North Carolina Baptist 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

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

140

Beneficiary Count

125

Avg Medicare Allowed

$3,135.94

Avg Medicare Payment

$2,490.65

Avg Total Charges

$29,246.00

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5155 RUCA 1

Level 5 Airway Endoscopy

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

70

Beneficiary Count

70

Avg Medicare Allowed

$5,671.66

Avg Medicare Payment

$4,477.87

Avg Total Charges

$53,996.37

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

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

49

Beneficiary Count

29

Avg Medicare Allowed

$1,297.82

Avg Medicare Payment

$1,028.95

Avg Total Charges

$5,432.22

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 5164 RUCA 1

Level 4 ENT Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

33

Beneficiary Count

33

Avg Medicare Allowed

$2,700.29

Avg Medicare Payment

$2,140.54

Avg Total Charges

$31,326.55

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

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

100

Beneficiary Count

99

Avg Medicare Allowed

$5,027.37

Avg Medicare Payment

$3,990.07

Avg Total Charges

$60,106.43

Outlier Services

13

Avg Outlier Amount

$3,959.72

RUCA Classification

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

APC 5166 RUCA 1

Cochlear Implant Procedure

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

13

Beneficiary Count

13

Avg Medicare Allowed

$30,288.57

Avg Medicare Payment

$28,688.57

Avg Total Charges

$183,298.44

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5182 RUCA 1

Level 2 Vascular Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

114

Beneficiary Count

107

Avg Medicare Allowed

$1,375.59

Avg Medicare Payment

$1,088.49

Avg Total Charges

$5,111.30

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 5183 RUCA 1

Level 3 Vascular Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

293

Beneficiary Count

261

Avg Medicare Allowed

$2,790.99

Avg Medicare Payment

$2,215.65

Avg Total Charges

$22,007.90

Outlier Services

19

Avg Outlier Amount

$5,599.98

RUCA Classification

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

APC 5184 RUCA 1

Level 4 Vascular Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

65

Beneficiary Count

60

Avg Medicare Allowed

$4,818.20

Avg Medicare Payment

$3,821.19

Avg Total Charges

$52,127.91

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5191 RUCA 1

Level 1 Endovascular Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

234

Beneficiary Count

234

Avg Medicare Allowed

$2,740.85

Avg Medicare Payment

$1,906.08

Avg Total Charges

$21,399.64

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 5192 RUCA 1

Level 2 Endovascular Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

84

Beneficiary Count

69

Avg Medicare Allowed

$4,949.76

Avg Medicare Payment

$3,939.42

Avg Total Charges

$20,838.12

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5193 RUCA 1

Level 3 Endovascular Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

121

Beneficiary Count

106

Avg Medicare Allowed

$9,884.00

Avg Medicare Payment

$8,288.74

Avg Total Charges

$73,425.23

Outlier Services

14

Avg Outlier Amount

$3,819.93

RUCA Classification

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