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CAROLINAS MEDICAL CENTER

Surgery, Surgical Critical Care·CHARLOTTE, NC·NPI: 1699979732Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$53.0M

$52,965,116

Total Claims

709K

Beneficiaries

500K

1.4 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+12%
2019
$6.8M
-19%
2020
$5.5M
+36%
2021
$7.5M
+22%
2022
$9.2M
+6%
2023
$9.7M
-16%
2024
$8.2M

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 16% of total spending.

99284Normal range

Emergency dept visit, high complexity

$8.5M

102K claims · 16.0%

Your Cost: $82.98/claim|Median: $69.51
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$6.8M

64K claims · 12.8%

Your Cost: $106.38/claim|Median: $85.65
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$4.2M

92K claims · 8.0%

Your Cost: $45.87/claim|Median: $23.99
1.9× median
99214Normal range

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

$4.0M

67K claims · 7.5%

Your Cost: $58.95/claim|Median: $53.41
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$3.2M

36K claims · 6.1%

Your Cost: $89.17/claim|Median: $74.09
1.2× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$3.2M

12K claims · 6.0%

Your Cost: $271.27/claim|Median: $293.45
0.9× median
99479Normal range

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

$2.4M

26K claims · 4.5%

Your Cost: $91.12/claim|Median: $103.70
0.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.4M

35K claims · 4.5%

Your Cost: $68.13/claim|Median: $35.30
1.9× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$2.0M

24K claims · 3.7%

Your Cost: $83.80/claim|Median: $98.15
0.9× median
99472Normal range

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

$1.9M

6,939 claims · 3.6%

Your Cost: $276.29/claim|Median: $307.98
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$1.9M

14K claims · 3.6%

Your Cost: $132.98/claim|Median: $101.24
1.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$1.5M

21K claims · 2.8%

Your Cost: $71.30/claim|Median: $62.48
1.1× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$1.4M

18K claims · 2.7%

Your Cost: $80.87/claim|Median: $43.85
1.8× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$1.2M

21K claims · 2.3%

Your Cost: $58.67/claim|Median: $37.22
1.6× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.2M

8,858 claims · 2.3%

Your Cost: $136.09/claim|Median: $121.58
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$1.0M

23K claims · 1.9%

Your Cost: $44.48/claim|Median: $42.48
1.0× median
99282Normal range

Emergency dept visit, low complexity

$685K

21K claims · 1.3%

Your Cost: $32.11/claim|Median: $37.72
0.9× median
99245Normal range

Office consultation, high complexity

$598K

3,874 claims · 1.1%

Your Cost: $154.47/claim|Median: $143.30
1.1× median
95720Normal range

$449K

3,767 claims · 0.8%

Your Cost: $119.26/claim|Median: $120.95
1.0× median
99213Normal range

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

$426K

13K claims · 0.8%

Your Cost: $33.90/claim|Median: $37.81
0.9× median
95951Normal range

$309K

2,310 claims · 0.6%

Your Cost: $133.84/claim|Median: $183.28
0.7× median
99417Top 5%

$307K

1,999 claims · 0.6%

Your Cost: $153.54/claim|Median: $34.90
4.4× median
99254Normal range

$243K

2,283 claims · 0.5%

Your Cost: $106.24/claim|Median: $81.43
1.3× median
99462Normal range

$223K

7,127 claims · 0.4%

Your Cost: $31.27/claim|Median: $27.49
1.1× median
64642Normal range

$218K

3,405 claims · 0.4%

Your Cost: $63.94/claim|Median: $81.85
0.8× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$210K

2,052 claims · 0.4%

Your Cost: $102.33/claim|Median: $51.25
2.0× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$209K

8,058 claims · 0.4%

Your Cost: $25.92/claim|Median: $16.77
1.5× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$192K

1,193 claims · 0.4%

Your Cost: $160.90/claim|Median: $111.09
1.4× median
64643Normal range

$158K

2,619 claims · 0.3%

Your Cost: $60.27/claim|Median: $58.21
1.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$157K

1,425 claims · 0.3%

Your Cost: $110.09/claim|Median: $233.73
0.5× median
99292Top 25%

$153K

1,553 claims · 0.3%

Your Cost: $98.37/claim|Median: $57.64
1.7× median
99204Top 25%

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

$150K

1,306 claims · 0.3%

Your Cost: $114.68/claim|Median: $84.03
1.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$135K

4,603 claims · 0.3%

Your Cost: $29.23/claim|Median: $58.55
0.5× median
99499Top 10%

Unlisted evaluation and management service

$109K

1,020 claims · 0.2%

Your Cost: $106.63/claim|Median: $30.88
3.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$104K

1,560 claims · 0.2%

Your Cost: $66.45/claim|Median: $106.79
0.6× median
99223Top 10%

Initial hospital care, per day, high complexity

$103K

753 claims · 0.2%

Your Cost: $136.37/claim|Median: $67.32
2.0× median
99468Normal range

$91K

145 claims · 0.2%

Your Cost: $628.97/claim|Median: $679.18
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$80K

21K claims · 0.2%

Your Cost: $3.79/claim|Median: $5.60
0.7× median
99243Normal range

Office or other outpatient consultation, low complexity

$71K

876 claims · 0.1%

Your Cost: $80.50/claim|Median: $82.43
1.0× median
76819Normal range

Fetal biophysical profile with non-stress test

$61K

2,321 claims · 0.1%

Your Cost: $26.41/claim|Median: $49.45
0.5× median
99477Normal range

$54K

197 claims · 0.1%

Your Cost: $272.82/claim|Median: $276.41
1.0× median
99221Top 25%

Initial hospital care, straightforward/low

$51K

680 claims · 0.1%

Your Cost: $74.42/claim|Median: $39.96
1.9× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$48K

2,293 claims · 0.1%

Your Cost: $21.05/claim|Median: $22.44
0.9× median
99443Normal range

Telephone E/M by physician, 21-30 min

$45K

1,214 claims · 0.1%

Your Cost: $37.40/claim|Median: $32.55
1.1× median
95782Normal range

$43K

477 claims · 0.1%

Your Cost: $90.09/claim|Median: $216.35
0.4× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$42K

1,049 claims · 0.1%

Your Cost: $40.16/claim|Median: $14.00
2.9× median
43239Normal range

Upper GI endoscopy with biopsy

$41K

428 claims · 0.1%

Your Cost: $96.46/claim|Median: $151.68
0.6× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$38K

1,047 claims · 0.1%

Your Cost: $35.83/claim|Median: $74.78
0.5× median
99203Normal range

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

$36K

613 claims · 0.1%

Your Cost: $59.32/claim|Median: $57.85
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$28K

1,281 claims · 0.1%

Your Cost: $21.76/claim|Median: $25.06
0.9× median

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