Atrium Health Wake Forest Baptist · North Wilkesboro, NC
3 of 5
CMS star rating
87
Beds
4,639
Inpatient discharges a year
$129.6M
Net patient revenue a year
27
In-network payers
Wilkes Medical Center is an 87-bed government - local hospital in North Wilkesboro, NC, affiliated with Atrium Health Wake Forest Baptist. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 278 disclosed rate categories.
The 24 services Wilkes Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CPT 74177
$2,444 - $3,147
from 4 insurers · median $2,897
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,444
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$8,427
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 70450
$249 - $978
from 4 insurers · median $859
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,760 - $2,267
from 4 insurers · median $2,087
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$370 - $2,201
from 4 insurers · median $1,933
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,322 - $2,606
from 4 insurers · median $2,281
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$964 - $1,328
from 4 insurers · median $1,213
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$162 - $276
from 4 insurers · median $242
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$198 - $239
from 4 insurers · median $219
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,444
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
MRI imaging
CPT 70551
$574 - $1,905
from 4 insurers · median $1,690
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$362 - $1,986
from 4 insurers · median $1,739
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$106 - $615
from 4 insurers · median $562
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$26,179
negotiated rate
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 72197
$1,303 - $2,563
from 4 insurers · median $2,344
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$2,089 - $3,329
from 4 insurers · median $2,798
Common here, based on CMS Medicare volume
Urology
CPT 50590
$4,086 - $5,813
from 3 insurers · median $5,720
16 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$18,757
negotiated rate
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$15,187
negotiated rate
Hospital reports orthopedic surgery services to CMS
Mammography
CPT 77066
$594 - $726
from 4 insurers · median $660
Common here, based on CMS Medicare volume
Mammography
CPT 77065
$401 - $481
from 4 insurers · median $457
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 77080
$311 - $365
from 4 insurers · median $339
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$855
negotiated rate
165 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 716% | 15 | 5 |
| Insurer B* | 17 | 708% | 14 | 1 |
| Insurer C* | 17 | 564% | 11 | 2 |
| Insurer D* | 17 | 234% | 9 | 8 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Wilkes Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$129.6M net patient revenue
Ownership and leadership
Owned by Wake Forest University Baptist Medical Center
The employer identification numbers (EINs) health plans and networks list for Wilkes Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 83-0343789(multi-state) Wilkes Regional Medical Center | 49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more | 1881614071 Wrmc Hospital Operating Corporation1093737082 Wrmc Hospital Operating Corporation1285656272 Wrmc Hospital Operating Corporationand 9 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1370 West 'd' Street, North Wilkesboro, NC 28659
(336) 651-8100
How Wilkes Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 8 measures
0 better, 7 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
63%
Lower than 79% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.94
Lower than 62% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
164 min
Higher than 60% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
68%
Higher than 55% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 5 measures | |
| Readmissions | Worse on 1 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 63% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.94 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 164 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 68% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Wilkes Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.19% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.55% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Wilkes Medical Center, beside the US median and the average of NC hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Wilkes Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.042 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,152 cases | 4.4 | 3.9 | 3.99 | Worse than 72% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.93 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.5 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 59 cases | 8.4 | 8.5 | 8.754 | Better than 50% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 114 cases | 11.4 | 11 | 11.28 | Worse than 57% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 123 cases | 14.7 | 15.2 | 15.37 | Better than 57% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 81 cases | 16.4 | 11.6 | 12.32 | Worse than 93% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,321 cases | 0.41 | 0.51 | 0.6392 | No Different Than the National Rate | Better than 65% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,573 cases | 0.2 | 0.2 | 0.2025 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,521 cases | 0.26 | 0.27 | 0.2734 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 162 cases | 2.29 | 2.29 | 2.327 | No Different Than the National Rate | Worse than 49% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.616 