Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

The Presbyterian Hospital

The Presbyterian Hospital was paid $3.44M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99283, emergency room visit (moderate) — 44% of everything it billed.

33Billing provider infoTHE PRESBYTERIAN HOSPITAL
HUNTERSVILLE, NC 28078
33aNPI1346291309assigned 05/15/2006
28Total paid$3.44M
24GClaims70,425
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in North Carolina

Rank by total paid#68 of 92
Median peer was paid$11.47M
This provider vs. median0.3×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
20188,758$387K
20199,244$352K
20205,955$152K
20217,685$334K
20229,741$566K
202314,676$840K
2024incomplete14,366$807K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 44% 11,371 10,774 $1.51M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 34% 7,765 7,089 $1.17M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 8.3% 1,727 1,631 $286K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.6% 11,456 10,381 $89K
80053 Comprehensive metabolic panel 1.7% 6,709 6,110 $59K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.4% 881 839 $48K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.4% 1,177 1,056 $46K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 1.3% 252 215 $46K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1.3% 1,566 1,439 $45K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.0% 1,550 1,435 $35K
71046 Radiologic examination, chest; 2 views <1% 811 762 $33K
J3490 Unclassified drugs <1% 20,013 11,163 $19K
27 more codes
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 411 $9K
96375 Therapeutic injection; each additional sequential IV push <1% 165 $6K
96361 Intravenous infusion, hydration; each additional hour <1% 193 $6K
80048 Basic metabolic panel (calcium, ionized) <1% 660 $5K
81001 <1% 1,634 $5K
84703 <1% 360 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 13 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 13 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 176 $2K
J7030 Infusion, normal saline solution , 1000 cc <1% 616 $2K
71045 Radiologic examination, chest; single view <1% 52 $2K
81025 <1% 183 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 126 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 17 $985.95
84484 <1% 59 $775.40
80076 <1% 81 $630.08
87430 <1% 44 $598.55
83735 <1% 101 $580.56
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 24 $517.83
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 12 $298.50
87070 <1% 29 $278.98
J2704 Injection, propofol, 10 mg <1% 13 $230.88
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 48 $226.21
85027 <1% 31 $182.79
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 14 $136.78
81003 <1% 38 $90.29
J8597 Antiemetic drug, oral, not otherwise specified <1% 34 $2.07

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 officialRILEY, MIKE (PRESIDENT & COO)