Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1073988994 · ALBEMARLE, NC 28001 · General Acute Care Hospital · NPI assigned 12/03/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DEFURIO, ANTHONY controls 19+ related entities in our dataset. Read more

$15.14M
Total Medicaid Paid
235,450
Total Claims
204,077
Beneficiaries
97
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEFURIO, ANTHONY (CFO/EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date12/03/2015

Related Entities

Other providers sharing the same authorized official: DEFURIO, ANTHONY

ProviderCityStateTotal Paid
CAROLINAS MEDICAL CENTER CHARLOTTE NC $177.75M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY SHELBY NC $58.00M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CONCORD NC $56.48M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CHARLOTTE NC $42.82M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY MONROE NC $38.15M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CHARLOTTE NC $20.10M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $17.00M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $16.63M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY WADESBORO NC $9.77M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $6.62M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY KINGS MOUNTAIN NC $2.60M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY SHELBY NC $2.05M
CAROLINAS REHABILITATION HUNTERSVILLE NC $579K
CAROLINAS REHABILITATION CHARLOTTE NC $526K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $281K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $190K
THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY CHARLOTTE NC $14K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY SHELBY NC $941.65
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY KINGS MOUNTAIN NC $126.36

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33,650 $1.57M
2019 30,769 $1.66M
2020 20,331 $1.02M
2021 33,788 $2.08M
2022 34,399 $2.71M
2023 45,854 $3.24M
2024 36,659 $2.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 24,530 22,816 $5.60M
99284 Emergency department visit for the evaluation and management, high severity 21,148 19,607 $4.49M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,275 9,535 $1.99M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,385 3,187 $507K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,010 8,364 $275K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,523 3,269 $192K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,139 1,924 $165K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 9,152 8,491 $155K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 20,335 18,718 $149K
71045 Radiologic examination, chest; single view 5,265 4,899 $132K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 5,042 4,374 $130K
80053 Comprehensive metabolic panel 15,014 13,922 $123K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,256 1,190 $116K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 446 424 $95K
74177 Computed tomography, abdomen and pelvis; with contrast material 237 215 $94K
41899 Unlisted procedure, dentoalveolar structures 63 61 $85K
J3490 Unclassified drugs 25,956 15,197 $59K
71046 Radiologic examination, chest; 2 views 2,261 2,137 $55K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 103 101 $52K
70450 Computed tomography, head or brain; without contrast material 335 320 $45K
84484 5,230 4,816 $37K
59025 Fetal non-stress test 556 422 $36K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,522 1,331 $36K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 137 122 $35K
83735 5,694 5,322 $35K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,042 405 $35K
80048 Basic metabolic panel (calcium, ionized) 3,622 3,345 $30K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,229 1,995 $30K
43235 194 181 $29K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 137 134 $27K
83690 3,594 3,330 $24K
96375 Therapeutic injection; each additional sequential IV push 4,303 3,901 $22K
43450 224 218 $21K
81025 2,330 2,125 $19K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 557 486 $17K
87086 Culture, bacterial; quantitative colony count, urine 2,085 1,956 $16K
83605 1,733 1,620 $16K
81003 7,178 6,661 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,790 1,607 $13K
74176 Computed tomography, abdomen and pelvis; without contrast material 26 25 $12K
G0378 Hospital observation service, per hour 243 144 $11K
81001 2,842 2,624 $10K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 44 44 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,245 2,064 $8K
96361 Intravenous infusion, hydration; each additional hour 1,738 1,607 $8K
87430 490 471 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,728 3,412 $6K
J2704 Injection, propofol, 10 mg 2,340 2,201 $5K
J8499 Prescription drug, oral, non chemotherapeutic, nos 8,463 4,480 $5K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 207 189 $4K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 266 213 $4K
82803 230 221 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,051 948 $3K
64636 13 13 $3K
87070 241 230 $3K
64635 13 13 $3K
83880 120 115 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 118 111 $2K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 26 24 $2K
97597 49 25 $2K
S0020 Injection, bupivicaine hydrochloride, 30 ml 1,250 1,163 $2K
99199 Unlisted special service, procedure or report 255 255 $1K
81002 367 337 $1K
85027 185 176 $948.92
80047 110 98 $866.94
J1040 Injection, methylprednisolone acetate, 80 mg 568 544 $863.78
87081 99 97 $639.02
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14 12 $612.05
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14 12 $612.05
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 349 260 $555.91
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 13 12 $554.00
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 25 25 $492.33
J1030 Injection, methylprednisolone acetate, 40 mg 265 246 $422.88
Q3014 Telehealth originating site facility fee 115 70 $421.19
J2270 Injection, morphine sulfate, up to 10 mg 216 184 $419.38
94761 24 12 $389.41
J1010 Injection, methylprednisolone acetate, 1 mg 140 131 $366.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg 89 87 $329.58
J1790 Injection, droperidol, up to 5 mg 89 85 $328.29
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 122 111 $295.58
82550 62 61 $278.94
82962 204 196 $265.20
80076 31 29 $234.78
J3010 Injection, fentanyl citrate, 0.1 mg 48 48 $148.93
J8597 Antiemetic drug, oral, not otherwise specified 192 188 $103.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 229 215 $96.88
J2003 Injection, lidocaine hydrochloride, 1 mg 68 66 $91.27
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 37 36 $84.85
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 158 128 $59.93
J2250 Injection, midazolam hydrochloride, per 1 mg 13 13 $59.15
A9150 Non-prescription drugs 49 27 $55.61
J8540 Dexamethasone, oral, 0.25 mg 55 50 $45.08
94760 13 12 $29.46
85610 14 14 $24.50
84100 12 12 $23.64
A9270 Non-covered item or service 1,814 1,151 $1.56
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 17 12 $0.00