New York Presbyterian Hospital – Outpatient Hospital Services – Page 5

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 5415 RUCA 1

Level 5 Gynecologic Procedures

525 East 68th Street, New York, NY 10065

Service Count

94

Beneficiary Count

88

Avg Medicare Allowed

$5,540.16

Avg Medicare Payment

$4,400.64

Avg Total Charges

$33,763.40

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5416 RUCA 1

Level 6 Gynecologic Procedures

525 East 68th Street, New York, NY 10065

Service Count

15

Beneficiary Count

14

Avg Medicare Allowed

$8,346.55

Avg Medicare Payment

$6,746.55

Avg Total Charges

$53,362.58

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5431 RUCA 1

Level 1 Nerve Procedures

525 East 68th Street, New York, NY 10065

Service Count

216

Beneficiary Count

205

Avg Medicare Allowed

$2,166.92

Avg Medicare Payment

$1,722.42

Avg Total Charges

$19,902.85

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5432 RUCA 1

Level 2 Nerve Procedures

525 East 68th Street, New York, NY 10065

Service Count

16

Beneficiary Count

15

Avg Medicare Allowed

$7,448.11

Avg Medicare Payment

$5,934.27

Avg Total Charges

$40,146.11

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5461 RUCA 1

Level 1 Neurostimulator and Related Procedures

525 East 68th Street, New York, NY 10065

Service Count

18

Beneficiary Count

18

Avg Medicare Allowed

$3,914.94

Avg Medicare Payment

$3,119.22

Avg Total Charges

$31,967.67

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5462 RUCA 1

Level 2 Neurostimulator and Related Procedures

525 East 68th Street, New York, NY 10065

Service Count

83

Beneficiary Count

79

Avg Medicare Allowed

$7,960.33

Avg Medicare Payment

$6,359.42

Avg Total Charges

$40,360.66

Outlier Services

13

Avg Outlier Amount

$4,952.01

RUCA Classification

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

APC 5463 RUCA 1

Level 3 Neurostimulator and Related Procedures

525 East 68th Street, New York, NY 10065

Service Count

91

Beneficiary Count

88

Avg Medicare Allowed

$14,381.89

Avg Medicare Payment

$12,776.92

Avg Total Charges

$56,311.79

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5464 RUCA 1

Level 4 Neurostimulator and Related Procedures

525 East 68th Street, New York, NY 10065

Service Count

57

Beneficiary Count

54

Avg Medicare Allowed

$25,862.46

Avg Medicare Payment

$24,262.46

Avg Total Charges

$75,092.92

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5465 RUCA 1

Level 5 Neurostimulator and Related Procedures

525 East 68th Street, New York, NY 10065

Service Count

75

Beneficiary Count

74

Avg Medicare Allowed

$34,829.53

Avg Medicare Payment

$33,229.53

Avg Total Charges

$107,289.58

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 5471 RUCA 1

Implantation of Drug Infusion Device

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 5491 RUCA 1

Level 1 Intraocular Procedures

525 East 68th Street, New York, NY 10065

Service Count

2,260

Beneficiary Count

1,533

Avg Medicare Allowed

$2,584.03

Avg Medicare Payment

$2,051.19

Avg Total Charges

$18,592.79

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5492 RUCA 1

Level 2 Intraocular Procedures

525 East 68th Street, New York, NY 10065

Service Count

484

Beneficiary Count

427

Avg Medicare Allowed

$4,816.55

Avg Medicare Payment

$3,835.53

Avg Total Charges

$29,155.66

Outlier Services

18

Avg Outlier Amount

$3,505.51

RUCA Classification

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