Medicaid Provider Spending

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

RALEIGH GENERAL HOSPITAL LLC

NPI: 1114475746 · BECKLEY, WV 25801 · Cardiovascular Disease Physician · NPI assigned 09/12/2016

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$2.07M
Total Medicaid Paid
50,981
Total Claims
41,550
Beneficiaries
39
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date09/12/2016

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
CLINCH VALLEY MEDICAL CENTER INC. RICHLANDS VA $26.28M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,358 $148K
2019 4,024 $159K
2020 7,204 $208K
2021 7,063 $204K
2022 8,323 $324K
2023 12,729 $584K
2024 9,280 $446K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,509 11,979 $746K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,767 4,181 $399K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,702 5,416 $250K
51798 4,681 3,864 $81K
99205 Prolong outpt/office vis 632 591 $79K
99232 Subsequent hospital care, per day, moderate complexity 1,378 374 $58K
81003 5,435 4,504 $56K
93000 4,653 3,910 $55K
99215 Prolong outpt/office vis 524 460 $55K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 993 897 $54K
93458 385 302 $54K
99222 Initial hospital care, per day, moderate complexity 758 645 $53K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,098 963 $39K
99152 577 465 $21K
47562 46 43 $21K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 474 240 $8K
95911 58 52 $7K
99223 Prolong inpt eval add15 m 56 52 $6K
95886 90 82 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 154 83 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 151 138 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 122 100 $4K
93016 244 203 $3K
93018 182 144 $2K
99221 27 25 $1K
52000 18 14 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 121 105 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 202 197 $973.52
94060 42 27 $908.54
93272 66 52 $868.86
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 378 304 $848.20
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 16 $786.56
94729 20 12 $742.40
74420 28 24 $380.12
90656 14 12 $243.16
99443 20 15 $32.52
99442 27 16 $22.36
99024 716 504 $0.00
1159F 617 539 $0.00