Physician
Raleigh General Hospital LLC
Raleigh General Hospital LLC was paid $2.07M by Medicaid between May 2018 and Dec 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoRALEIGH GENERAL HOSPITAL LLC
BECKLEY, WV 25801
BECKLEY, WV 25801
33aNPI1114475746assigned 09/12/2016
33bProvider typeCardiovascular Disease Physician
28Total paid$2.07M
24GClaims50,981
24DCodes billed39
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in West Virginia
Rank by total paid#4 of 31
Median peer was paid$64K
This provider vs. median32×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 9,280 | $446K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 36% | 14,509 | 11,979 | $746K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 19% | 4,767 | 4,181 | $399K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 6,702 | 5,416 | $250K |
| 51798 | 3.9% | 4,681 | 3,864 | $81K | |
| 99205 | Prolong outpt/office vis | 3.8% | 632 | 591 | $79K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 1,378 | 374 | $58K |
| 81003 | 2.7% | 5,435 | 4,504 | $56K | |
| 93000 | 2.7% | 4,653 | 3,910 | $55K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.7% | 524 | 460 | $55K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 993 | 897 | $54K |
| 93458 | 2.6% | 385 | 302 | $54K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.6% | 758 | 645 | $53K |
27 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.9% | 1,098 | $39K |
| 99152 | 1.0% | 577 | $21K | |
| 47562 | <1% | 46 | $21K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 474 | $8K |
| 95911 | <1% | 58 | $7K | |
| 99223 | Prolong inpt eval add15 m | <1% | 56 | $6K |
| 95886 | <1% | 90 | $5K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 154 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 151 | $4K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 122 | $4K |
| 93016 | <1% | 244 | $3K | |
| 93018 | <1% | 182 | $2K | |
| 99221 | <1% | 27 | $1K | |
| 52000 | <1% | 18 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 121 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 202 | $973.52 |
| 94060 | <1% | 42 | $908.54 | |
| 93272 | <1% | 66 | $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) | <1% | 378 | $848.20 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $786.56 |
| 94729 | <1% | 20 | $742.40 | |
| 74420 | <1% | 28 | $380.12 | |
| 90656 | <1% | 14 | $243.16 | |
| 99443 | <1% | 20 | $32.52 | |
| 99442 | <1% | 27 | $22.36 | |
| 99024 | 0% | 716 | $0.00 | |
| 1159F | 0% | 617 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLAWRENCE, CHARLOTTE (SECRETARY)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.