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.086 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 176 cases | 3.74 | 3.4 | 3.731 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 4.934 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 40 cases | 1.75 | 1.72 | 1.74 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 213 cases | 1.03 | 1.02 | 1.018 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Wilkes Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.516 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 118 cases | -3 | 1.25 | 4.059 | Better than 56% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 129 cases | -0.5 | 3.85 | 4.357 | Better than 56% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 340 cases | 12.7 | 12.9 | 12.92 | No Different Than the National Rate | Better than 63% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 55 cases | 11.9 | 10.7 | 10.53 | No Different Than the National Rate | Worse than 81% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 55 cases | 5.6 | 5.3 | 5.411 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 127 cases | 1 | 1 | 0.979 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.22 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.9 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 188 cases | 19.3 | 19.8 | 19.82 | Better than 73% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 283 cases | 21.3 | 21.3 | 21.37 | Better than 49% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.698 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 319 cases | 16.7 | 17.2 | 17.06 | Better than 73% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Wilkes Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3158 | No Different than National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.363 | 1.504 | 2.089 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,601 | 1,370 | 6,107 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.268 | 0.9835 | 6.392 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 4.212 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.6593 | No Different than National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2172 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.811 | 1.392 | 2.008 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,107 | 1,799 | 5,404 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.654 | 1.377 | 7.041 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.354 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5489 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4264 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.632 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 27 | 61 | 148 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.695 | 1.591 | 3.971 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.869 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9259 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3213 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.699 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 5 | 38 | 81.85 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.039 | 0.328 | 0.7343 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.267 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.037 | 0.193 | 0.2893 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.681 | 1.855 | 2.314 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 19,339 | 14,451 | 62,217 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.34 | 0.567 | 4.657 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.863 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.746 | 0.597 | 0.742 | No Different than National Benchmark | Worse than 63% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.009 | 0.127 | 0.1478 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.868 | 0.747 | 1.095 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 18,855 | 13,646 | 56,214 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.683 | 5.683 | 32.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 9.258 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.176 | 0.279 | 0.3119 | Better than the National Benchmark | Better than 65% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Wilkes Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 589 cases | 70 | 73 | 71.37 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 589 cases | 9 | 8 | 9.762 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 589 cases | 21 | 18 | 18.87 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 589 cases | 86 | 87 | 85.7 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 589 cases | 3 | 4 | 3.269 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 589 cases | 81 | 80 | 80.26 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 589 cases | 92 | 91 | 91.65 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 589 cases | 4 | 4 | 4.218 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 589 cases | 4 | 3 | 3.591 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 589 cases | 15 | 16 | 15.52 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 589 cases | 83 | 79 | 80.9 | Better than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 589 cases | 93 | 91 | 91.66 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 589 cases | 4 | 5 | 5.01 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 589 cases | 4 | 3 | 3.452 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 589 cases | 13 | 16 | 14.09 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 589 cases | 60 | 61 | 62.62 | Worse than 53% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 589 cases | 78 | 77 | 77.77 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 589 cases | 18 | 19 | 18.97 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 589 cases | 3 | 3 | 2.839 