Holzer Hospital Foundation
General Acute Care Hospital Rural
Gallipolis, Ohio
NPI: 1942256888
Risk Tier
Elevated
Total Paid
$121.5M
$121,513,508
Total Claims
1.9M
Beneficiaries
1.6M
Avg Cost/Claim
$62.43
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $105.23 per claim for G0463 (Hospital outpatient clinic visit), which is 4.0× the national median of $26.41.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024