Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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WEST VIRGINIA UNIVERSITY HOSPITALS, INC

NPI: 1790820835 · MORGANTOWN, WV 26505 · Psychiatric Hospital Unit · NPI assigned 02/20/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$2.85M
Total Medicaid Paid
40,052
Total Claims
1,273
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCCLYMONDS, BRUCE (ADMINISTRATOR)
NPI Enumeration Date02/20/2007

Related Entities

Other providers sharing the same authorized official: MCCLYMONDS, BRUCE

ProviderCityStateTotal Paid
WEST VIRGINIA UNIVERSITY HOSPITALS, INC MORGANTOWN WV $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,328 $306K
2019 4,205 $279K
2020 3,027 $181K
2021 5,343 $346K
2022 7,384 $511K
2023 8,099 $638K
2024 7,666 $585K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 40,052 1,273 $2.85M