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 589 cases | 22 | 19 | 18.41 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 589 cases | 84 | 86 | 86.12 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 589 cases | 16 | 13 | 13.33 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 589 cases | 3 | 3 | 3.441 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 589 cases | 84 | 87 | 86.67 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 589 cases | 18 | 14 | 14.2 | Worse than 74% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 589 cases | 82 | 86 | 85.8 | Worse than 74% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 589 cases | 79 | 74 | 76.04 | Better than 78% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 589 cases | 6 | 7 | 6.586 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 589 cases | 15 | 19 | 17.37 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 589 cases | 84 | 77 | 79.47 | Better than 84% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 589 cases | 4 | 6 | 5.475 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 589 cases | 12 | 17 | 15.05 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 589 cases | 88 | 85 | 86.33 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 589 cases | 3 | 3 | 3.465 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 589 cases | 9 | 11 | 10.2 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 589 cases | 8 | 8 | 8.446 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 589 cases | 24 | 20 | 20.15 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 589 cases | 68 | 72 | 71.41 | Worse than 64% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 589 cases | 88 | 88 | 88.02 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 589 cases | 3 | 3 | 3.323 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 589 cases | 75 | 74 | 75.25 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 589 cases | 9 | 9 | 9.232 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 589 cases | 16 | 16 | 15.52 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 589 cases | 76 | 75 | 75.79 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 589 cases | 6 | 5 | 5.697 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 589 cases | 18 | 20 | 18.52 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 589 cases | 79 | 77 | 77.57 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 589 cases | 4 | 4 | 4.424 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 589 cases | 17 | 19 | 18.01 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 589 cases | 87 | 86 | 86.24 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 589 cases | 3 | 3 | 2.859 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 589 cases | 10 | 11 | 10.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 589 cases | 62 | 59 | 60.2 | Better than 58% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 589 cases | 6 | 9 | 9.109 | Better than 70% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 589 cases | 32 | 31 | 30.69 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 589 cases | 85 | 82 | 82.46 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 589 cases | 4 | 3 | 3.419 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 589 cases | 6 | 5 | 5.683 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 589 cases | 63 | 71 | 70.04 | Worse than 79% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 589 cases | 85 | 87 | 86.94 | Worse than 67% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 589 cases | 31 | 23 | 24.28 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 589 cases | 3 | 4 | 3.656 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 589 cases | 46 | 47 | 49.27 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 589 cases | 27 | 30 | 29.43 | Better than 65% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 589 cases | 27 | 22 | 21.29 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 589 cases | 3 | 3 | 3.387 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 589 cases | 14 | 12 | 12.81 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 589 cases | 86 | 88 | 87.19 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Wilkes Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.179 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.182 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1154 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 603 cases | 87 | 79 | 85.95 | Better than 64% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 466 cases | 164 | 154 | 190 | Worse than 57% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 430 cases | 164 | 148 | 183 | Worse than 60% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 16 cases | 115 | 247 | 389 | Better than 96% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 20 cases | 376 | 293 | 427 | Worse than 78% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 30,968 cases | 3 | 1 | 2.253 | Worse than 78% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 27 cases | 67 | 74 | 72.17 | Worse than 63% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 115 cases | 93 | 97 | 93.75 | Worse than 69% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 54.