Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1396790325 · MONROE, NC 28112 · General Acute Care Hospital · NPI assigned 05/25/2006

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

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

$38.15M
Total Medicaid Paid
539,295
Total Claims
450,266
Beneficiaries
147
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEFURIO, ANTHONY (EXECUTIVE VICE PRESIDENT/CFO)
NPI Enumeration Date05/25/2006

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 CHARLOTTE NC $20.10M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $17.00M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $16.63M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ALBEMARLE NC $15.14M
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 89,138 $4.52M
2019 84,152 $4.36M
2020 56,055 $2.43M
2021 61,113 $4.36M
2022 78,381 $6.60M
2023 85,546 $8.15M
2024 84,910 $7.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 60,153 56,556 $12.56M
99284 Emergency department visit for the evaluation and management, high severity 53,651 49,517 $10.42M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 20,007 18,364 $3.53M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 12,754 11,998 $1.85M
J3490 Unclassified drugs 45,557 23,615 $1.75M
80053 Comprehensive metabolic panel 14,621 12,741 $909K
J8499 Prescription drug, oral, non chemotherapeutic, nos 25,792 10,701 $696K
80048 Basic metabolic panel (calcium, ionized) 19,672 17,667 $637K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,533 7,206 $603K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 15,988 14,499 $401K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 18,766 15,537 $394K
96361 Intravenous infusion, hydration; each additional hour 4,832 4,133 $358K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 21,771 19,996 $309K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,079 2,718 $245K
J2270 Injection, morphine sulfate, up to 10 mg 1,531 1,271 $229K
80047 8,950 8,191 $226K
71045 Radiologic examination, chest; single view 11,396 10,490 $217K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,518 1,195 $200K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 27,872 24,495 $186K
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 2,291 2,133 $183K
87070 1,013 982 $146K
J8597 Antiemetic drug, oral, not otherwise specified 1,054 988 $141K
J8540 Dexamethasone, oral, 0.25 mg 1,770 1,700 $135K
87086 Culture, bacterial; quantitative colony count, urine 5,690 5,283 $127K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 587 542 $113K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,270 1,098 $104K
71046 Radiologic examination, chest; 2 views 3,242 3,097 $101K
82962 1,755 978 $94K
85027 17,115 15,550 $90K
70450 Computed tomography, head or brain; without contrast material 1,933 1,753 $86K
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 1,191 1,117 $85K
G0378 Hospital observation service, per hour 1,576 1,321 $64K
81001 13,034 12,082 $57K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,564 1,404 $55K
81025 5,447 5,047 $53K
J1170 Injection, hydromorphone, up to 4 mg 251 209 $50K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,154 2,001 $49K
87081 568 548 $43K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 688 394 $41K
96375 Therapeutic injection; each additional sequential IV push 11,082 9,729 $39K
84484 7,511 6,591 $35K
81003 2,364 2,204 $31K
87210 925 870 $28K
64483 105 103 $27K
84702 545 463 $25K
81002 2,266 2,096 $21K
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 893 797 $21K
0002A 366 361 $20K
J0696 Injection, ceftriaxone sodium, per 250 mg 782 657 $19K
97597 769 432 $18K
0001A 346 338 $18K
83690 5,514 5,025 $17K
87430 1,149 1,109 $16K
J1885 Injection, ketorolac tromethamine, per 15 mg 12,539 11,526 $15K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 77 76 $15K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,025 1,878 $14K
87486 56 55 $14K
73130 105 101 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,366 4,522 $13K
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,482 6,467 $12K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 236 89 $12K
73630 168 152 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,431 1,331 $11K
J2250 Injection, midazolam hydrochloride, per 1 mg 116 106 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,758 1,261 $8K
82728 714 667 $8K
84466 702 656 $7K
Q3014 Telehealth originating site facility fee 591 517 $6K
80076 1,536 1,397 $6K
82607 486 459 $6K
73110 26 25 $5K
73560 79 74 $5K
A9270 Non-covered item or service 9,527 1,852 $5K
73610 43 41 $4K
59025 Fetal non-stress test 46 40 $4K
80061 Lipid panel 471 377 $4K
76705 Ultrasound, abdominal, real time with image documentation; limited 311 296 $4K
83540 706 659 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 53 24 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 568 551 $3K
74176 Computed tomography, abdomen and pelvis; without contrast material 173 164 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 332 272 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 12 12 $3K
82803 769 661 $3K
20610 32 26 $3K
83880 800 719 $3K
83735 1,627 1,379 $3K
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 39 38 $3K
S0020 Injection, bupivicaine hydrochloride, 30 ml 1,371 1,150 $2K
82248 1,210 1,121 $2K
S0028 Injection, famotidine, 20 mg 12 12 $2K
87077 16 16 $2K
82075 461 390 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 14 13 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 17 12 $2K
77336 45 16 $2K
83605 1,537 1,349 $2K
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 97 90 $2K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 911 489 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 56 49 $1K
93975 220 211 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 577 508 $1K
85014 751 679 $948.22
20553 14 14 $945.77
84443 Thyroid stimulating hormone (TSH) 88 80 $808.90
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,337 1,236 $806.45
74018 12 12 $801.47
73030 18 14 $730.09
83036 Hemoglobin; glycosylated (A1C) 110 79 $625.45
J1040 Injection, methylprednisolone acetate, 80 mg 179 132 $331.57
J1010 Injection, methylprednisolone acetate, 1 mg 169 142 $285.39
J2704 Injection, propofol, 10 mg 114 105 $243.01
96127 191 150 $240.97
G0379 Direct admission of patient for hospital observation care 12 12 $227.22
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 87 82 $202.71
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 79 67 $202.05
85610 44 36 $123.04
J2003 Injection, lidocaine hydrochloride, 1 mg 72 65 $84.54
A6456 Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 38 13 $64.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 39 38 $61.91
72125 Computed tomography, cervical spine; without contrast material 17 13 $44.75
J1200 Injection, diphenhydramine hcl, up to 50 mg 502 439 $43.90
84100 16 15 $37.26
87205 12 12 $37.17
94760 284 223 $35.12
J1790 Injection, droperidol, up to 5 mg 62 56 $34.66
J3010 Injection, fentanyl citrate, 0.1 mg 208 188 $31.52
96376 778 597 $31.04
87186 152 138 $30.00
87088 119 112 $13.78
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 467 380 $13.50
85379 114 108 $10.18
76830 Ultrasound, transvaginal 66 62 $4.10
86901 69 64 $2.00
J2550 Injection, promethazine hcl, up to 50 mg 100 86 $1.85
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 55 54 $0.00
85007 14 13 $0.00
91300 697 614 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 69 57 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 16 12 $0.00
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 20 17 $0.00
91301 13 13 $0.00
94761 165 132 $0.00
87581 56 55 $0.00
87147 27 25 $0.00
71275 Computed tomographic angiography, chest, with contrast material 27 25 $0.00
86140 17 12 $0.00