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West Virginia University Hospitals, INC

Clinical Medical Laboratory·Morgantown, WV·NPI: 1841271459Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $124.1M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

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

Total Paid

$124.1M

$124,089,508

Total Claims

2.9M

Beneficiaries

2.3M

1.2 claims/patient

Avg Cost/Claim

$43

#955 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

West Virginia University Hospitals, INC is a Clinical Medical Laboratory provider based in Morgantown, WV. From the 2018–2024 period, this provider received $124.1M in Medicaid payments across 2.9M claims.

Why This Matters

This provider received $124.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,511 Medicaid beneficiaries for a full year at average per-enrollee costs.

83% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$36.1M
-35%
2019
$23.3M
+39%
2020
$32.5M
-56%
2021
$14.3M
-63%
2022
$5.3M
+25%
2023
$6.6M
-9%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 6% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$6.9M

19K claims · 5.6%

Your Cost: $369.53/claim|Median: $85.65
4.3× median
99284Top 25%

Emergency dept visit, high complexity

$5.7M

34K claims · 4.6%

Your Cost: $166.85/claim|Median: $69.51
2.4× median
99212Normal range

Office/outpatient visit, low complexity

$4.3M

178K claims · 3.5%

Your Cost: $24.35/claim|Median: $25.06
1.0× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$4.2M

791 claims · 3.4%

Your Cost: $5,258.33/claim|Median: $5,391.55
1.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.8M

30K claims · 2.2%

Your Cost: $93.44/claim|Median: $42.48
2.2× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$2.7M

154K claims · 2.2%

Your Cost: $17.73/claim|Median: $4.71
3.8× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$2.0M

4K claims · 1.6%

Your Cost: $466.31/claim|Median: $470.36
1.0× median
80053Top 10%

Comprehensive metabolic panel

$2.0M

71K claims · 1.6%

Your Cost: $27.76/claim|Median: $7.24
3.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.8M

8K claims · 1.5%

Your Cost: $226.00/claim|Median: $65.76
3.4× median
G0463Normal range

Hospital outpatient clinic visit

$1.8M

95K claims · 1.4%

Your Cost: $18.98/claim|Median: $26.41
0.7× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$1.8M

26K claims · 1.4%

Your Cost: $69.76/claim|Median: $35.43
2.0× median
J7120Top 5%

Ringer's lactate infusion, up to 1000 cc

$1.6M

30K claims · 1.3%

Your Cost: $53.62/claim|Median: $1.51
35.5× median
80048Top 10%

Basic metabolic panel

$1.6M

68K claims · 1.3%

Your Cost: $23.39/claim|Median: $5.78
4.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.5M

9K claims · 1.2%

Your Cost: $170.39/claim|Median: $54.68
3.1× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$1.5M

34K claims · 1.2%

Your Cost: $44.73/claim|Median: $0.58
77.1× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$1.5M

16K claims · 1.2%

Your Cost: $91.80/claim|Median: $37.56
2.4× median
J1459Normal range

$1.5M

2K claims · 1.2%

Your Cost: $794.14/claim|Median: $949.14
0.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.4M

54K claims · 1.1%

Your Cost: $26.13/claim|Median: $7.50
3.5× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.3M

12K claims · 1.1%

Your Cost: $110.70/claim|Median: $75.28
1.5× median
J1100Top 1%

$1.2M

27K claims · 1.0%

Your Cost: $44.56/claim|Median: $0.52
85.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$1.2M

73K claims · 1.0%

Your Cost: $16.37/claim|Median: $12.93
1.3× median
G0378Normal range

Hospital observation service, per hour

$1.1M

13K claims · 0.9%

Your Cost: $80.66/claim|Median: $99.39
0.8× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$1.0M

41K claims · 0.8%

Your Cost: $24.97/claim|Median: $9.87
2.5× median
J2505Normal range

$917K

456 claims · 0.7%

Your Cost: $2,010.67/claim|Median: $1,842.27
1.1× median
J2250Top 5%

Injection, midazolam HCl, per one milligram

$910K

17K claims · 0.7%

Your Cost: $52.68/claim|Median: $0.32
164.6× median
71260Top 10%

CT chest with contrast

$902K

4K claims · 0.7%

Your Cost: $206.36/claim|Median: $48.36
4.3× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$898K

620 claims · 0.7%

Your Cost: $1,448.40/claim|Median: $763.43
1.9× median
J0131Top 5%

$858K

10K claims · 0.7%

Your Cost: $88.64/claim|Median: $5.78
15.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$833K

21K claims · 0.7%

Your Cost: $40.15/claim|Median: $14.92
2.7× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$782K

12K claims · 0.6%

Your Cost: $67.26/claim|Median: $35.80
1.9× median