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

⚖️ Compare🖨️ Print Report

WAYNE MEMORIAL HOSPITAL INC

General Acute Care Hospital·GOLDSBORO, NC·NPI: 1750353462Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$37.8M

$37,841,388

Total Claims

724K

Beneficiaries

601K

1.2 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$3.4M
+18%
2019
$4.0M
-41%
2020
$2.4M
+124%
2021
$5.3M
+43%
2022
$7.6M
+8%
2023
$8.2M
-17%
2024
$6.8M

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 24% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$9.0M

42K claims · 23.7%

Your Cost: $214.27/claim|Median: $69.51
3.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$7.9M

57K claims · 21.0%

Your Cost: $139.62/claim|Median: $42.48
3.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$5.3M

23K claims · 14.0%

Your Cost: $227.63/claim|Median: $85.65
2.7× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$3.3M

1,901 claims · 8.6%

Your Cost: $1,714.65/claim|Median: $763.43
2.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.3M

32K claims · 3.4%

Your Cost: $39.63/claim|Median: $7.50
5.3× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$971K

7,133 claims · 2.6%

Your Cost: $136.07/claim|Median: $91.47
1.5× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$767K

8,972 claims · 2.0%

Your Cost: $85.54/claim|Median: $9.56
8.9× median
99282Normal range

Emergency dept visit, low complexity

$765K

9,369 claims · 2.0%

Your Cost: $81.62/claim|Median: $37.72
2.2× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$762K

8,094 claims · 2.0%

Your Cost: $94.10/claim|Median: $144.30
0.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$713K

12K claims · 1.9%

Your Cost: $61.59/claim|Median: $21.76
2.8× median
G0463Top 25%

Hospital outpatient clinic visit

$602K

9,317 claims · 1.6%

Your Cost: $64.56/claim|Median: $26.41
2.4× median
J3490Normal range

Unclassified drugs

$576K

92K claims · 1.5%

Your Cost: $6.23/claim|Median: $5.70
1.1× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$501K

4,301 claims · 1.3%

Your Cost: $116.42/claim|Median: $14.92
7.8× median
80053Normal range

Comprehensive metabolic panel

$468K

58K claims · 1.2%

Your Cost: $8.03/claim|Median: $7.24
1.1× median
74177Top 1%

CT abdomen and pelvis with contrast

$433K

406 claims · 1.1%

Your Cost: $1,067.39/claim|Median: $65.76
16.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$432K

60K claims · 1.1%

Your Cost: $7.21/claim|Median: $4.71
1.5× median
71046Top 25%

Chest X-ray, 2 views

$431K

14K claims · 1.1%

Your Cost: $31.52/claim|Median: $8.92
3.5× median
T1016Top 10%

Case management, each 15 min

$417K

1,970 claims · 1.1%

Your Cost: $211.48/claim|Median: $49.62
4.3× median
70450Top 10%

CT head/brain without contrast

$407K

2,093 claims · 1.1%

Your Cost: $194.44/claim|Median: $45.53
4.3× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$376K

7,693 claims · 1.0%

Your Cost: $48.86/claim|Median: $35.43
1.4× median
96361Normal range

IV infusion, hydration, each additional hour

$263K

6,547 claims · 0.7%

Your Cost: $40.20/claim|Median: $38.92
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$233K

3,367 claims · 0.6%

Your Cost: $69.28/claim|Median: $63.08
1.1× median
81001Top 25%

Urinalysis, automated, with microscopy

$154K

47K claims · 0.4%

Your Cost: $3.29/claim|Median: $2.03
1.6× median
36415Normal range

Collection of venous blood by venipuncture

$151K

68K claims · 0.4%

Your Cost: $2.21/claim|Median: $1.57
1.4× median
84484Normal range

Troponin, quantitative

$140K

19K claims · 0.4%

Your Cost: $7.31/claim|Median: $4.84
1.5× median
97597Normal range

$121K

2,852 claims · 0.3%

Your Cost: $42.48/claim|Median: $21.22
2.0× median
71045Top 25%

Chest X-ray, single view

$83K

4,940 claims · 0.2%

Your Cost: $16.89/claim|Median: $4.93
3.4× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$75K

3,472 claims · 0.2%

Your Cost: $21.51/claim|Median: $9.87
2.2× median
87150Normal range

$66K

2,070 claims · 0.2%

Your Cost: $31.99/claim|Median: $25.98
1.2× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$62K

2,281 claims · 0.2%

Your Cost: $27.00/claim|Median: $37.56
0.7× median
97110Top 10%

Therapeutic exercises, each 15 min

$60K

769 claims · 0.2%

Your Cost: $78.59/claim|Median: $24.49
3.2× median
87804Normal range

Influenza virus detection, rapid test

$60K

3,507 claims · 0.2%

Your Cost: $17.21/claim|Median: $12.59
1.4× median
87086Top 25%

Urine culture, colony count, with identification

$60K

7,245 claims · 0.2%

Your Cost: $8.33/claim|Median: $5.31
1.6× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$55K

2,567 claims · 0.1%

Your Cost: $21.29/claim|Median: $15.76
1.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$54K

1,675 claims · 0.1%

Your Cost: $32.12/claim|Median: $24.95
1.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$54K

1,675 claims · 0.1%

Your Cost: $32.10/claim|Median: $23.39
1.4× median
83690Top 25%

$47K

6,295 claims · 0.1%

Your Cost: $7.43/claim|Median: $3.35
2.2× median
81025Top 25%

Urine pregnancy test

$45K

5,564 claims · 0.1%

Your Cost: $8.00/claim|Median: $4.81
1.7× median
96365Top 25%

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

$43K

396 claims · 0.1%

Your Cost: $109.58/claim|Median: $54.77
2.0× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$43K

4,743 claims · 0.1%

Your Cost: $9.04/claim|Median: $1.53
5.9× median
84703Top 25%

Human chorionic gonadotropin (hCG) quantitative blood test

$42K

4,534 claims · 0.1%

Your Cost: $9.35/claim|Median: $4.20
2.2× median
43239Normal range

Upper GI endoscopy with biopsy

$27K

215 claims · 0.1%

Your Cost: $124.97/claim|Median: $151.68
0.8× median
29580Top 25%

$26K

418 claims · 0.1%

Your Cost: $62.51/claim|Median: $26.60
2.4× median
87637Top 10%

Respiratory virus detection, 3-5 targets, nucleic acid

$23K

148 claims · 0.1%

Your Cost: $154.75/claim|Median: $100.62
1.5× median
69436Top 25%

Tympanostomy, general anesthesia

$20K

23 claims · 0.1%

Your Cost: $855.95/claim|Median: $205.50
4.2× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$19K

1,160 claims · 0.1%

Your Cost: $16.78/claim|Median: $11.48
1.5× median
82553Normal range

$19K

3,487 claims · 0.0%

Your Cost: $5.41/claim|Median: $5.41
1.0× median
J7120Top 25%

Ringer's lactate infusion, up to 1000 cc

$18K

2,389 claims · 0.0%

Your Cost: $7.54/claim|Median: $1.51
5.0× median
80306Top 25%

$17K

698 claims · 0.0%

Your Cost: $24.96/claim|Median: $10.29
2.4× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$17K

1,637 claims · 0.0%

Your Cost: $10.46/claim|Median: $10.88
1.0× median

Other Top Providers in North Carolina

View all →

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$1.44B

Aeroflow INC

Durable Medical Equipment & Medical Supplies

$571.7M

Abound Health, LLC

In Home Supportive Care

$324.3M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$281.4M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$264.3M

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 North Carolina →How we detect fraud →