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

⚖️ Compare🖨️ Print Report

BOONE MEMORIAL HOSPITAL, INC

General Acute Care Hospital, Critical Access·MADISON, WV·NPI: 1639135221Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.9M

$31,869,964

Total Claims

529K

Beneficiaries

422K

1.3 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$4.9M
-49%
2019
$2.5M
+189%
2020
$7.3M
-19%
2021
$5.9M
-34%
2022
$3.9M
+9%
2023
$4.3M
-28%
2024
$3.1M

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 9% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$2.9M

16K claims · 9.1%

Your Cost: $179.44/claim|Median: $85.65
2.1× median
99284Top 25%

Emergency dept visit, high complexity

$2.7M

19K claims · 8.4%

Your Cost: $138.34/claim|Median: $69.51
2.0× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$2.5M

16K claims · 8.0%

Your Cost: $160.60/claim|Median: $39.70
4.0× median
80053Top 5%

Comprehensive metabolic panel

$1.5M

33K claims · 4.8%

Your Cost: $46.33/claim|Median: $7.24
6.4× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.4M

2,875 claims · 4.5%

Your Cost: $503.50/claim|Median: $65.76
7.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.3M

14K claims · 3.9%

Your Cost: $89.16/claim|Median: $42.48
2.1× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$914K

33K claims · 2.9%

Your Cost: $27.53/claim|Median: $4.71
5.8× median
43239Top 10%

Upper GI endoscopy with biopsy

$905K

1,533 claims · 2.8%

Your Cost: $590.28/claim|Median: $151.68
3.9× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$889K

9,488 claims · 2.8%

Your Cost: $93.71/claim|Median: $65.45
1.4× median
74176Top 5%

CT abdomen and pelvis without contrast

$805K

2,047 claims · 2.5%

Your Cost: $393.35/claim|Median: $60.19
6.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$802K

3,328 claims · 2.5%

Your Cost: $241.11/claim|Median: $169.17
1.4× median
70450Top 10%

CT head/brain without contrast

$765K

3,658 claims · 2.4%

Your Cost: $209.20/claim|Median: $45.53
4.6× median
84484Top 5%

Troponin, quantitative

$606K

14K claims · 1.9%

Your Cost: $43.99/claim|Median: $4.84
9.1× median
36415Top 5%

Collection of venous blood by venipuncture

$511K

46K claims · 1.6%

Your Cost: $11.07/claim|Median: $1.57
7.1× median
96365Normal range

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

$506K

7,716 claims · 1.6%

Your Cost: $65.62/claim|Median: $54.77
1.2× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$467K

898 claims · 1.5%

Your Cost: $519.56/claim|Median: $106.14
4.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$428K

9,825 claims · 1.3%

Your Cost: $43.56/claim|Median: $7.50
5.8× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$423K

1,491 claims · 1.3%

Your Cost: $283.66/claim|Median: $54.68
5.2× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$368K

4,157 claims · 1.2%

Your Cost: $88.50/claim|Median: $35.80
2.5× median
81000Top 1%

Urinalysis with microscopy, non-automated

$361K

20K claims · 1.1%

Your Cost: $17.93/claim|Median: $2.51
7.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$331K

5,166 claims · 1.0%

Your Cost: $64.08/claim|Median: $24.49
2.6× median
80050Top 10%

General health panel

$317K

3,961 claims · 1.0%

Your Cost: $80.08/claim|Median: $25.59
3.1× median
71275Top 10%

CT angiography, chest, with contrast

$305K

968 claims · 1.0%

Your Cost: $315.27/claim|Median: $92.96
3.4× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$296K

8,197 claims · 0.9%

Your Cost: $36.15/claim|Median: $14.92
2.4× median
83605Top 10%

$293K

13K claims · 0.9%

Your Cost: $22.69/claim|Median: $4.66
4.9× median
94760Top 5%

Pulse oximetry, single reading, noninvasive

$292K

8,018 claims · 0.9%

Your Cost: $36.39/claim|Median: $0.79
46.1× median
96361Normal range

IV infusion, hydration, each additional hour

$264K

5,169 claims · 0.8%

Your Cost: $51.11/claim|Median: $38.92
1.3× median
71045Top 10%

Chest X-ray, single view

$239K

6,873 claims · 0.7%

Your Cost: $34.75/claim|Median: $4.93
7.0× median
71046Top 5%

Chest X-ray, 2 views

$237K

4,162 claims · 0.7%

Your Cost: $56.89/claim|Median: $8.92
6.4× median
80061Top 5%

Lipid panel

$235K

6,547 claims · 0.7%

Your Cost: $35.92/claim|Median: $8.41
4.3× median
83880Top 5%

$230K

4,836 claims · 0.7%

Your Cost: $47.62/claim|Median: $11.81
4.0× median
87040Top 5%

$230K

6,852 claims · 0.7%

Your Cost: $33.55/claim|Median: $5.54
6.1× median
82550Top 5%

Creatine kinase (CK) total blood test

$220K

8,317 claims · 0.7%

Your Cost: $26.41/claim|Median: $2.97
8.9× median
82150Top 5%

Amylase blood test

$218K

7,455 claims · 0.7%

Your Cost: $29.20/claim|Median: $3.65
8.0× median
72125Top 5%

CT cervical spine without contrast

$217K

742 claims · 0.7%

Your Cost: $292.42/claim|Median: $32.30
9.1× median
83690Top 5%

$216K

7,940 claims · 0.7%

Your Cost: $27.25/claim|Median: $3.35
8.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$210K

4,115 claims · 0.7%

Your Cost: $51.05/claim|Median: $21.76
2.3× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$205K

4,734 claims · 0.6%

Your Cost: $43.27/claim|Median: $9.87
4.4× median
U0004Top 1%

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

$202K

531 claims · 0.6%

Your Cost: $379.52/claim|Median: $60.05
6.3× median
97014Top 5%

Electrical stimulation, unattended

$186K

4,397 claims · 0.6%

Your Cost: $42.39/claim|Median: $8.83
4.8× median
87086Top 5%

Urine culture, colony count, with identification

$185K

5,450 claims · 0.6%

Your Cost: $33.86/claim|Median: $5.31
6.4× median
45380Top 10%

Colonoscopy with biopsy

$184K

292 claims · 0.6%

Your Cost: $630.59/claim|Median: $200.68
3.1× median
80305Top 1%

$179K

3,979 claims · 0.6%

Your Cost: $45.02/claim|Median: $7.44
6.1× median
82553Top 10%

$171K

6,550 claims · 0.5%

Your Cost: $26.09/claim|Median: $5.41
4.8× median
80048Top 5%

Basic metabolic panel

$168K

3,828 claims · 0.5%

Your Cost: $43.83/claim|Median: $5.78
7.6× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$160K

2,754 claims · 0.5%

Your Cost: $58.19/claim|Median: $26.72
2.2× median
71250Top 5%

CT scan of chest without contrast

$155K

766 claims · 0.5%

Your Cost: $201.92/claim|Median: $39.11
5.2× median
87426Top 1%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$152K

2,420 claims · 0.5%

Your Cost: $62.87/claim|Median: $30.04
2.1× median
93017Top 10%

$141K

771 claims · 0.4%

Your Cost: $182.24/claim|Median: $56.03
3.3× median
82306Top 10%

Vitamin D, 25 hydroxy

$133K

2,517 claims · 0.4%

Your Cost: $52.78/claim|Median: $18.18
2.9× 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

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