The Presbyterian Hospital
The Presbyterian Hospital was paid $296K by Medicaid between Jan 2018 and Nov 2023, across 16 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 83% of everything it billed.
CHARLOTTE, NC 28204
Next to other Cardiovascular Disease Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,533 | $57K | |
| 2019 | 1,372 | $51K | |
| 2020 | 846 | $38K | |
| 2021 | 963 | $49K | |
| 2022 | 723 | $42K | |
| 2023 | 1,406 | $59K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 83% | 4,732 | 4,215 | $245K |
| 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 | 9.0% | 989 | 777 | $27K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 339 | 282 | $12K |
| 93295 | 3.7% | 401 | 364 | $11K | |
| 93296 | <1% | 32 | 26 | $842.23 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 12 | 12 | $651.97 |
| 99199 | Unlisted special service, procedure or report | <1% | 53 | 53 | $330.00 |
| 93018 | <1% | 14 | 12 | $42.43 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 31 | 30 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 47 | 39 | $0.00 |
| 1036F | 0% | 15 | 15 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 12 | 12 | $0.00 |
4 more codes
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 70 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 62 | $0.00 |
| G8442 | Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter | 0% | 20 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 14 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.