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

The Moses H. Cone Memorial Hospital Operating Corporation

General Acute Care Hospital·Greensboro, NC·NPI: 1477591055Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $133.1M is at the 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$133.1M

$133,120,526

Total Claims

2.2M

Beneficiaries

1.8M

1.2 claims/patient

Avg Cost/Claim

$60

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

🔍 Analysis

Provider Overview

The Moses H. Cone Memorial Hospital Operating Corporation is a General Acute Care Hospital provider based in Greensboro, NC. From the 2018–2024 period, this provider received $133.1M in Medicaid payments across 2.2M claims.

Why This Matters

This provider received $133.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,640 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 139% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$13.2M
-3%
2019
$12.8M
-35%
2020
$8.3M
+94%
2021
$16.1M
+52%
2022
$24.6M
+9%
2023
$26.8M
+17%
2024
$31.4M

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 24% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$31.7M

95K claims · 23.8%

Your Cost: $333.87/claim|Median: $85.65
3.9× median
99283Top 10%

Emergency dept visit, moderate complexity

$30.9M

170K claims · 23.2%

Your Cost: $181.77/claim|Median: $42.48
4.3× median
99284Top 5%

Emergency dept visit, high complexity

$29.1M

117K claims · 21.8%

Your Cost: $248.74/claim|Median: $69.51
3.6× median
87637Top 5%

Respiratory virus detection, 3-5 targets, nucleic acid

$4.7M

27K claims · 3.6%

Your Cost: $178.04/claim|Median: $100.62
1.8× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$2.0M

17K claims · 1.5%

Your Cost: $115.72/claim|Median: $58.55
2.0× median
99282Top 25%

Emergency dept visit, low complexity

$1.8M

14K claims · 1.3%

Your Cost: $124.40/claim|Median: $37.72
3.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.8M

54K claims · 1.3%

Your Cost: $32.58/claim|Median: $24.95
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.7M

54K claims · 1.3%

Your Cost: $30.73/claim|Median: $23.39
1.3× median
71046Top 10%

Chest X-ray, 2 views

$1.5M

37K claims · 1.1%

Your Cost: $39.20/claim|Median: $8.92
4.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.3M

62K claims · 1.0%

Your Cost: $21.72/claim|Median: $7.50
2.9× median
G0463Normal range

Hospital outpatient clinic visit

$1.3M

70K claims · 1.0%

Your Cost: $18.88/claim|Median: $26.41
0.7× median
80053Normal range

Comprehensive metabolic panel

$1.1M

124K claims · 0.9%

Your Cost: $9.21/claim|Median: $7.24
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$1.1M

26K claims · 0.9%

Your Cost: $44.23/claim|Median: $38.92
1.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.0M

33K claims · 0.8%

Your Cost: $30.77/claim|Median: $21.76
1.4× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.0M

12K claims · 0.8%

Your Cost: $80.55/claim|Median: $63.08
1.3× median
99213Normal range

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

$956K

36K claims · 0.7%

Your Cost: $26.84/claim|Median: $37.81
0.7× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$840K

7K claims · 0.6%

Your Cost: $112.04/claim|Median: $97.61
1.1× median
76819Top 5%

Fetal biophysical profile with non-stress test

$787K

7K claims · 0.6%

Your Cost: $116.52/claim|Median: $49.45
2.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$777K

112K claims · 0.6%

Your Cost: $6.93/claim|Median: $4.71
1.5× median
99214Normal range

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

$731K

20K claims · 0.5%

Your Cost: $36.34/claim|Median: $53.41
0.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$723K

18K claims · 0.5%

Your Cost: $39.68/claim|Median: $14.92
2.7× median
70450Top 10%

CT head/brain without contrast

$713K

3K claims · 0.5%

Your Cost: $208.11/claim|Median: $45.53
4.6× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$684K

20K claims · 0.5%

Your Cost: $34.89/claim|Median: $26.72
1.3× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$622K

932 claims · 0.5%

Your Cost: $667.78/claim|Median: $763.43
0.9× median
T2016Normal range

Habilitation, residential, waiver; per diem

$622K

3K claims · 0.5%

Your Cost: $217.10/claim|Median: $331.94
0.7× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$591K

22K claims · 0.4%

Your Cost: $27.16/claim|Median: $21.08
1.3× median
74177Top 5%

CT abdomen and pelvis with contrast

$590K

1K claims · 0.4%

Your Cost: $504.29/claim|Median: $65.76
7.7× median
99281Normal range

Emergency dept visit, minimal complexity

$528K

20K claims · 0.4%

Your Cost: $25.78/claim|Median: $52.03
0.5× median
87481Normal range

$521K

17K claims · 0.4%

Your Cost: $30.85/claim|Median: $22.38
1.4× median
87511Top 25%

$488K

16K claims · 0.4%

Your Cost: $30.70/claim|Median: $16.46
1.9× 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 →