North Carolina Baptist Hospital – Outpatient Hospital Services – Page 6

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 5503 RUCA 1

Level 3 Extraocular, Repair, and Plastic Eye Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

56

Beneficiary Count

55

Avg Medicare Allowed

$1,978.05

Avg Medicare Payment

$1,564.77

Avg Total Charges

$19,830.51

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5504 RUCA 1

Level 4 Extraocular, Repair, and Plastic Eye Procedures

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

11

Beneficiary Count

11

Avg Medicare Allowed

$3,317.73

Avg Medicare Payment

$2,627.02

Avg Total Charges

$42,299.21

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5627 RUCA 1

Level 7 Radiation Therapy

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

112

Beneficiary Count

101

Avg Medicare Allowed

$7,142.95

Avg Medicare Payment

$5,659.46

Avg Total Charges

$226,729.48

Outlier Services

109

Avg Outlier Amount

$12,169.04

RUCA Classification

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

APC 5881 RUCA 1

Ancillary Outpatient Services When Patient Dies

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 8011 RUCA 1

Comprehensive Observation Services

Medical Center Boulevard, Winston-Salem, NC 27157

Service Count

430

Beneficiary Count

392

Avg Medicare Allowed

$2,274.13

Avg Medicare Payment

$1,820.46

Avg Total Charges

$21,334.51

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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