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North Carolina Baptist Hospital

General Acute Care Hospital·Winston Salem, NC·NPI: 1144211301Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $138.2M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$138.2M

$138,190,848

Total Claims

2.4M

Beneficiaries

1.9M

1.2 claims/patient

Avg Cost/Claim

$58

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

🔍 Analysis

Provider Overview

North Carolina Baptist Hospital is a General Acute Care Hospital provider based in Winston Salem, NC. From the 2018–2024 period, this provider received $138.2M in Medicaid payments across 2.4M claims.

Why This Matters

This provider received $138.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,273 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 100% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$12.7M
+1%
2019
$12.9M
-22%
2020
$10.0M
+129%
2021
$22.9M
+24%
2022
$28.3M
-8%
2023
$26.0M
-2%
2024
$25.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 27% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$37.1M

75K claims · 26.8%

Your Cost: $497.80/claim|Median: $69.51
7.2× median
99283Top 5%

Emergency dept visit, moderate complexity

$27.0M

84K claims · 19.6%

Your Cost: $321.46/claim|Median: $42.48
7.6× median
99213Normal range

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

$13.7M

393K claims · 9.9%

Your Cost: $34.77/claim|Median: $37.81
0.9× median
J1745Top 1%

Injection, infliximab, excludes biosimilar, 10 mg

$13.2M

1K claims · 9.6%

Your Cost: $10,103.62/claim|Median: $1,587.53
6.4× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$6.6M

10K claims · 4.8%

Your Cost: $662.21/claim|Median: $85.65
7.7× median
99282Top 10%

Emergency dept visit, low complexity

$3.8M

23K claims · 2.7%

Your Cost: $168.28/claim|Median: $37.72
4.5× median
G0463Normal range

Hospital outpatient clinic visit

$3.2M

104K claims · 2.3%

Your Cost: $30.60/claim|Median: $26.41
1.2× median
J0585Top 5%

Injection, onabotulinumtoxinA, 1 unit

$2.4M

2K claims · 1.8%

Your Cost: $1,571.28/claim|Median: $470.36
3.3× median
J0475Top 5%

Injection, baclofen, ten milligrams

$1.7M

1K claims · 1.2%

Your Cost: $1,299.28/claim|Median: $384.42
3.4× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$1.2M

8K claims · 0.9%

Your Cost: $155.81/claim|Median: $97.61
1.6× median
0240UTop 5%

$1.1M

6K claims · 0.8%

Your Cost: $183.97/claim|Median: $89.76
2.0× median
80053Normal range

Comprehensive metabolic panel

$1.1M

138K claims · 0.8%

Your Cost: $8.18/claim|Median: $7.24
1.1× median
J2323Normal range

Injection, natalizumab, one milligram

$1.1M

462 claims · 0.8%

Your Cost: $2,412.62/claim|Median: $2,797.07
0.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$1.1M

156K claims · 0.8%

Your Cost: $7.12/claim|Median: $4.71
1.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$970K

35K claims · 0.7%

Your Cost: $27.87/claim|Median: $23.39
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$968K

35K claims · 0.7%

Your Cost: $27.82/claim|Median: $24.95
1.1× median
J3490Normal range

Unclassified drugs

$838K

62K claims · 0.6%

Your Cost: $13.44/claim|Median: $5.70
2.4× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$802K

9K claims · 0.6%

Your Cost: $88.61/claim|Median: $58.55
1.5× median
0241UTop 5%

Proprietary lab analysis, genomic sequencing

$801K

4K claims · 0.6%

Your Cost: $194.07/claim|Median: $91.47
2.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$741K

15K claims · 0.5%

Your Cost: $48.05/claim|Median: $39.70
1.2× median
G0378Normal range

Hospital observation service, per hour

$716K

3K claims · 0.5%

Your Cost: $220.22/claim|Median: $99.39
2.2× median
76770Top 5%

Ultrasound, retroperitoneal, complete

$576K

3K claims · 0.4%

Your Cost: $166.74/claim|Median: $37.35
4.5× median
G0330Top 5%

$548K

123 claims · 0.4%

Your Cost: $4,455.56/claim|Median: $1,205.70
3.7× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$544K

21K claims · 0.4%

Your Cost: $26.00/claim|Median: $18.03
1.4× median
43239Top 10%

Upper GI endoscopy with biopsy

$531K

975 claims · 0.4%

Your Cost: $544.30/claim|Median: $151.68
3.6× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$483K

31K claims · 0.3%

Your Cost: $15.64/claim|Median: $9.87
1.6× median
93303Top 1%

Echocardiography, transthoracic, limited

$457K

554 claims · 0.3%

Your Cost: $824.97/claim|Median: $112.83
7.3× median
82306Top 25%

Vitamin D, 25 hydroxy

$424K

16K claims · 0.3%

Your Cost: $27.18/claim|Median: $18.18
1.5× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$379K

9K claims · 0.3%

Your Cost: $41.83/claim|Median: $7.50
5.6× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$348K

2K claims · 0.3%

Your Cost: $211.83/claim|Median: $35.80
5.9× median

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