New York Presbyterian Hospital – Outpatient Hospital Services – Page 4

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 5331 RUCA 1

Complex GI Procedures

525 East 68th Street, New York, NY 10065

Service Count

210

Beneficiary Count

169

Avg Medicare Allowed

$6,302.47

Avg Medicare Payment

$5,019.68

Avg Total Charges

$27,011.98

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5341 RUCA 1

Abdominal/Peritoneal/Biliary and Related Procedures

525 East 68th Street, New York, NY 10065

Service Count

380

Beneficiary Count

346

Avg Medicare Allowed

$4,224.95

Avg Medicare Payment

$3,354.11

Avg Total Charges

$25,611.80

Outlier Services

14

Avg Outlier Amount

$3,826.69

RUCA Classification

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

APC 5361 RUCA 1

Level 1 Laparoscopy and Related Services

525 East 68th Street, New York, NY 10065

Service Count

697

Beneficiary Count

684

Avg Medicare Allowed

$6,240.21

Avg Medicare Payment

$4,960.18

Avg Total Charges

$32,921.83

Outlier Services

19

Avg Outlier Amount

$2,751.59

RUCA Classification

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

APC 5362 RUCA 1

Level 2 Laparoscopy and Related Services

525 East 68th Street, New York, NY 10065

Service Count

385

Beneficiary Count

384

Avg Medicare Allowed

$10,903.42

Avg Medicare Payment

$9,302.70

Avg Total Charges

$45,335.75

Outlier Services

11

Avg Outlier Amount

$2,480.96

RUCA Classification

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

APC 5372 RUCA 1

Level 2 Urology and Related Services

525 East 68th Street, New York, NY 10065

Service Count

123

Beneficiary Count

55

Avg Medicare Allowed

$753.98

Avg Medicare Payment

$592.62

Avg Total Charges

$7,503.91

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5373 RUCA 1

Level 3 Urology and Related Services

525 East 68th Street, New York, NY 10065

Service Count

546

Beneficiary Count

437

Avg Medicare Allowed

$2,220.95

Avg Medicare Payment

$1,763.51

Avg Total Charges

$17,110.14

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5374 RUCA 1

Level 4 Urology and Related Services

525 East 68th Street, New York, NY 10065

Service Count

554

Beneficiary Count

459

Avg Medicare Allowed

$3,849.08

Avg Medicare Payment

$3,062.31

Avg Total Charges

$21,394.98

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5375 RUCA 1

Level 5 Urology and Related Services

525 East 68th Street, New York, NY 10065

Service Count

648

Beneficiary Count

607

Avg Medicare Allowed

$5,633.50

Avg Medicare Payment

$4,478.98

Avg Total Charges

$23,564.29

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5376 RUCA 1

Level 6 Urology and Related Services

525 East 68th Street, New York, NY 10065

Service Count

40

Beneficiary Count

39

Avg Medicare Allowed

$10,305.82

Avg Medicare Payment

$8,705.82

Avg Total Charges

$30,338.99

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 5377 RUCA 1

Level 7 Urology and Related Services

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 5378 RUCA 1

Level 8 Urology and Related Services

525 East 68th Street, New York, NY 10065

Service Count

16

Beneficiary Count

14

Avg Medicare Allowed

$23,180.82

Avg Medicare Payment

$21,580.82

Avg Total Charges

$65,152.31

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 5414 RUCA 1

Level 4 Gynecologic Procedures

525 East 68th Street, New York, NY 10065

Service Count

291

Beneficiary Count

284

Avg Medicare Allowed

$3,371.05

Avg Medicare Payment

$2,677.17

Avg Total Charges

$23,339.96

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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