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

Rector & Visitors of the University of Virginia

General Acute Care Hospital·Charlottesville, VA·NPI: 1780630608SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Cost Outlier

Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.

Rate Outlier

Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Advanced Detection Signals

Additional statistical tests from advanced fraud detection methods

Billing Velocity3886.3 claims/working day

These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.

Risk Assessment

Bills $202.61 per claim for 99214 (Office/outpatient visit, est. patient, mod-high complexity) — 3.8× the national median of $53.41.

Bills $205.24 per claim for 99213 (Office/outpatient visit, est. patient, low-mod complexity) — 5.4× the national median of $37.81.

Bills $309.04 per claim for 90935 (Hemodialysis, one evaluation) — 13.0× the national median of $23.72.

Billing in the top 1% nationally for 5 procedure codes: 99214, 99213, 99212.

This is a statistical summary, not an accusation. See our methodology.

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $500.5M is at the 90th percentile among 156 General Acute Care Hospital providers.

Above 90th percentile for this specialty — higher spending than 140 of 156 peers

Active Billing Period:2018-012024-12(84 months)

Total Paid

$500.5M

$500,546,324

Total Claims

7.2M

Beneficiaries

5.1M

1.4 claims/patient

Avg Cost/Claim

$70

#123 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Rector & Visitors of the University of Virginia is a General Acute Care Hospital provider based in Charlottesville, VA. From the 2018–2024 period, this provider received $500.5M in Medicaid payments across 7.2M claims.

Why This Matters

This provider received $500.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 62,568 Medicaid beneficiaries for a full year at average per-enrollee costs.

177% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$34.0M
+31%
2019
$44.4M
+13%
2020
$50.2M
+26%
2021
$63.4M
+43%
2022
$90.3M
+37%
2023
$124.1M
-24%
2024
$94.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 14% of total spending.

99214Top 1%

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

$71.1M

351K claims · 14.2%

Your Cost: $202.61/claim|Median: $53.41
3.8× median
99213Top 1%

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

$50.7M

247K claims · 10.1%

Your Cost: $205.24/claim|Median: $37.81
5.4× median
90935Top 5%

Hemodialysis, one evaluation

$43.0M

139K claims · 8.6%

Your Cost: $309.04/claim|Median: $23.72
13.0× median
99212Top 1%

Office/outpatient visit, low complexity

$23.8M

114K claims · 4.8%

Your Cost: $209.43/claim|Median: $25.06
8.4× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$12.2M

2K claims · 2.4%

Your Cost: $5,921.53/claim|Median: $5,391.55
1.1× median
90945Top 5%

$11.3M

30K claims · 2.3%

Your Cost: $371.76/claim|Median: $46.59
8.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$10.0M

40K claims · 2.0%

Your Cost: $248.09/claim|Median: $85.65
2.9× median
99284Top 5%

Emergency dept visit, high complexity

$9.9M

42K claims · 2.0%

Your Cost: $237.96/claim|Median: $69.51
3.4× median
J1459Normal range

$9.6M

7K claims · 1.9%

Your Cost: $1,345.55/claim|Median: $949.14
1.4× median
99283Top 5%

Emergency dept visit, moderate complexity

$9.4M

38K claims · 1.9%

Your Cost: $245.59/claim|Median: $42.48
5.8× median
96361Top 5%

IV infusion, hydration, each additional hour

$7.8M

17K claims · 1.6%

Your Cost: $455.77/claim|Median: $38.92
11.7× median
99211Top 1%

Office/outpatient visit, minimal complexity

$7.6M

38K claims · 1.5%

Your Cost: $201.99/claim|Median: $12.93
15.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$7.3M

15K claims · 1.5%

Your Cost: $492.31/claim|Median: $54.68
9.0× median
J2350Normal range

Ocrelizumab (Ocrevus) injection, 1 mg

$5.2M

286 claims · 1.0%

Your Cost: $18,161.64/claim|Median: $17,264.74
1.1× median
G0378Normal range

Hospital observation service, per hour

$5.0M

34K claims · 1.0%

Your Cost: $148.29/claim|Median: $99.39
1.5× median
99204Top 5%

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

$4.7M

23K claims · 0.9%

Your Cost: $203.66/claim|Median: $84.03
2.4× median
96365Top 5%

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

$4.5M

24K claims · 0.9%

Your Cost: $186.50/claim|Median: $54.77
3.4× median
43239Top 5%

Upper GI endoscopy with biopsy

$4.4M

5K claims · 0.9%

Your Cost: $824.46/claim|Median: $151.68
5.4× median
96415Top 5%

Chemotherapy infusion, each additional hour

$4.3M

8K claims · 0.9%

Your Cost: $514.27/claim|Median: $43.68
11.8× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$3.9M

24K claims · 0.8%

Your Cost: $162.83/claim|Median: $75.28
2.2× median
99215Top 5%

Office/outpatient visit, high complexity

$3.9M

21K claims · 0.8%

Your Cost: $183.75/claim|Median: $74.09
2.5× median
99203Top 5%

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

$3.5M

17K claims · 0.7%

Your Cost: $200.82/claim|Median: $57.85
3.5× median
Q5103Normal range

$3.3M

2K claims · 0.7%

Your Cost: $1,765.36/claim|Median: $1,075.28
1.6× median
74177Top 10%

CT abdomen and pelvis with contrast

$3.2M

10K claims · 0.6%

Your Cost: $315.72/claim|Median: $65.76
4.8× median
45380Top 5%

Colonoscopy with biopsy

$3.0M

4K claims · 0.6%

Your Cost: $789.26/claim|Median: $200.68
3.9× median
96366Top 5%

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

$3.0M

8K claims · 0.6%

Your Cost: $365.39/claim|Median: $40.12
9.1× median
G0463Normal range

Hospital outpatient clinic visit

$2.7M

173K claims · 0.5%

Your Cost: $15.81/claim|Median: $26.41
0.6× median
45385Top 5%

Colonoscopy with polyp removal, snare technique

$2.7M

3K claims · 0.5%

Your Cost: $849.39/claim|Median: $255.17
3.3× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$2.7M

2K claims · 0.5%

Your Cost: $1,475.46/claim|Median: $1,587.53
0.9× median
59025Top 1%

Fetal non-stress test

$2.6M

9K claims · 0.5%

Your Cost: $298.59/claim|Median: $26.45
11.3× median