Medicaid Provider Spending

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

NPI: 1659856060 · WADESBORO, NC 28170 · General Acute Care Hospital · NPI assigned 10/02/2018

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

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

$9.77M
Total Medicaid Paid
125,515
Total Claims
108,412
Beneficiaries
81
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEFURIO, ANTHONY (EXECUTIVE VICE PRESIDENT/CFO)
NPI Enumeration Date10/02/2018

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 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
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
2019 24,674 $1.14M
2020 18,792 $1.03M
2021 19,522 $1.41M
2022 19,379 $1.89M
2023 22,825 $2.23M
2024 20,323 $2.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 14,330 13,206 $4.31M
99284 Emergency department visit for the evaluation and management, high severity 11,248 10,379 $3.03M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,438 4,104 $982K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,465 2,245 $350K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 12,779 11,322 $183K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 3,380 3,089 $125K
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 1,502 1,342 $121K
80053 Comprehensive metabolic panel 11,353 10,470 $86K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,028 10,989 $80K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 2,953 2,773 $60K
99282 Emergency department visit for the evaluation and management, low to moderate severity 844 768 $56K
71045 Radiologic examination, chest; single view 1,558 1,437 $47K
J3490 Unclassified drugs 11,041 5,714 $35K
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 1,082 944 $29K
Q3014 Telehealth originating site facility fee 1,965 1,826 $26K
80061 Lipid panel 2,238 2,100 $24K
83036 Hemoglobin; glycosylated (A1C) 2,432 2,282 $19K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,236 1,088 $17K
71046 Radiologic examination, chest; 2 views 397 372 $15K
84484 1,877 1,617 $13K
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 182 155 $10K
74177 Computed tomography, abdomen and pelvis; with contrast material 25 25 $10K
81025 1,262 1,172 $10K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 461 429 $10K
70450 Computed tomography, head or brain; without contrast material 55 50 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,280 1,158 $8K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 36 31 $7K
96375 Therapeutic injection; each additional sequential IV push 1,243 1,112 $7K
J8499 Prescription drug, oral, non chemotherapeutic, nos 5,099 2,669 $7K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 136 113 $5K
80048 Basic metabolic panel (calcium, ionized) 799 737 $5K
G0378 Hospital observation service, per hour 26 26 $5K
81001 1,488 1,400 $5K
84443 Thyroid stimulating hormone (TSH) 363 338 $4K
36415 Collection of venous blood by venipuncture 2,223 2,091 $4K
85027 984 931 $4K
96361 Intravenous infusion, hydration; each additional hour 619 549 $4K
87430 245 227 $4K
83735 736 672 $4K
84466 348 316 $3K
82728 310 278 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,326 1,235 $3K
96127 1,535 1,444 $3K
83690 407 383 $3K
87070 171 163 $2K
80050 General health panel 47 40 $2K
82607 172 162 $2K
83540 348 316 $2K
85610 483 451 $1K
87486 36 31 $1K
87581 36 31 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 200 175 $933.29
81003 398 378 $895.86
84481 65 56 $875.04
82803 40 39 $687.19
83880 27 26 $672.92
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 37 36 $647.93
86803 43 38 $630.07
80143 17 13 $550.14
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 25 25 $429.56
80179 17 13 $409.39
87522 Neg quan hep c or qual rna 19 14 $382.23
83605 53 51 $335.32
82043 75 74 $334.65
82570 75 74 $299.35
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 14 $230.53
84439 39 38 $224.80
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 85 80 $221.42
87086 Culture, bacterial; quantitative colony count, urine 27 25 $202.01
86702 14 12 $144.77
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $134.64
87081 12 12 $117.92
90686 64 64 $115.76
86701 14 12 $109.31
82746 13 13 $75.50
81002 27 27 $46.90
82962 30 24 $27.40
81000 12 12 $20.75
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 27 26 $5.39
J8597 Antiemetic drug, oral, not otherwise specified 13 13 $4.80
A9270 Non-covered item or service 394 214 $0.00