Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1487866315 · CONCORD, NC 28025 · General Acute Care Hospital · NPI assigned 05/04/2007

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

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

$56.48M
Total Medicaid Paid
750,684
Total Claims
649,827
Beneficiaries
121
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEFURIO, ANTHONY (EVP/CFO)
NPI Enumeration Date05/04/2007

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 CHARLOTTE NC $42.82M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY MONROE NC $38.15M
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 91,519 $5.10M
2019 95,579 $5.66M
2020 68,322 $3.92M
2021 105,852 $7.31M
2022 109,039 $9.65M
2023 133,735 $11.66M
2024 146,638 $13.19M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 81,853 77,439 $20.29M
99284 Emergency department visit for the evaluation and management, high severity 70,695 65,915 $16.90M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 32,450 29,839 $7.60M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 20,513 19,210 $3.28M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 26,609 24,285 $1.04M
71046 Radiologic examination, chest; 2 views 21,983 20,743 $782K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 27,581 24,150 $674K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 30,413 28,225 $580K
99282 Emergency department visit for the evaluation and management, low to moderate severity 8,906 8,528 $509K
80053 Comprehensive metabolic panel 51,077 47,215 $508K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 59,886 55,202 $491K
74177 Computed tomography, abdomen and pelvis; with contrast material 974 925 $490K
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 3,351 3,118 $287K
G0378 Hospital observation service, per hour 1,263 984 $245K
64483 1,069 1,027 $234K
27096 1,556 1,476 $185K
J3490 Unclassified drugs 69,409 35,374 $163K
95714 260 225 $162K
95700 245 227 $120K
70450 Computed tomography, head or brain; without contrast material 625 587 $118K
81025 14,807 13,801 $114K
59025 Fetal non-stress test 1,397 1,190 $109K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,991 913 $106K
80048 Basic metabolic panel (calcium, ionized) 9,556 8,790 $89K
96375 Therapeutic injection; each additional sequential IV push 13,782 12,578 $84K
84484 8,910 7,997 $82K
88305 Level IV - Surgical pathology, gross and microscopic examination 935 896 $80K
83690 10,371 9,728 $78K
81003 30,108 28,207 $72K
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 2,491 2,307 $72K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,952 3,650 $70K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,694 823 $67K
87086 Culture, bacterial; quantitative colony count, urine 6,832 6,403 $67K
J8499 Prescription drug, oral, non chemotherapeutic, nos 34,345 17,589 $52K
71045 Radiologic examination, chest; single view 1,785 1,667 $48K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,589 1,362 $47K
87430 2,927 2,831 $46K
0002A 853 843 $46K
96361 Intravenous infusion, hydration; each additional hour 9,350 8,516 $45K
0001A 803 786 $42K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 172 166 $34K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,238 7,536 $33K
74176 Computed tomography, abdomen and pelvis; without contrast material 72 68 $31K
81001 7,916 7,368 $30K
95951 49 39 $25K
85027 3,253 2,989 $22K
J1885 Injection, ketorolac tromethamine, per 15 mg 11,912 11,014 $21K
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 972 819 $20K
83735 2,306 2,189 $17K
87070 1,172 1,136 $16K
G0379 Direct admission of patient for hospital observation care 157 150 $15K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,233 3,946 $14K
83605 1,226 1,132 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,778 1,545 $12K
J1040 Injection, methylprednisolone acetate, 80 mg 4,531 4,348 $10K
J3010 Injection, fentanyl citrate, 0.1 mg 5,341 5,113 $6K
87081 727 706 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 185 167 $5K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 183 166 $5K
83880 133 124 $5K
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 45 38 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters 12 12 $4K
S0020 Injection, bupivicaine hydrochloride, 30 ml 2,784 2,638 $4K
84702 332 311 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 382 308 $3K
70551 Magnetic resonance imaging, brain; without contrast material 12 12 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 179 145 $3K
82803 231 207 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 12 12 $3K
J2270 Injection, morphine sulfate, up to 10 mg 1,203 1,104 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 14 14 $3K
Q3014 Telehealth originating site facility fee 644 435 $3K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,541 958 $2K
81002 714 653 $2K
74018 52 52 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 2,364 2,289 $2K
87420 96 94 $2K
J2250 Injection, midazolam hydrochloride, per 1 mg 5,627 5,361 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 31 13 $1K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 63 62 $1K
J8597 Antiemetic drug, oral, not otherwise specified 1,252 1,175 $1K
82962 849 779 $1K
J2704 Injection, propofol, 10 mg 389 378 $994.07
97597 48 25 $989.85
36415 Collection of venous blood by venipuncture 354 331 $837.84
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 949 896 $746.98
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 16 12 $719.40
82657 27 26 $682.72
J1010 Injection, methylprednisolone acetate, 1 mg 434 412 $640.86
J1030 Injection, methylprednisolone acetate, 40 mg 208 197 $601.66
73630 12 12 $598.57
83036 Hemoglobin; glycosylated (A1C) 74 72 $548.70
84443 Thyroid stimulating hormone (TSH) 25 25 $432.99
77072 12 12 $428.16
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 1,793 1,712 $427.93
87210 102 89 $409.87
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 52 52 $389.67
87486 12 12 $377.29
87581 12 12 $377.29
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 13 13 $375.36
J2003 Injection, lidocaine hydrochloride, 1 mg 184 164 $351.10
J1100 Injection, dexamethasone sodium phosphate, 1 mg 277 265 $329.65
85610 67 66 $260.97
82330 12 12 $199.28
80076 27 26 $182.85
80061 Lipid panel 13 12 $153.05
94760 24 24 $131.00
96376 24 24 $115.92
J8540 Dexamethasone, oral, 0.25 mg 165 153 $108.57
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 39 36 $105.10
80051 12 12 $100.56
82075 13 13 $65.77
96127 12 12 $65.52
97602 18 12 $65.05
82947 12 12 $57.28
J2550 Injection, promethazine hcl, up to 50 mg 27 25 $41.16
J1644 Injection, heparin sodium, per 1000 units 44 36 $25.23
J1200 Injection, diphenhydramine hcl, up to 50 mg 12 12 $13.72
J7510 Prednisolone oral, per 5 mg 14 14 $8.81
A9270 Non-covered item or service 303 166 $0.05
91300 1,662 1,479 $0.00