Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

RALEIGH GENERAL HOSPITAL LLC

General Acute Care Hospital·BECKLEY, WV·NPI: 1629015698Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$36.4M

$36,440,778

Total Claims

682K

Beneficiaries

560K

1.2 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$11.4M
-45%
2019
$6.3M
+42%
2020
$8.9M
-63%
2021
$3.3M
-37%
2022
$2.1M
+23%
2023
$2.6M
-29%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 15% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$5.5M

16K claims · 15.0%

Your Cost: $343.33/claim|Median: $85.65
4.0× median
99284Top 25%

Emergency dept visit, high complexity

$4.5M

33K claims · 12.4%

Your Cost: $137.66/claim|Median: $69.51
2.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.2M

26K claims · 6.1%

Your Cost: $84.78/claim|Median: $42.48
2.0× median
93458Top 25%

Left heart catheterization with imaging

$1.3M

1,004 claims · 3.5%

Your Cost: $1,274.80/claim|Median: $183.33
7.0× median
36415Top 5%

Collection of venous blood by venipuncture

$1.1M

59K claims · 3.1%

Your Cost: $19.17/claim|Median: $1.57
12.2× median
85027Top 5%

Complete blood count (CBC), automated

$1.1M

60K claims · 3.1%

Your Cost: $18.85/claim|Median: $3.72
5.1× median
G0378Normal range

Hospital observation service, per hour

$1.1M

6,391 claims · 3.0%

Your Cost: $170.92/claim|Median: $99.39
1.7× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$907K

1,687 claims · 2.5%

Your Cost: $537.56/claim|Median: $106.14
5.1× median
80053Top 25%

Comprehensive metabolic panel

$808K

44K claims · 2.2%

Your Cost: $18.22/claim|Median: $7.24
2.5× median
74177Normal range

CT abdomen and pelvis with contrast

$672K

4,584 claims · 1.8%

Your Cost: $146.69/claim|Median: $65.76
2.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$652K

28K claims · 1.8%

Your Cost: $23.55/claim|Median: $7.50
3.1× median
80048Top 5%

Basic metabolic panel

$522K

13K claims · 1.4%

Your Cost: $40.20/claim|Median: $5.78
7.0× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$449K

5,690 claims · 1.2%

Your Cost: $78.97/claim|Median: $100.62
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$445K

1,719 claims · 1.2%

Your Cost: $258.98/claim|Median: $151.68
1.7× median
71046Top 10%

Chest X-ray, 2 views

$429K

13K claims · 1.2%

Your Cost: $32.17/claim|Median: $8.92
3.6× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$400K

4,600 claims · 1.1%

Your Cost: $86.92/claim|Median: $35.80
2.4× median
J7120Top 1%

Ringer's lactate infusion, up to 1000 cc

$392K

2,128 claims · 1.1%

Your Cost: $184.17/claim|Median: $1.51
122.0× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$391K

4,638 claims · 1.1%

Your Cost: $84.40/claim|Median: $36.13
2.3× median
C1713Top 1%

Anchor or screw for tissue to bone fixation

$386K

147 claims · 1.1%

Your Cost: $2,622.52/claim|Median: $123.40
21.3× median
70450Normal range

CT head/brain without contrast

$379K

7,143 claims · 1.0%

Your Cost: $53.12/claim|Median: $45.53
1.2× median
47562Top 10%

$370K

98 claims · 1.0%

Your Cost: $3,776.95/claim|Median: $731.87
5.2× median
84702Top 5%

$364K

8,378 claims · 1.0%

Your Cost: $43.45/claim|Median: $8.25
5.3× median
J7030Top 5%

Normal saline solution infusion, 1000 cc

$349K

7,064 claims · 1.0%

Your Cost: $49.46/claim|Median: $1.53
32.3× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$307K

