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Carolinas Medical Center

General Acute Care Hospital·Charlotte, NC·NPI: 1295789907Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $177.7M is at the 50th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$177.7M

$177,746,600

Total Claims

3.1M

Beneficiaries

2.6M

1.2 claims/patient

Avg Cost/Claim

$57

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

🔍 Analysis

Provider Overview

Carolinas Medical Center is a General Acute Care Hospital provider based in Charlotte, NC. From the 2018–2024 period, this provider received $177.7M in Medicaid payments across 3.1M claims.

Why This Matters

This provider received $177.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,218 Medicaid beneficiaries for a full year at average per-enrollee costs.

95% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$16.2M
+13%
2019
$18.3M
-15%
2020
$15.6M
+94%
2021
$30.3M
+8%
2022
$32.5M
+3%
2023
$33.4M
-6%
2024
$31.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 22% of total spending.

99283Top 1%

Emergency dept visit, moderate complexity

$39.5M

97K claims · 22.2%

Your Cost: $405.80/claim|Median: $42.48
9.6× median
99284Top 5%

Emergency dept visit, high complexity

$28.3M

74K claims · 15.9%

Your Cost: $385.16/claim|Median: $69.51
5.5× median
G0463Normal range

Hospital outpatient clinic visit

$14.4M

539K claims · 8.1%

Your Cost: $26.70/claim|Median: $26.41
1.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$8.1M

27K claims · 4.6%

Your Cost: $297.67/claim|Median: $85.65
3.5× median
U0003Top 25%

Infectious disease detection (COVID-19)

$7.2M

79K claims · 4.0%

Your Cost: $91.42/claim|Median: $63.08
1.4× median
J3490Top 25%

Unclassified drugs

$7.1M

131K claims · 4.0%

Your Cost: $54.43/claim|Median: $5.70
9.6× median
80053Top 10%

Comprehensive metabolic panel

$5.1M

133K claims · 2.8%

Your Cost: $37.87/claim|Median: $7.24
5.2× median
J1642Top 1%

$4.8M

9K claims · 2.7%

Your Cost: $563.95/claim|Median: $1.11
508.1× median
96365Top 1%

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

$4.2M

4K claims · 2.3%

Your Cost: $1,134.29/claim|Median: $54.77
20.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$3.5M

115K claims · 2.0%

Your Cost: $30.65/claim|Median: $24.95
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$2.9M

114K claims · 1.6%

Your Cost: $25.59/claim|Median: $23.39
1.1× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$2.5M

8K claims · 1.4%

Your Cost: $309.56/claim|Median: $75.28
4.1× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$2.4M

15K claims · 1.4%

Your Cost: $155.51/claim|Median: $97.61
1.6× median
36415Top 5%

Collection of venous blood by venipuncture

$2.1M

73K claims · 1.2%

Your Cost: $28.74/claim|Median: $1.57
18.3× median
99282Top 25%

Emergency dept visit, low complexity

$1.7M

16K claims · 0.9%

Your Cost: $106.58/claim|Median: $37.72
2.8× median
J0690Top 1%

$1.5M

3K claims · 0.8%

Your Cost: $579.75/claim|Median: $0.94
616.8× median
J8499Top 25%

$1.3M

55K claims · 0.7%

Your Cost: $23.51/claim|Median: $1.99
11.8× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.3M

3K claims · 0.7%

Your Cost: $481.56/claim|Median: $470.36
1.0× median
U0005Top 5%

Infectious disease detection, COVID-19, antigen

$1.3M

48K claims · 0.7%

Your Cost: $26.18/claim|Median: $15.76
1.7× median
87389Normal range

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

$1.2M

52K claims · 0.7%

Your Cost: $23.06/claim|Median: $18.03
1.3× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$1.2M

23K claims · 0.7%

Your Cost: $52.52/claim|Median: $7.50
7.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$1.1M

145K claims · 0.6%

Your Cost: $7.68/claim|Median: $4.71
1.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.0M

13K claims · 0.6%

Your Cost: $78.33/claim|Median: $58.55
1.3× median
G0378Normal range

Hospital observation service, per hour

$950K

8K claims · 0.5%

Your Cost: $114.59/claim|Median: $99.39
1.1× median
36591Top 1%

$936K

3K claims · 0.5%

Your Cost: $342.51/claim|Median: $11.16
30.7× median
80048Top 10%

Basic metabolic panel

$852K

28K claims · 0.5%

Your Cost: $30.71/claim|Median: $5.78
5.3× median
71046Top 10%

Chest X-ray, 2 views

$817K

16K claims · 0.5%

Your Cost: $49.53/claim|Median: $8.92
5.5× median
J1745Top 10%

Injection, infliximab, excludes biosimilar, 10 mg

$785K

174 claims · 0.4%

Your Cost: $4,513.36/claim|Median: $1,587.53
2.8× median
P9016Top 10%

$746K

2K claims · 0.4%

Your Cost: $414.46/claim|Median: $122.26
3.4× median
87086Top 10%

Urine culture, colony count, with identification

$743K

48K claims · 0.4%

Your Cost: $15.55/claim|Median: $5.31
2.9× median