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,582 cases | 23 | 15 | 16.55 | Worse than 92% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 238 cases | 68 | 65 | 63.49 | Better than 55% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 72 cases | 86 | 73 | 72.19 | Better than 79% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 55 cases | 78 | 88 | 81.33 | Worse than 76% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 239 cases | 81 | 82 | 80.49 | Worse than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 143 cases | 94 | 94 | 94.21 | Worse than 49% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 76 cases | 97 | 98 | 96.77 | Worse than 51% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.33 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 72 cases | 96 | 94 | 93.39 | Better than 63% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,504 cases | 87 | 90 | 88.42 | Worse than 57% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 96.08 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Wilkes Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 9.5 | 5 | 4.658 | Worse than 85% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5 | 6.6 | 6.699 | Better than 71% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Wilkes Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.02 | 0.99 | 0.9478 | Worse than 64% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Wilkes Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 40 | 20 | 20.53 | Better than 81% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 10 | 5 | 5.133 | Better than 81% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 27.67 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 7.066 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 34 | 34 | 42.34 | Worse than 50% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8.5 | 8.75 | 10.67 | Worse than 50% of US hospitals | |
| VBP safety domain scoreFY 2026 | 54 | 40 | 39.99 | Better than 74% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 13.5 | 10 | 10.21 | Better than 73% of US hospitals | |
| VBP total performance scoreFY 2026 | 37 | 29.5 | 32.71 | Better than 73% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 42.5 | 35 | 0 | 0 | 13.33 | 40 |
| VBP clinical outcomes weighted domain score | 10.63 | 8.75 | 0 | 0 | 3.333 | 10 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 10 | 0 | 0 | 20 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 2.5 | 0 | 0 | 5 |
| VBP person and community engagement domain score | 19 | Not Available | Not Available | 12 | 22 | 34 |
| VBP person and community engagement weighted domain score | 4.75 | Not Available | Not Available | 3 | 5.5 | 8.5 |
| VBP safety domain score | 63.33 | Not Available | Not Available | 7.5 | 2.5 | 54 |
| VBP safety weighted domain score | 15.83 | Not Available | Not Available | 1.875 | 0.625 | 13.5 |
| VBP total performance score | 33.71 | Not Available | Not Available | 4.875 | 9.458 | 37 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Wilkes Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.987 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9572 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 53 cases | 1.04 | 0.9969 | 0.9983 | Worse than 81% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 109 cases | 0.9716 | 0.9983 | 0.9982 | Better than 68% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 110 cases | 1.024 | 0.9955 | 0.989 | Worse than 67% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9089 | 0.9413 | 0.9567 | 1.041 | 1.029 | 1.04 |
| READM-30-HF-HRRP | 0.9563 | 0.9416 | 0.9488 | 0.9475 | 0.9046 | 0.9716 |
| READM-30-HIP-KNEE-HRRP | 0.9602 | 1.061 | 1.214 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.024 | 1.05 | 1.057 | 1.049 | 1.054 | 1.024 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Wilkes Medical Center | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.343 | 0.489 | 0.6937 | Better than 66% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.591 | 0.346 | 0.3392 | Worse than 81% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.172 | 0.559 | 0.6866 | Worse than 89% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.323 | 0.6405 | 0.9073 | Worse than 88% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9358 | 0.9628 | 0.9914 | Better than 62% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.359 | 0.7945 | 0.9227 | Worse than 81% of US hospitals | |
| Total HAC scoreFY 2026 | 0.5764 | -0.0453 | 0.09972 | Worse than 83% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | No | N/A | Yes | Yes | Yes |
| Total HAC score | 0.5525 | -0.3814 | 0 | 1.159 | 1.339 | 0.5764 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2019)
Accreditation
None
Medical school affiliation
Local
Ownership type
120
Medicare-certified beds
203
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Wilkes Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
4,639
Inpatient discharges
Medicare 17%, Medicaid 3%
15,743
Inpatient days
56% of available bed days used
590
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837058). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Wilkes Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,018 | 414 | 12,311 | 15,743 |
| Discharges | 807 | 135 | 3,697 | 4,639 |
| Average length of stay | 3.7 days | 3.1 days | 3.3 days | 3.4 days |
| Average daily census | 8.3 | 1.1 | 33.7 | 43.1 |
6,397
Medicare Advantage days
1,539 discharges
2,604
Medicaid managed care days
725 discharges
1,427
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 69 | 13,357 | 2,649 | 53% |
| Intensive care unit | 8 | 1,882 | 369 | 64% |
| Nursery | 504 | |||
| Skilled nursing facility | 10 | 2,761 | 767 | 76% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837058, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Wilkes Medical Center treats Medicare patients for most often, in 2024. 487 Medicare discharges in 21 published DRGs; 3% surgical; 77% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 116 | $42,811 | $12,694 | $13,314 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 44 | $32,092 | $8,732 | $9,981 | 1.28 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $21,651 | $5,515 | $6,733 | 0.81 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $29,354 | $5,874 | $9,129 | 0.82 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 23 | $23,283 | $5,452 | $7,241 | 0.78 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $44,434 | $10,175 | $13,819 | 1.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 22 | $29,330 | $6,906 | $9,122 | 0.99 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $36,911 | $9,283 | $11,479 | 1.33 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $28,820 | $6,050 | $8,963 | 1.03 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $31,200 | $8,404 | $9,703 | 1.23 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 16 | $30,541 | $7,542 | $9,498 | 1.17 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 15 | $80,803 | $14,016 | $25,130 | 2.07 |
