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

High Point Regional Health

High Point Regional Health was paid $20.21M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99284, emergency room visit (serious) — 47% of everything it billed.

33Billing provider infoHIGH POINT REGIONAL HEALTH
HIGH POINT, NC 27262
33aNPI1396746228assigned 08/02/2005
28Total paid$20.21M
24GClaims411,915
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in North Carolina

Rank by total paid#29 of 92
Median peer was paid$11.47M
This provider vs. median1.8×

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$200K$400K$600K2018201920202021202220232024
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
201866,676$2.03M
201948,998$2.13M
202037,036$1.18M
202157,746$2.53M
202272,191$3.35M
202369,125$3.87M
2024incomplete60,143$5.11M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 47% 36,862 34,605 $9.42M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 21% 26,083 24,835 $4.33M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.3% 4,749 4,378 $1.87M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2.9% 3,747 3,569 $595K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.2% 55,965 48,887 $443K
80053 Comprehensive metabolic panel 2.0% 40,615 35,679 $412K
0240U 2.0% 2,359 2,150 $397K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.3% 9,091 7,823 $258K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.3% 9,084 7,817 $257K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.1% 8,562 7,740 $231K
36415 Collection of venous blood by venipuncture <1% 42,580 35,275 $156K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 246 237 $130K
100 more codes
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 4,882 $117K
70450 Computed tomography, head or brain; without contrast material <1% 739 $114K
99213 Doctor's office visit, returning patient (routine) <1% 3,199 $101K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,615 $94K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,068 $91K
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 <1% 1,564 $72K
71046 Radiologic examination, chest; 2 views <1% 1,568 $66K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 3,242 $64K
81001 <1% 19,694 $61K
G0378 Hospital observation service, per hour <1% 865 $58K
96375 Therapeutic injection; each additional sequential IV push <1% 1,557 $57K
88142 <1% 1,703 $43K
84484 <1% 4,195 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,498 $40K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,475 $39K
71045 Radiologic examination, chest; single view <1% 1,417 $37K
81025 <1% 4,286 $36K
86803 <1% 2,147 $33K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,483 $32K
87088 <1% 2,775 $27K
80061 Lipid panel <1% 1,874 $27K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 223 $27K
96361 Intravenous infusion, hydration; each additional hour <1% 1,727 $26K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 494 $25K
J7050 Infusion, normal saline solution, 250 cc <1% 8,208 $23K
86592 <1% 5,012 $22K
J3490 Unclassified drugs <1% 9,968 $22K
80048 Basic metabolic panel (calcium, ionized) <1% 3,319 $18K
87081 <1% 2,254 $18K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 92 $15K
87340 <1% 1,684 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 456 $14K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 1,225 $13K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 413 $13K
97597 <1% 645 $13K
86850 <1% 1,158 $12K
83690 <1% 1,526 $11K
A9270 Non-covered item or service <1% 50,245 $11K
83036 Hemoglobin; glycosylated (A1C) <1% 898 $10K
0002A <1% 169 $10K
J7030 Infusion, normal saline solution , 1000 cc <1% 2,163 $10K
0001A <1% 157 $9K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 249 $9K
86762 <1% 752 $9K
90792 Psychiatric diagnostic evaluation with medical services <1% 138 $7K
84443 Thyroid stimulating hormone (TSH) <1% 332 $7K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 181 $7K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 55 $6K
85027 <1% 665 $5K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 87 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 12 $5K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 93 $5K
87086 Culture, bacterial; quantitative colony count, urine <1% 733 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 61 $4K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 2,647 $3K
83880 <1% 85 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 62 $3K
82728 <1% 186 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,587 $3K
87070 <1% 255 $3K
86900 <1% 797 $3K
84466 <1% 174 $3K
72125 Computed tomography, cervical spine; without contrast material <1% 14 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 1,464 $2K
86901 <1% 799 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 84 $2K
99214 Doctor's office visit, returning patient (more involved) <1% 14 $2K
87430 <1% 75 $1K
87631 <1% 16 $1K
83735 <1% 291 $1K
83540 <1% 174 $1K
29581 <1% 74 $1K
J7120 Ringers lactate infusion, up to 1000 cc <1% 258 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,120 $1K
83020 <1% 55 $971.59
81003 <1% 446 $934.85
59025 Fetal non-stress test <1% 14 $677.13
J2704 Injection, propofol, 10 mg <1% 76 $582.71
80081 <1% 28 $558.82
29580 <1% 28 $557.73
82947 <1% 169 $372.85
82105 <1% 14 $341.20
82570 <1% 47 $260.57
96402 <1% 31 $255.13
82607 <1% 12 $240.60
82962 <1% 142 $227.87
84156 <1% 47 $184.64
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $171.36
85379 <1% 13 $168.00
87040 <1% 15 $141.46
87077 <1% 19 $139.58
84439 <1% 13 $137.15
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 35 $75.56
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 <1% 71 $51.77
J2270 Injection, morphine sulfate, up to 10 mg <1% 25 $38.38
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 14 $8.73
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 14 $7.01
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 0% 29 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 0% 16 $0.00
91300 0% 171 $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 officialHOEKSTRA, JAMES (PRESIDENT OF HIGH POINT REGIONAL HO)
Same official

Other billing entities under HOEKSTRA, JAMES

Full network →
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.