3,135.46

Avg Total Charges

$19,379.04

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 5313 RUCA 1

Level 3 Lower GI Procedures

525 East 68th Street, New York, NY 10065

Service Count

203

Beneficiary Count

192

Avg Medicare Allowed

$3,089.38

Avg Medicare Payment

$2,480.41

Avg Total Charges

$19,110.81

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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