| Diabetes with CCMS-DRG 638, medical | 14 | $23,840 | $4,946 | $7,414 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 14 | $23,539 | $8,315 | $7,321 | 1.32 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 13 | $28,763 | $6,196 | $8,945 | 1.02 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $24,599 | $7,138 | $7,650 | 1.10 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $18,000 | $5,645 | $5,598 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 13 | $26,597 | $6,123 | $8,272 | 0.86 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $37,656 | $6,130 | $11,711 | 0.98 |
| Cellulitis without MCCMS-DRG 603, medical | 13 | $25,673 | $6,409 | $7,984 | 0.88 |
See all 21 Medicare inpatient DRGs at Wilkes Medical Center
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Wilkes Medical Center billed Medicare for most in 2024: 449 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 165 | 104 | $20,240 | $1,594 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 65 | 63 | $14,309 | $1,868 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 36 | 33 | $6,621 | $1,068 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 30 | 29 | $24,122 | $2,093 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 28 | 27 | $65,826 | $8,753 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 24 | $11,301 | $1,109 | $1,196 |
| Level 1 Nerve ProceduresAPC 5431 | 24 | 22 | $13,654 | $1,275 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 22 | 22 | $54,425 | $4,960 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 20 | 20 | $14,773 | $1,262 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 19 | 19 | $16,826 | $2,210 | $2,405 |
See all 11 Medicare outpatient services at Wilkes Medical Center
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Wilkes Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,511 in 2020 to 2,154 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 28659 | 775 | 36% | 3,190 | $30.1M | 60% | 54% |
| 28697 | 472 | 22% | 1,842 | $17.4M | 60% | 54% |
| 28651 | 198 | 9% | 777 | $7.3M | 59% | 56% |
| 28654 | 120 | 6% | 425 | $3.9M | 55% | 57% |
| 28635 | 101 | 5% | 381 | $3.7M | 54% | 46% |
| 28665 | 89 | 4% | 371 | $3.5M | 68% | 63% |
| 28681 | 59 | 3% | 218 | $2.3M | 5% | 3% |
| 28606 | 56 | 3% | 248 | $2.3M | 52% | 59% |
| 28669 | 52 | 2% | 243 | $2.2M | 35% | 22% |
| 28624 | 51 | 2% | 198 | $1.7M | 68% | 71% |
| 28649 | 42 | 2% | 165 | $1.5M | 76% | 53% |
| 28670 | 30 | 1% | 107 | $1M | 22% | |
| 28685 | 25 | 1% | 87 | $776,273 | 20% | 10% |
| 28675 | 18 | 1% | 67 | $647,185 | 6% | |
| 28621 | 15 | 1% | 47 | $567,642 | 2% | |
| 28694 | 14 | 1% | 47 | $426,622 | 4% | |
| 28636 | 13 | 1% | 90 | $608,762 | 6% | |
| 28645 | 13 | 1% | 37 | $424,608 | 0% | |
| 28642 | 11 | 1% | 36 | $353,737 | 3% |
Source: CMS Hospital Service Area file. Shares are of the 2,154 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Wilkes Medical Center reported at its latest Medicare certification survey (2007). Counts are people, not full-time equivalents.
10
Psychiatric unit beds
203
Registered nurses
6
Physician assistants
5
Pharmacists
9
Respiratory therapists
4
Physical therapists
2
Occupational therapists
1
Speech pathologists and audiologists
13
Radiology technicians
2
Nuclear medicine technicians
5
Laboratory technicians
7
Medical technologists
1
Dietitians
3
Social workers
617
Other personnel
Source: CMS Provider of Services file.
437 clinicians who bill Medicare list Wilkes Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Bob Wodecki, MD
Rheumatology Physician
NPI 1649270190
See commercial rates for Bob Wodecki, MDApurva Bonde, MD
Diagnostic Radiology Physician
NPI 1699157289
See commercial rates for Apurva Bonde, MDJimmy Leung, MD
Diagnostic Radiology Physician
NPI 1750370714
See commercial rates for Jimmy Leung, MDSteven Anderson, MD
Orthopaedic Surgery Physician
NPI 1295853018
See commercial rates for Steven Anderson, MDEmidio Novembre, DO
Interventional Pain Medicine Physician
NPI 1750308664
See commercial rates for Emidio Novembre, DOBetsy Southern, PA-C
Physician Assistant
NPI 1285691998
See commercial rates for Betsy Southern, PA-CTony Simmons, MD
Clinical Cardiac Electrophysiology Physician
NPI 1558348227
See commercial rates for Tony Simmons, MDChristopher Conley, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1427079946
See commercial rates for Christopher Conley, M.D.Gregory Evans, M.D.
Diagnostic Radiology Physician
NPI 1467437525
See commercial rates for Gregory Evans, M.D.John Mclarney, M.D.
Diagnostic Radiology Physician
NPI 1760556997
See commercial rates for John Mclarney, M.D.Rakhee Sansgiri, MD
Diagnostic Radiology Physician
NPI 1932420999
See commercial rates for Rakhee Sansgiri, MDFrederic Kahl, MD
Cardiovascular Disease Physician
NPI 1437134632
See commercial rates for Frederic Kahl, MDJustin Cates, MD, PHD
Anatomic Pathology Physician
NPI 1780768895
See commercial rates for Justin Cates, MD, PHDTomas Vybiral, M.D.
Cardiovascular Disease Physician
NPI 1740285824
See commercial rates for Tomas Vybiral, M.D.Rafel Tappouni, MD
Diagnostic Radiology Physician
NPI 1124085246
See commercial rates for Rafel Tappouni, MDSandra Marshall
Family Nurse Practitioner
NPI 1992438998
See commercial rates for Sandra MarshallStephen Walker, M.D.
