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WEST VIRGINIA HEALTH CARE COOPERATIVE INC

General Acute Care Hospital, Critical Access·SUMMERSVILLE, WV·NPI: 1043778319Share
Active Billing Period:2019-07→2024-12(66 months)

Total Paid

$19.2M

$19,199,495

Total Claims

377K

Beneficiaries

284K

1.3 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2019
$1.9M
+193%
2020
$5.5M
-23%
2021
$4.3M
-29%
2022
$3.1M
-29%
2023
$2.2M
+3%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 17% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$3.3M

20K claims · 17.1%

Your Cost: $165.77/claim|Median: $69.51
2.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.3M

9,639 claims · 12.1%

Your Cost: $241.81/claim|Median: $85.65
2.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.0M

16K claims · 10.5%

Your Cost: $128.71/claim|Median: $42.48
3.0× median
80053Top 5%

Comprehensive metabolic panel

$1.2M

28K claims · 6.4%

Your Cost: $42.98/claim|Median: $7.24
5.9× median
74177Top 10%

CT abdomen and pelvis with contrast

$594K

1,942 claims · 3.1%

Your Cost: $305.62/claim|Median: $65.76
4.6× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$552K

8,130 claims · 2.9%

Your Cost: $67.95/claim|Median: $21.76
3.1× median
74176Top 10%

CT abdomen and pelvis without contrast

$533K

2,018 claims · 2.8%

Your Cost: $264.29/claim|Median: $60.19
4.4× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$520K

2,509 claims · 2.7%

Your Cost: $207.10/claim|Median: $54.68
3.8× median
70450Top 25%

CT head/brain without contrast

$470K

2,761 claims · 2.4%

Your Cost: $170.15/claim|Median: $45.53
3.7× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$436K

33K claims · 2.3%

Your Cost: $13.03/claim|Median: $4.71
2.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$352K

8,893 claims · 1.8%

Your Cost: $39.63/claim|Median: $7.50
5.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$291K

3,053 claims · 1.5%

Your Cost: $95.24/claim|Median: $100.62
0.9× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$269K

2,886 claims · 1.4%

Your Cost: $93.31/claim|Median: $35.43
2.6× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$251K

7,660 claims · 1.3%

Your Cost: $32.79/claim|Median: $14.92
2.2× median
87040Top 5%

$232K

4,090 claims · 1.2%

Your Cost: $56.76/claim|Median: $5.54
10.2× median
71045Top 10%

Chest X-ray, single view

$225K

8,461 claims · 1.2%

Your Cost: $26.63/claim|Median: $4.93
5.4× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$222K

4,449 claims · 1.2%

Your Cost: $49.99/claim|Median: $54.77
0.9× median
81001Top 10%

Urinalysis, automated, with microscopy

$203K

14K claims · 1.1%

Your Cost: $14.80/claim|Median: $2.03
7.3× median
71275Top 5%

CT angiography, chest, with contrast

$198K

497 claims · 1.0%

Your Cost: $397.56/claim|Median: $92.96
4.3× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$189K

2,019 claims · 1.0%

Your Cost: $93.44/claim|Median: $35.80
2.6× median
84484Top 10%

Troponin, quantitative

$180K

7,704 claims · 0.9%

Your Cost: $23.37/claim|Median: $4.84
4.8× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$177K

359 claims · 0.9%

Your Cost: $492.89/claim|Median: $106.14
4.6× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$175K

5,873 claims · 0.9%

Your Cost: $29.78/claim|Median: $9.87
3.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$163K

5,145 claims · 0.8%

Your Cost: $31.60/claim|Median: $9.56
3.3× median
U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$151K

1,943 claims · 0.8%

Your Cost: $77.65/claim|Median: $60.05
1.3× median
80048Top 10%

Basic metabolic panel

$147K

6,125 claims · 0.8%

Your Cost: $23.92/claim|Median: $5.78
4.1× median
36415Top 25%

Collection of venous blood by venipuncture

$145K

36K claims · 0.8%

Your Cost: $4.05/claim|Median: $1.57
2.6× median
83690Top 5%

$126K

5,882 claims · 0.7%

Your Cost: $21.36/claim|Median: $3.35
6.4× median
99282Normal range

Emergency dept visit, low complexity

$122K

2,286 claims · 0.6%

Your Cost: $53.41/claim|Median: $37.72
1.4× median
71046Top 10%

Chest X-ray, 2 views

$121K

3,001 claims · 0.6%

Your Cost: $40.26/claim|Median: $8.92
4.5× median
87804Top 1%

Influenza virus detection, rapid test

$111K

835 claims · 0.6%

Your Cost: $133.43/claim|Median: $12.59
10.6× median
80061Top 5%

Lipid panel

$111K

3,651 claims · 0.6%

Your Cost: $30.40/claim|Median: $8.41
3.6× median
87086Top 5%

Urine culture, colony count, with identification

$104K

3,597 claims · 0.5%

Your Cost: $29.03/claim|Median: $5.31
5.5× median
83880Top 5%

$104K

2,083 claims · 0.5%

Your Cost: $50.11/claim|Median: $11.81
4.2× median
96361Normal range

IV infusion, hydration, each additional hour

$102K

3,599 claims · 0.5%

Your Cost: $28.35/claim|Median: $38.92
0.7× median
G0378Normal range

Hospital observation service, per hour

$97K

1,070 claims · 0.5%

Your Cost: $90.78/claim|Median: $99.39
0.9× median
93017Top 10%

$87K

428 claims · 0.5%

Your Cost: $202.95/claim|Median: $56.03
3.6× median
84703Top 5%

Human chorionic gonadotropin (hCG) quantitative blood test

$87K

1,712 claims · 0.5%

Your Cost: $50.54/claim|Median: $4.20
12.0× median
96376Top 10%

$86K

2,200 claims · 0.4%

Your Cost: $38.91/claim|Median: $3.19
12.2× median
72125Top 10%

CT cervical spine without contrast

$81K

375 claims · 0.4%

Your Cost: $215.84/claim|Median: $32.30
6.7× median
84439Top 5%

Free thyroxine level blood test

$78K

2,003 claims · 0.4%

Your Cost: $38.77/claim|Median: $6.31
6.1× median
82306Top 5%

Vitamin D, 25 hydroxy

$77K

1,039 claims · 0.4%

Your Cost: $74.34/claim|Median: $18.18
4.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$77K

877 claims · 0.4%

Your Cost: $88.02/claim|Median: $39.33
2.2× median
83735Top 10%

Magnesium blood level test

$76K

5,166 claims · 0.4%

Your Cost: $14.62/claim|Median: $2.77
5.3× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$67K

532 claims · 0.4%

Your Cost: $126.45/claim|Median: $37.35
3.4× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$60K

1,143 claims · 0.3%

Your Cost: $52.67/claim|Median: $10.88
4.8× median
85379Top 5%

$55K

1,236 claims · 0.3%

Your Cost: $44.13/claim|Median: $4.29
10.3× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$54K

1,688 claims · 0.3%

Your Cost: $32.28/claim|Median: $34.62
0.9× median
76705Top 10%

Ultrasound, abdominal, limited

$54K

504 claims · 0.3%

Your Cost: $107.49/claim|Median: $23.81
4.5× median
71250Top 5%

CT scan of chest without contrast

$50K

238 claims · 0.3%

Your Cost: $210.60/claim|Median: $39.11
5.4× median

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