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

⚖️ Compare🖨️ Print Report

UVA CULPEPER MEDICAL CENTER

General Acute Care Hospital·CULPEPER, VA·NPI: 1669538047Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$53.9M

$53,937,714

Total Claims

1.0M

Beneficiaries

787K

1.3 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+74%
2019
$5.1M
+1%
2020
$5.1M
+14%
2021
$5.9M
+63%
2022
$9.6M
+48%
2023
$14.2M
-21%
2024
$11.2M

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 13% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$6.8M

30K claims · 12.5%

Your Cost: $228.07/claim|Median: $69.51
3.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$5.6M

23K claims · 10.3%

Your Cost: $240.15/claim|Median: $42.48
5.7× median
G0463Top 5%

Hospital outpatient clinic visit

$5.2M

33K claims · 9.6%

Your Cost: $157.75/claim|Median: $26.41
6.0× median
99282Top 5%

Emergency dept visit, low complexity

$4.4M

20K claims · 8.1%

Your Cost: $221.49/claim|Median: $37.72
5.9× median
99213Top 1%

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

$3.0M

11K claims · 5.5%

Your Cost: $273.59/claim|Median: $37.81
7.2× median
96361Top 10%

IV infusion, hydration, each additional hour

$2.9M

10K claims · 5.4%

Your Cost: $287.38/claim|Median: $38.92
7.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.6M

8,993 claims · 4.7%

Your Cost: $283.90/claim|Median: $85.65
3.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.4M

39K claims · 4.5%

Your Cost: $61.70/claim|Median: $24.49
2.5× median
99214Top 1%

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

$2.3M

8,629 claims · 4.3%

Your Cost: $267.55/claim|Median: $53.41
5.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.4M

5,199 claims · 2.7%

Your Cost: $277.24/claim|Median: $65.76
4.2× median
92507Top 5%

Speech/hearing/language treatment

$1.4M

11K claims · 2.6%

Your Cost: $132.65/claim|Median: $49.45
2.7× median
96365Top 10%

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

$1.3M

7,307 claims · 2.4%

Your Cost: $174.91/claim|Median: $54.77
3.2× median
70450Top 10%

CT head/brain without contrast

$1.1M

5,534 claims · 2.1%

Your Cost: $206.47/claim|Median: $45.53
4.5× median
99281Top 10%

Emergency dept visit, minimal complexity

$1.0M

5,545 claims · 1.9%

Your Cost: $182.30/claim|Median: $52.03
3.5× median
0241UTop 5%

Proprietary lab analysis, genomic sequencing

$926K

5,672 claims · 1.7%

Your Cost: $163.24/claim|Median: $91.47
1.8× median
59025Top 5%

Fetal non-stress test

$691K

2,841 claims · 1.3%

Your Cost: $243.25/claim|Median: $26.45
9.2× median
96360Top 10%

IV infusion, hydration, initial, 31 minutes to 1 hour

$688K

3,248 claims · 1.3%

Your Cost: $211.70/claim|Median: $61.57
3.4× median
74176Top 10%

CT abdomen and pelvis without contrast

$626K

2,322 claims · 1.2%

Your Cost: $269.69/claim|Median: $60.19
4.5× median
71275Top 5%

CT angiography, chest, with contrast

$582K

1,695 claims · 1.1%

Your Cost: $343.18/claim|Median: $92.96
3.7× median
99212Top 1%

Office/outpatient visit, low complexity

$510K

2,289 claims · 0.9%

Your Cost: $222.65/claim|Median: $25.06
8.9× median
97530Top 25%

Therapeutic activities, each 15 min

$506K

7,308 claims · 0.9%

Your Cost: $69.21/claim|Median: $33.11
2.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$500K

12K claims · 0.9%

Your Cost: $40.67/claim|Median: $39.70
1.0× median
G0378Normal range

Hospital observation service, per hour

$466K

3,311 claims · 0.9%

Your Cost: $140.80/claim|Median: $99.39
1.4× median
96366Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$464K