Family Medicine Physician
NPI 1265402572
See commercial rates for Stephen Walker, M.D.Tamas Soos, M.D.
Geriatric Medicine (Internal Medicine) Physician
NPI 1700858404
See commercial rates for Tamas Soos, M.D.Dorothy Shepard, FNP
Family Nurse Practitioner
NPI 1811609621
See commercial rates for Dorothy Shepard, FNPMelinda Wonsick, M.D.
Family Medicine Physician
NPI 1619907334
See commercial rates for Melinda Wonsick, M.D.John Fesperman, FNP
Family Nurse Practitioner
NPI 1013096981
See commercial rates for John Fesperman, FNPCharles Choi, M.D.
Cardiovascular Disease Physician
NPI 1174917165
See commercial rates for Charles Choi, M.D.Fatema Bhinderwala, MD
Student in an Organized Health Care Education/Training Program
NPI 1740701820
See commercial rates for Fatema Bhinderwala, MDVikram Shivaji, M.D.
Body Imaging Physician
NPI 1770947822
See commercial rates for Vikram Shivaji, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Wilkes Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $579.8M | 447.3% |
| Inpatient | $164.5M | 126.9% |
| Outpatient | $415.3M | 320.4% |
| Contractual allowances and discounts | -$450.2M | -347.3% |
| Net patient revenue | $129.6M | 100.0% |
| Operating expenses | -$137.3M | -105.9% |
| Operating income from patient care | -$7.6M | -5.9% |
| Other income | $38.4M | 29.6% |
| Contributions and donations | $183,808 | 0.1% |
| Investment income | $1.2M | 0.9% |
| Government appropriations | $35.2M | 27.1% |
| Other | $1.8M | 1.4% |
| Net income | $30.8M | 23.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $71.6M | 12.4% |
| Medicaid (including managed care) | $98.9M | 17.1% |
| Other payers and self-pay | $409.3M | 70.6% |
| Total charges | $579.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837058, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Wilkes Medical Center's latest cost report.
-5.9%
Operating margin
Operating income from patient care / net patient revenue
18.3%
Total margin
Net income / net patient revenue plus other income
22.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
48% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.84
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
22.0%
Return on assets
Net income for a year / total assets
26.8%
Return on equity
Net income for a year / fund balance
1.81
Current ratio
Current assets / current liabilities
1.13
Quick ratio
Cash, temporary investments and net receivables / current liabilities
36 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
43 days
Days in patient receivables
Net patient receivables / daily net patient revenue
70 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.20
Asset turnover
Total revenue for a year / total assets
5.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837058, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Wilkes Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $139.6M in total assets and a $114.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $13M | 9.3% |
| Patient receivables, net | $15.1M | 10.8% |
| Inventory | $3.7M | 2.6% |
| Total current assets | $45.1M | 32.3% |
| Property and equipment, net of depreciation | $46M | 33.0% |
| Investments and other assets | $48.5M | 34.8% |
| Total assets | $139.6M | 100.0% |
| Current liabilities | $25M | 17.9% |
| Total liabilities | $25M | 17.9% |
| Fund balance (net assets) | $114.6M | 82.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837058, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Wilkes Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$4.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$7.5M
Bad debt
Patient bills written off as uncollectible, at charges
-$6.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$5.7M
Total unreimbursed and uncompensated care
4.1% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 837058, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Wilkes Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $69M | $79.1M | $120.6M | $142.7M | $154.1M | $129.6M |
