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CHARLESTON AREA MEDICAL CENTER, INC.

General Acute Care Hospital·CHARLESTON, WV·NPI: 1124248752Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $51.1M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$51.1M

$51,065,580

Total Claims

1.2M

Beneficiaries

918K

1.3 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$6.8M
-57%
2019
$3.0M
+101%
2020
$6.0M
-13%
2021
$5.2M
+74%
2022
$9.0M
+31%
2023
$11.8M
-22%
2024
$9.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 10% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$5.3M

126K claims · 10.3%

Your Cost: $41.87/claim|Median: $37.81
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$5.2M

112K claims · 10.2%

Your Cost: $46.45/claim|Median: $23.99
1.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$4.9M

90K claims · 9.6%

Your Cost: $54.19/claim|Median: $53.41
1.0× median
99284Normal range

Emergency dept visit, high complexity

$4.5M

56K claims · 8.7%

Your Cost: $80.26/claim|Median: $69.51
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$4.2M

90K claims · 8.3%

Your Cost: $47.35/claim|Median: $42.48
1.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.2M

33K claims · 4.2%

Your Cost: $65.80/claim|Median: $35.30
1.9× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$2.0M

25K claims · 3.9%

Your Cost: $78.26/claim|Median: $84.03
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$1.8M

19K claims · 3.6%

Your Cost: $98.80/claim|Median: $67.32
1.5× median
99282Normal range

Emergency dept visit, low complexity

$1.7M

57K claims · 3.4%

Your Cost: $30.61/claim|Median: $37.72
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$1.6M

12K claims · 3.2%

Your Cost: $133.39/claim|Median: $101.24
1.3× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$1.3M

25K claims · 2.6%

Your Cost: $52.55/claim|Median: $57.85
0.9× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$1.2M

15K claims · 2.3%

Your Cost: $76.16/claim|Median: $51.25
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.1M

28K claims · 2.1%

Your Cost: $38.75/claim|Median: $54.68
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$975K

8,780 claims · 1.9%

Your Cost: $111.09/claim|Median: $85.65
1.3× median
88305Normal range

Surgical pathology, gross and microscopic examination

$825K

34K claims · 1.6%

Your Cost: $24.49/claim|Median: $35.80
0.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$818K

152K claims · 1.6%

Your Cost: $5.39/claim|Median: $5.60
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$706K

8,944 claims · 1.4%

Your Cost: $78.95/claim|Median: $74.09
1.1× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$698K

11K claims · 1.4%

Your Cost: $64.21/claim|Median: $43.85
1.5× median
00170Normal range

Anesthesia for intraoral procedures

$447K

4,421 claims · 0.9%

Your Cost: $101.13/claim|Median: $132.89
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$439K

4,302 claims · 0.9%

Your Cost: $102.13/claim|Median: $111.09
0.9× median
43282Normal range

$421K

491 claims · 0.8%

Your Cost: $857.52/claim|Median: $857.52
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$359K

7,759 claims · 0.7%

Your Cost: $46.23/claim|Median: $37.22
1.2× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$338K

5,806 claims · 0.7%

Your Cost: $58.14/claim|Median: $59.38
1.0× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$326K

11K claims · 0.6%

Your Cost: $28.66/claim|Median: $16.77
1.7× median
43239Normal range

Upper GI endoscopy with biopsy

$299K

4,025 claims · 0.6%

Your Cost: $74.28/claim|Median: $151.68
0.5× median
99221Normal range

Initial hospital care, straightforward/low

$288K

5,377 claims · 0.6%

Your Cost: $53.62/claim|Median: $39.96
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$272K

12K claims · 0.5%

Your Cost: $23.40/claim|Median: $25.06
0.9× median
93458Normal range

Left heart catheterization with imaging

$259K

1,455 claims · 0.5%

Your Cost: $178.31/claim|Median: $183.33
1.0× median
00840Normal range

$244K

2,142 claims · 0.5%

Your Cost: $113.83/claim|Median: $96.47
1.2× median
59409Normal range

Vaginal delivery only

$215K

337 claims · 0.4%

Your Cost: $638.52/claim|Median: $619.91
1.0× median
00731Normal range

$214K

3,901 claims · 0.4%

Your Cost: $54.80/claim|Median: $64.75
0.8× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$194K

3,364 claims · 0.4%

Your Cost: $57.66/claim|Median: $106.14
0.5× median
00790Normal range

$171K

1,345 claims · 0.3%

Your Cost: $127.47/claim|Median: $115.06
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$168K

4,389 claims · 0.3%

Your Cost: $38.27/claim|Median: $40.11
1.0× median
88342Normal range

$165K

7,364 claims · 0.3%

Your Cost: $22.40/claim|Median: $23.66
0.9× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$162K

2,040 claims · 0.3%

Your Cost: $79.24/claim|Median: $59.72
1.3× median
01961Normal range

$146K

1,496 claims · 0.3%

Your Cost: $97.80/claim|Median: $156.02
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$146K

2,709 claims · 0.3%

Your Cost: $53.75/claim|Median: $63.65
0.8× median
00797Normal range

$139K

949 claims · 0.3%

Your Cost: $146.98/claim|Median: $201.73
0.7× median
47562Normal range

$128K

354 claims · 0.3%

Your Cost: $362.03/claim|Median: $731.87
0.5× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$127K

4,955 claims · 0.2%

Your Cost: $25.65/claim|Median: $49.03
0.5× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$127K

3,149 claims · 0.2%

Your Cost: $40.22/claim|Median: $38.23
1.1× median
43775Normal range

$127K

356 claims · 0.2%

Your Cost: $355.70/claim|Median: $619.12
0.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$120K

4,277 claims · 0.2%

Your Cost: $28.00/claim|Median: $28.46
1.0× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$118K

5,026 claims · 0.2%

Your Cost: $23.50/claim|Median: $43.07
0.5× median
99220Normal range

$114K

1,220 claims · 0.2%

Your Cost: $93.46/claim|Median: $73.56
1.3× median
95951Normal range

$112K

544 claims · 0.2%

Your Cost: $206.30/claim|Median: $183.28
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$105K

1,359 claims · 0.2%

Your Cost: $77.36/claim|Median: $85.66
0.9× median
01922Normal range

$90K

1,041 claims · 0.2%

Your Cost: $86.53/claim|Median: $166.77
0.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$88K

1,629 claims · 0.2%

Your Cost: $53.86/claim|Median: $47.08
1.1× median

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