North Carolina Baptist 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 5416 RUCA 1

Level 6 Gynecologic Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

27

Beneficiary Count

26

Avg Medicare Allowed

$6,379.76

Avg Medicare Payment

$5,025.49

Avg Total Charges

$67,278.15

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5431 RUCA 1

Level 1 Nerve Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

297

Beneficiary Count

194

Avg Medicare Allowed

$1,662.14

Avg Medicare Payment

$1,308.86

Avg Total Charges

$7,028.55

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 5432 RUCA 1

Level 2 Nerve Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

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 5461 RUCA 1

Level 1 Neurostimulator and Related Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

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 5462 RUCA 1

Level 2 Neurostimulator and Related Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

15

Beneficiary Count

13

Avg Medicare Allowed

$6,267.37

Avg Medicare Payment

$4,993.51

Avg Total Charges

$35,923.92

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 5463 RUCA 1

Level 3 Neurostimulator and Related Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

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 5464 RUCA 1

Level 4 Neurostimulator and Related Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

41

Beneficiary Count

40

Avg Medicare Allowed

$20,368.11

Avg Medicare Payment

$18,768.11

Avg Total Charges

$107,768.18

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

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

34

Beneficiary Count

34

Avg Medicare Allowed

$27,781.36

Avg Medicare Payment

$26,181.36

Avg Total Charges

$157,229.33

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

Medical Center Boulevard, Winston-Salem, NC 27157

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

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

116

Beneficiary Count

96

Avg Medicare Allowed

$2,012.33

Avg Medicare Payment

$1,593.47

Avg Total Charges

$28,975.15

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5492 RUCA 1

Level 2 Intraocular Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

138

Beneficiary Count

120

Avg Medicare Allowed

$3,770.16

Avg Medicare Payment

$2,996.81

Avg Total Charges

$65,914.78

Outlier Services

46

Avg Outlier Amount

$3,796.28

RUCA Classification

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

APC 5493 RUCA 1

Level 3 Intraocular Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

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