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West Virginia University Medical Corporation

Anesthesiology·Morgantown, WV·NPI: 1275504508Share

Compared to Anesthesiology Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $162.0M is at the 75th percentile among 13 Anesthesiology providers.

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

Total Paid

$162.0M

$162,035,290

Total Claims

3.2M

Beneficiaries

2.5M

1.3 claims/patient

Avg Cost/Claim

$50

#633 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

West Virginia University Medical Corporation is a Anesthesiology provider based in Morgantown, WV. From the 2018–2024 period, this provider received $162.0M in Medicaid payments across 3.2M claims.

Why This Matters

This provider received $162.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,254 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 195% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$11.9M
-42%
2019
$6.9M
+159%
2020
$17.9M
+2%
2021
$18.3M
+75%
2022
$32.1M
+24%
2023
$39.9M
-12%
2024
$35.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 16% of total spending.

99214Normal range

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

$26.5M

383K claims · 16.4%

Your Cost: $69.37/claim|Median: $53.41
1.3× median
99213Top 25%

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

$22.7M

414K claims · 14.0%

Your Cost: $54.78/claim|Median: $37.81
1.4× median
99204Normal range

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

$8.4M

92K claims · 5.2%

Your Cost: $91.84/claim|Median: $84.03
1.1× median
99284Normal range

Emergency dept visit, high complexity

$6.1M

71K claims · 3.8%

Your Cost: $85.94/claim|Median: $69.51
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$6.1M

50K claims · 3.7%

Your Cost: $121.18/claim|Median: $85.65
1.4× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$5.6M

112K claims · 3.4%

Your Cost: $49.51/claim|Median: $23.99
2.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$4.1M

57K claims · 2.5%

Your Cost: $71.51/claim|Median: $35.30
2.0× median
99203Normal range

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

$3.8M

62K claims · 2.4%

Your Cost: $62.43/claim|Median: $57.85
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$3.5M

26K claims · 2.2%

Your Cost: $133.03/claim|Median: $101.24
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$3.1M

32K claims · 1.9%

Your Cost: $96.05/claim|Median: $74.09
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$2.9M

54K claims · 1.8%

Your Cost: $53.73/claim|Median: $42.48
1.3× median
90837Normal range

Psychotherapy, 60 minutes

$2.8M

28K claims · 1.7%

Your Cost: $97.80/claim|Median: $85.66
1.1× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$2.2M

27K claims · 1.4%

Your Cost: $82.19/claim|Median: $51.25
1.6× median
70553Normal range

MRI brain without contrast, then with contrast

$2.1M

13K claims · 1.3%

Your Cost: $164.11/claim|Median: $133.68
1.2× median
59409Normal range

Vaginal delivery only

$1.9M

2K claims · 1.1%

Your Cost: $760.95/claim|Median: $619.91
1.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$1.8M

14K claims · 1.1%

Your Cost: $126.39/claim|Median: $100.62
1.3× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$1.7M

6K claims · 1.0%

Your Cost: $259.39/claim|Median: $307.98
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.6M

36K claims · 1.0%

Your Cost: $44.91/claim|Median: $54.68
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$1.6M

13K claims · 1.0%

Your Cost: $118.34/claim|Median: $111.09
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.5M

36K claims · 0.9%

Your Cost: $42.14/claim|Median: $35.80
1.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$1.4M

12K claims · 0.9%

Your Cost: $113.68/claim|Median: $67.32
1.7× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.3M

219K claims · 0.8%

Your Cost: $6.12/claim|Median: $5.60
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$1.3M

26K claims · 0.8%

Your Cost: $50.63/claim|Median: $37.22
1.4× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$1.3M

5K claims · 0.8%

Your Cost: $230.39/claim|Median: $293.45
0.8× median
S9088Normal range

Services provided in an urgent care center

$1.2M

56K claims · 0.7%

Your Cost: $21.02/claim|Median: $28.22
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$1.1M

20K claims · 0.7%

Your Cost: $58.41/claim|Median: $65.76
0.9× median
59514Top 25%

Cesarean delivery only

$1.0M

1K claims · 0.6%

Your Cost: $749.29/claim|Median: $452.80
1.6× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$936K

11K claims · 0.6%

Your Cost: $89.02/claim|Median: $103.70
0.9× median
78815Normal range

PET imaging for limited area

$915K

3K claims · 0.6%

Your Cost: $365.26/claim|Median: $325.10
1.1× median
90853Normal range

Group psychotherapy

$891K

41K claims · 0.5%

Your Cost: $21.76/claim|Median: $25.02
0.9× median

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