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    OpenPayerNPI Medicare & MedicaidCharleston Surgical Hospital, LLC
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    Charleston Surgical Hospital, LLC — Billing Profile & Reimbursement Data

    NPI 1669429965 · Charleston, WV · General Acute Care Hospital

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    Charleston Surgical Hospital, LLC is a general acute care hospital provider located in Charleston, West Virginia. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCharleston Surgical Hospital, LLC
    Address1306 Kanawha Blvd E
    CityCharleston
    StateWV
    ZIP25301
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedMay 30, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$793.5K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.1,050$180$193.4K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…1,700$100$177.2K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.270$480$128.2K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…550$210$116.5K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.90$860$76.2K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…230$280$63.1K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).90$140$12.9K
    43450The provider passes long thin tubular devices of increasing diameter to dilate, or widen, a stricture in the patient’s esophagus to improve swallowing.210$50$10.9K
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…490$10$3.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.950$1$3.8K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. West Virginia median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…62802,960$20$198.8K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.2670530$170$183.7K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…1101401,090$20$104.5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…1340200$220$86.8K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.82060$610$84.5K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…420100$180$81.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.152330790$10$64.1K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.720190$270$60.3K
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.2930160$110$55.4K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…1130130$280$53.9K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Charleston Surgical Hospital, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carrie FrameWVFoot & Ankle Surgery Podiatrist$1.7M$0
    Joseph SinclairWVOphthalmology Physician$334K$0
    Stephen CassisWVOphthalmology Physician$322.9K$0
    Mohamad HaffarWVGastroenterology Physician$274.4K$0
    Jeremy StapletonWVGastroenterology Physician$183.1K$0
    Jeremy CumberledgeWVGastroenterology Physician$149.1K$0
    Paul LeggWVOrthopaedic Surgery Physician$132.1K$0
    Jason CastleWVOrthopaedic Surgery Physician$109.8K$0
    Patrick HillWVDiagnostic Radiology Physician$104.3K$0
    Alberta MaloofWVDiagnostic Radiology Physician$103.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Charleston Surgical Hospital, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Wv Birth To ThreeWVEarly Intervention Provider Agency$0$59.9M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Children's Home Society Of West VirginiaWVEmotionally Disturbed Childrens' Residential Treatment Facility$0$44.1M
    Kanawha County Emergency Ambulance AuthorityWVLand Ambulance$2.3M$31.9M
    Maxim Healthcare Services, Inc.WVHome Health Agency$0$19.9M
    All-aid Services, Inc.WVHome Health Agency$0$16.3M
    The Arc Of The Three Rivers, Inc.WVCase Management Agency$0$15.6M
    Retina Consultants, PLLCWVRetina Specialist (Ophthalmology) Physician$0$13.6M
    Dolan & Kalaskey LtdWVOrthodontics and Dentofacial Orthopedics Dentistry$0$8.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Charleston Surgical Hospital, LLC — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia