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

Raleigh General Hospital LLC

Raleigh General Hospital LLC was paid $36.44M by Medicaid between Jan 2018 and Dec 2024, across 271 billing codes. Its largest line is 99285, emergency room visit (most serious) — 15% of everything it billed.

33Billing provider infoRALEIGH GENERAL HOSPITAL LLC
BECKLEY, WV 25801
33aNPI1629015698assigned 05/31/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$36.44M
24GClaims682,226
24DCodes billed271
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in West Virginia

Rank by total paid#10 of 26
Median peer was paid$18.33M
This provider vs. median2.0×

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.

Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
2018121,540$11.38M
201986,571$6.27M
2020137,775$8.93M
2021116,353$3.34M
202272,965$2.10M
202385,958$2.58M
2024incomplete61,064$1.83M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 15% 15,967 13,558 $5.48M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 32,939 28,924 $4.53M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.1% 26,148 23,671 $2.22M
93458 3.5% 1,004 849 $1.28M
36415 Collection of venous blood by venipuncture 3.1% 59,030 43,505 $1.13M
85027 3.1% 59,822 45,149 $1.13M
G0378 Hospital observation service, per hour 3.0% 6,391 3,882 $1.09M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2.5% 1,687 1,479 $907K
80053 Comprehensive metabolic panel 2.2% 44,375 35,839 $808K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.8% 4,584 4,108 $672K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.8% 27,679 22,907 $652K
80048 Basic metabolic panel (calcium, ionized) 1.4% 12,974 9,990 $522K
259 more codes
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1.2% 5,690 $449K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.2% 1,719 $445K
71046 Radiologic examination, chest; 2 views 1.2% 13,349 $429K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.1% 4,600 $400K
J7120 Ringers lactate infusion, up to 1000 cc 1.1% 2,128 $392K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1.1% 4,638 $391K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1.1% 147 $386K
70450 Computed tomography, head or brain; without contrast material 1.0% 7,143 $379K
47562 1.0% 98 $370K
84702 <1% 8,378 $364K
J7030 Infusion, normal saline solution , 1000 cc <1% 7,064 $349K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 7,023 $307K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 1,821 $293K
J2785 Injection, regadenoson, 0.1 mg <1% 1,416 $293K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,435 $286K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 10,061 $286K
84484 <1% 19,620 $283K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,608 $266K
85610 <1% 13,368 $265K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 1,254 $257K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,944 $252K
C1769 Guide wire <1% 2,316 $247K
71045 Radiologic examination, chest; single view <1% 12,646 $231K
81003 <1% 22,124 $223K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,369 $223K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 9,823 $215K
93017 <1% 1,800 $207K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,104 $203K
87086 Culture, bacterial; quantitative colony count, urine <1% 9,060 $203K
41899 Unlisted procedure, dentoalveolar structures <1% 346 $201K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 4,068 $193K
85730 <1% 10,767 $191K
99152 <1% 1,063 $169K
84703 <1% 2,181 $160K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 601 $154K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,176 $150K
83690 <1% 16,774 $144K
78815 Positron emission tomography (PET) for limited area imaging <1% 447 $136K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch <1% 46 $130K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 658 $125K
86850 <1% 2,358 $122K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 350 $114K
87186 <1% 5,412 $114K
87077 <1% 5,022 $108K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 801 $107K
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% 9,473 $107K
96361 Intravenous infusion, hydration; each additional hour <1% 2,559 $103K
76000 <1% 956 $103K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 341 $100K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 404 $100K
96375 Therapeutic injection; each additional sequential IV push <1% 5,137 $96K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,356 $91K
83880 <1% 3,582 $86K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,404 $85K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,318 $84K
88304 <1% 374 $84K
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 <1% 2,242 $83K
72125 Computed tomography, cervical spine; without contrast material <1% 1,600 $81K
71250 <1% 1,352 $80K
84443 Thyroid stimulating hormone (TSH) <1% 5,229 $78K
83605 <1% 7,030 $78K
84145 <1% 3,383 $74K
87040 <1% 5,010 $72K
87070 <1% 2,389 $71K
93971 <1% 1,020 $70K
73630 <1% 2,473 $70K
85379 <1% 2,712 $69K
73562 <1% 2,495 $68K
83735 <1% 6,603 $68K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 383 $67K
73030 <1% 2,465 $66K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 423 $66K
A9585 Injection, gadobutrol, 0.1 ml <1% 574 $66K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,304 $64K
70551 Magnetic resonance imaging, brain; without contrast material <1% 490 $63K
87205 <1% 2,337 $62K
80061 Lipid panel <1% 3,492 $62K
73610 <1% 1,887 $60K
72141 <1% 310 $57K
87400 <1% 2,384 $55K