7,023 claims · 0.8%

Your Cost: $43.68/claim|Median: $3.42
12.8× median
A9500Top 25%

Technetium-99m radiopharmaceutical diagnostic imaging agent

$293K

1,821 claims · 0.8%

Your Cost: $161.06/claim|Median: $64.30
2.5× median
J2785Top 5%

$293K

1,416 claims · 0.8%

Your Cost: $206.80/claim|Median: $61.83
3.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$286K

2,435 claims · 0.8%

Your Cost: $117.60/claim|Median: $54.68
2.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$286K

10K claims · 0.8%

Your Cost: $28.39/claim|Median: $21.76
1.3× median
84484Top 25%

Troponin, quantitative

$283K

20K claims · 0.8%

Your Cost: $14.42/claim|Median: $4.84
3.0× median
99282Normal range

Emergency dept visit, low complexity

$266K

4,608 claims · 0.7%

Your Cost: $57.81/claim|Median: $37.72
1.5× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$265K

13K claims · 0.7%

Your Cost: $19.79/claim|Median: $2.14
9.2× median
C1894Top 1%

$257K

1,254 claims · 0.7%

Your Cost: $205.12/claim|Median: $5.06
40.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$252K

4,944 claims · 0.7%

Your Cost: $50.92/claim|Median: $35.43
1.4× median
C1769Top 10%

$247K

2,316 claims · 0.7%

Your Cost: $106.59/claim|Median: $7.55
14.1× median
71045Top 25%

Chest X-ray, single view

$231K

13K claims · 0.6%

Your Cost: $18.25/claim|Median: $4.93
3.7× median
81003Top 5%

Urinalysis, automated without microscopy

$223K

22K claims · 0.6%

Your Cost: $10.09/claim|Median: $1.48
6.8× median
74176Normal range

CT abdomen and pelvis without contrast

$223K

2,369 claims · 0.6%

Your Cost: $94.03/claim|Median: $60.19
1.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$215K

9,823 claims · 0.6%

Your Cost: $21.84/claim|Median: $9.56
2.3× median
93017Top 25%

$207K

1,800 claims · 0.6%

Your Cost: $115.08/claim|Median: $56.03
2.1× median
71275Top 25%

CT angiography, chest, with contrast

$203K

1,104 claims · 0.6%

Your Cost: $183.85/claim|Median: $92.96
2.0× median
87086Top 5%

Urine culture, colony count, with identification

$203K

9,060 claims · 0.6%

Your Cost: $22.39/claim|Median: $5.31
4.2× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$201K

346 claims · 0.6%

Your Cost: $581.70/claim|Median: $763.43
0.8× median
96365Normal range

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

$193K

4,068 claims · 0.5%

Your Cost: $47.37/claim|Median: $54.77
0.9× median
85730Top 5%

$191K

11K claims · 0.5%

Your Cost: $17.69/claim|Median: $2.83
6.3× median
99152Top 1%

$169K

1,063 claims · 0.5%

Your Cost: $158.88/claim|Median: $7.34
21.6× median
84703Top 1%

Human chorionic gonadotropin (hCG) quantitative blood test

$160K

2,181 claims · 0.4%

Your Cost: $73.53/claim|Median: $4.20
17.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$154K

601 claims · 0.4%

Your Cost: $255.59/claim|Median: $169.17
1.5× median
72148Normal range

MRI lumbar spine without contrast

$150K

1,176 claims · 0.4%

Your Cost: $127.72/claim|Median: $101.03
1.3× median
83690Top 10%

$144K

17K claims · 0.4%

Your Cost: $8.60/claim|Median: $3.35
2.6× median
78815Normal range

PET imaging for limited area

$136K

447 claims · 0.4%

Your Cost: $304.79/claim|Median: $325.10
0.9× median

Other Top Providers in West Virginia

View all →

Rem Community Options Inc.

Community/Behavioral Health

$224.9M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$220.0M

Charleston Area Medical Center INC

General Acute Care Hospital

$199.8M

Voca Corporation of West Virginia Inc.

Clinic/Center Developmental Disabilities

$178.3M

Mulberry Street Management Services Inc.

In Home Supportive Care

$175.6M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in West Virginia →How we detect fraud →