1,951 claims · 0.9%

Your Cost: $238.06/claim|Median: $40.12
5.9× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$442K

768 claims · 0.8%

Your Cost: $575.10/claim|Median: $54.68
10.5× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$340K

7,805 claims · 0.6%

Your Cost: $43.50/claim|Median: $65.45
0.7× median
99215Top 5%

Office/outpatient visit, high complexity

$337K

1,099 claims · 0.6%

Your Cost: $306.77/claim|Median: $74.09
4.1× median
20610Top 1%

Arthrocentesis, aspiration/injection, major joint

$315K

1,209 claims · 0.6%

Your Cost: $260.55/claim|Median: $29.03
9.0× median
97161Top 10%

Physical therapy evaluation, low complexity

$275K

2,111 claims · 0.5%

Your Cost: $130.22/claim|Median: $47.89
2.7× median
80053Normal range

Comprehensive metabolic panel

$272K

49K claims · 0.5%

Your Cost: $5.59/claim|Median: $7.24
0.8× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$260K

2,354 claims · 0.5%

Your Cost: $110.41/claim|Median: $75.28
1.5× median
76705Top 10%

Ultrasound, abdominal, limited

$234K

2,160 claims · 0.4%

Your Cost: $108.54/claim|Median: $23.81
4.6× median
99204Top 1%

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

$227K

915 claims · 0.4%

Your Cost: $247.85/claim|Median: $84.03
2.9× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$218K

2,350 claims · 0.4%

Your Cost: $92.85/claim|Median: $35.43
2.6× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$211K

2,136 claims · 0.4%

Your Cost: $98.64/claim|Median: $58.16
1.7× median
93971Top 10%

Duplex scan of extremity veins, unilateral or limited

$182K

1,521 claims · 0.3%

Your Cost: $119.94/claim|Median: $25.43
4.7× median
99291Top 10%

Critical care, first 30-74 minutes

$177K

709 claims · 0.3%

Your Cost: $249.06/claim|Median: $101.24
2.5× median
97163Normal range

PT evaluation, high complexity

$142K

1,917 claims · 0.3%

Your Cost: $74.04/claim|Median: $50.34
1.5× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$139K

1,440 claims · 0.3%

Your Cost: $96.24/claim|Median: $58.55
1.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$125K

5,550 claims · 0.2%

Your Cost: $22.45/claim|Median: $16.79
1.3× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$116K

1,071 claims · 0.2%

Your Cost: $107.85/claim|Median: $74.78
1.4× median
99203Top 1%

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

$107K

385 claims · 0.2%

Your Cost: $279.12/claim|Median: $57.85
4.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$99K

11K claims · 0.2%

Your Cost: $9.20/claim|Median: $9.87
0.9× median
96367Top 25%

$92K

1,503 claims · 0.2%

Your Cost: $61.48/claim|Median: $29.27
2.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$81K

45K claims · 0.2%

Your Cost: $1.81/claim|Median: $4.71
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$79K

9,614 claims · 0.1%

Your Cost: $8.23/claim|Median: $9.56
0.9× median
96415Top 5%

Chemotherapy infusion, each additional hour

$77K

171 claims · 0.1%

Your Cost: $451.75/claim|Median: $43.68
10.3× median
64483Top 1%

$72K

56 claims · 0.1%

Your Cost: $1,287.32/claim|Median: $124.24
10.4× median
76856Normal range

Ultrasound, pelvic, complete

$72K

978 claims · 0.1%

Your Cost: $73.14/claim|Median: $47.58
1.5× median
76830Top 25%

Ultrasound, transvaginal

$71K

710 claims · 0.1%

Your Cost: $99.34/claim|Median: $57.47
1.7× median

Other Top Providers in Virginia

View all →

Virginia Commonwealth University Health System Authority

General Acute Care Hospital

$658.5M

Rector & Visitors of the University of Virginia

General Acute Care Hospital

$500.5M

Wall Residences LLC

Community Based Residential Treatment Facility In

$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

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 Virginia →How we detect fraud →