59025 Fetal non-stress test <1% 1,022 $51K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,608 $49K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 752 $49K
88307 <1% 213 $48K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 559 $46K
J1644 Injection, heparin sodium, per 1000 units <1% 1,013 $46K
74018 <1% 1,772 $42K
72100 <1% 1,308 $42K
80074 <1% 716 $40K
73130 <1% 1,238 $40K
82805 <1% 609 $40K
76770 <1% 631 $39K
70498 <1% 219 $39K
99153 Mod sedat endo service >5yrs <1% 252 $36K
82550 <1% 2,208 $36K
82553 <1% 1,415 $36K
72110 <1% 973 $35K
78227 <1% 142 $34K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,658 $32K
70496 <1% 104 $31K
72131 <1% 451 $31K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,768 $30K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 1,307 $29K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 83 $29K
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries <1% 242 $29K
A9270 Non-covered item or service <1% 890 $29K
94060 <1% 621 $28K
73110 <1% 1,066 $28K
99218 <1% 415 $27K
94729 <1% 609 $27K
94726 <1% 618 $27K
83036 Hemoglobin; glycosylated (A1C) <1% 2,584 $26K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,016 $26K
73502 <1% 1,586 $25K
90715 <1% 277 $25K
10060 <1% 158 $24K
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 <1% 1,977 $24K
93880 <1% 184 $23K
72114 <1% 737 $23K
72072 <1% 686 $22K
74019 <1% 682 $22K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 317 $22K
73590 <1% 714 $20K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 609 $20K
87581 <1% 604 $20K
87486 <1% 603 $20K
73564 <1% 649 $19K
85652 <1% 982 $19K
70486 <1% 158 $18K
J2704 Injection, propofol, 10 mg <1% 179 $18K
85347 <1% 255 $17K
86140 <1% 1,339 $16K
72050 <1% 351 $16K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 458 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 458 $16K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 841 $16K
84439 <1% 859 $15K
93970 <1% 160 $15K
84112 <1% 120 $13K
P9016 Red blood cells, leukocytes reduced, each unit <1% 51 $13K
73090 <1% 426 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 558 $13K
87420 <1% 390 $13K
76830 Ultrasound, transvaginal <1% 213 $13K
80069 <1% 698 $11K
J1610 Injection, glucagon hydrochloride, per 1 mg <1% 17 $11K
82607 <1% 570 $11K
73080 <1% 333 $10K
12001 <1% 102 $10K
78264 <1% 15 $10K
87522 Neg quan hep c or qual rna <1% 192 $10K
87081 <1% 424 $9K
96376 <1% 300 $9K
82248 <1% 473 $8K
72128 <1% 42 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 381 $8K
74178 <1% 50 $8K
82565 <1% 232 $8K
82150 <1% 405 $8K
29125 <1% 67 $8K
91200 <1% 335 $8K
80076 <1% 293 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 117 $7K
86689 <1% 233 $7K
J2805 Injection, sincalide, 5 micrograms <1% 67 $7K
73552 <1% 484 $7K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 42 $6K
86900 <1% 251 $6K
99214 Doctor's office visit, returning patient (more involved) <1% 280 $5K
97162 <1% 77 $5K
84436 <1% 439 $5K
83540 <1% 696 $5K
76536 <1% 97 $5K
86922 <1% 115 $5K
86901 <1% 251 $5K
82570 <1% 501 $5K
72040 <1% 222 $4K
88108 <1% 167 $4K
36430 <1% 53 $4K
84550 <1% 262 $4K
12002 <1% 48 $4K
84520 <1% 96 $4K
87507 <1% 15 $4K
82247 <1% 382 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 56 $3K
29515 <1% 25 $3K
82977 <1% 217 $3K
82274 <1% 149 $3K
73221 <1% 44 $3K
84156 <1% 346 $3K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 2,202 $3K
81001 <1% 1,766 $3K
82746 <1% 92 $3K
95816 <1% 17 $3K
74022 <1% 33 $3K
51702 <1% 93 $2K
86038 <1% 14 $2K
12011 <1% 14 $2K
88342 <1% 63 $2K
78306 <1% 26 $2K
11043 <1% 15 $2K
72170 <1% 50 $2K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 28 $2K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 15 $2K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 15 $2K
99204 Doctor's office visit, new patient (more involved) <1% 97 $2K
76870 <1% 15 $2K
84460 <1% 82 $1K
73560 <1% 104 $1K
93307 <1% 57 $1K
82728 <1% 131 $1K
C1758 Catheter, ureteral <1% 47 $1K
73521 <1% 47 $1K
99215 Doctor's office visit, returning patient (complex) <1% 14 $1K
A9576 Injection, gadoteridol, (prohance multipack), per ml <1% 188 $1K
83010 <1% 98 $1K
87088 <1% 44 $1K
86706 <1% 54 $1K
43235 <1% 13 $1K
73600 <1% 16 $1K
82948 <1% 601 $940.75
83550 <1% 131 $924.53
83516 <1% 36 $880.75
99213 Doctor's office visit, returning patient (routine) <1% 44 $863.65
58552 <1% 13 $834.13
82140 <1% 78 $795.94
74220 <1% 12 $754.28
83883 <1% 62 $738.15
82172 <1% 50 $667.71
82784 <1% 69 $663.40
84100 <1% 73 $623.44
97597 <1% 72 $612.97
83655 <1% 44 $509.92
84479 <1% 30 $506.51
72052 <1% 28 $463.66
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 120 $424.86
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 21 $406.43
76819 Fetal biophysical profile; without non-stress testing <1% 18 $378.72
87340 <1% 25 $336.99
86803 <1% 12 $268.62
82009 <1% 49 $223.04
82103 <1% 12 $213.88
71271 <1% 16 $213.48
71101 <1% 13 $181.15
73060 <1% 14 $149.46
85014 <1% 53 $148.47
85018 <1% 33 $144.19
84481 <1% 12 $141.02
84478 <1% 36 $132.70
J1956 Injection, levofloxacin, 250 mg <1% 24 $122.24
82465 <1% 36 $100.62
87102 <1% 15 $83.73
87206 <1% 19 $82.89
A6021 Collagen dressing, sterile, size 16 sq. in. or less, each <1% 223 $67.45
J7050 Infusion, normal saline solution, 250 cc <1% 22 $8.00
J3010 Injection, fentanyl citrate, 0.1 mg <1% 113 $7.59
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 101 $0.44
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 119 $0.13
J2250 Injection, midazolam hydrochloride, per 1 mg 0% 96 $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Same official

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