| Operating expenses | $79.8M | $83.5M | $119.7M | $137.5M | $140.3M | $137.3M |
| Operating margin | -15.5% | -5.5% | 0.7% | 3.7% | 9.0% | -5.9% |
| Net income | $2M | $4.1M | $2.2M | $8.2M | $17.9M | $30.8M |
| Total assets | $87.1M | $89.6M | $91.1M | $100.2M | $117.4M | $139.6M |
| Discharges | 3,168 | 3,256 | 3,048 | 3,940 | 4,623 | 4,639 |
| Inpatient days | 10,346 | 11,936 | 14,725 | 16,999 | 16,835 | 15,743 |
| Medicare Advantage days | 3,109 | 3,807 | 5,610 | 7,078 | 6,896 | 6,397 |
| Beds | 87 | 87 | 87 | 87 | 87 | 87 |
| Employees (FTE) | 467 | 506 | 545 | 539 | 561 | 590 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837058, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Wilkes Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $22.5M | $128.1M | 0.18 | ||
| Emergency | $5.1M | $12.4M | $67.2M | 0.18 | 16,027 |
| Operating room | $3.2M | $9.9M | $64.1M | 0.15 | 16,868 |
| Laboratory | $2.2M | $8M | $35M | 0.23 | 4,805 |
| Radiology-diagnostic | $2.4M | $6.3M | $29.7M | 0.21 | 6,978 |
| Respiratory therapy | $2.2M | $5.2M | $19.6M | 0.26 | 7,074 |
| Physical therapy | $1.2M | $3M | $7M | 0.44 | 1,670 |
| Ct scan | $583,147 | $2.8M | $78.3M | 0.04 | 1,216 |
| Impl. dev. charged to patients | $2.7M | $13.3M | 0.20 | ||
| Observation beds (non-distinct part | $2.4M | $2.9M | 0.84 | ||
| Medical supplies charged to patient | $2.1M | $11.9M | 0.18 | 100 | |
| Hematology and oncology | $644,864 | $2.1M | $4.8M | 0.43 | 6,604 |
| Delivery room & labor room | $1.7M | $2.2M | 0.78 | 4,131 | |
| Wound care | $605,406 | $1.2M | $2.9M | 0.43 | |
| Mri | $378,086 | $998,151 | $15.6M | 0.06 | 1,061 |
| Occupational therapy | $939,816 | $2.4M | 0.39 | ||
| Cardiopulmonary rehab | $316,391 | $534,604 | $1.4M | 0.37 | |
| Anesthesiology | $453,454 | $34.9M | 0.01 | 292 | |
| Speech pathology | $425,164 | $712,508 | 0.60 | ||
| Renal dialysis | $21,279 | $306,973 | $526,271 | 0.58 | |
| Hyperbaric oxygen therapy | $304,545 | $1.7M | 0.18 | ||
| Electroencephalography | $115,231 | $300,541 | $977,223 | 0.31 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $13.8M | $25.2M | $39.7M | 0.63 | 29,123 |
| Intensive care unit | $2.5M | $6.1M | $9.3M | 0.66 | 2,365 |
| Skilled nursing facility | $1.1M | $2.6M | $4.9M | 0.54 | 3,581 |
| Nursery | $650,458 | $862,058 | 0.75 | 1,622 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $8.3M | $19.9M | 148,311 | $44.24 | 5,392 |
| Employee benefits department | $164,175 | $16.2M | 5,050 | $100.48 | 338 |
| Cap rel costs-mvble equip | $5M | ||||
| Maintenance & repairs | $1.7M | $2.9M | 75,678 | $27.26 | 17,650 |
| Housekeeping | $1.3M | $2.6M | 93,046 | $19.52 | 2,967 |
| Pharmacy | $1.5M | $2.3M | 30,869 | $49.07 | 2,787 |
| Nursing administration | $2M | $2.1M | 39,043 | $51.38 | 3,352 |
| Dietary | $94,653 | $1.5M | 6,953 | $33.09 | 6,211 |
| Cap rel costs-bldg & fixt | $1.5M | 145,225 | |||
| Operation of plant | $875,718 | ||||
| Laundry & linen service | $143,976 | ||||
| Cafeteria | $52,326 | 2,458 | $21.28 | ||
| Central services & supply | $27,477 | 1,399 | $19.65 | ||
| Medical records & library | $6,306 | 3,011 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837058, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Wilkes Medical Center for an inpatient stay.
1.35
Case mix index
Higher than 14% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
26.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
820
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.43 | 1.43 | 1.52 | 1.50 | 1.42 | 1.40 | 1.35 |
| Wage index | 0.818 | 0.822 | 0.825 | 0.913 | 0.925 | 0.906 | 0.977 |
| Readmissions adjustment | 0.00% | -0.18% | -0.58% | -0.50% | -0.24% | -0.20% | -0.19% |
| Value-based purchasing adjustment | -0.41% | +0.16% | +0.16% | -0.04% | -1.54% | -1.15% | +0.55% |
| Medicare inpatient stays | 964 | 964 | 627 | 714 | 753 | 838 | 820 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Wilkes Medical Center reports to Medicare as owners or with operational control.
Wake Forest University Baptist Medical Center
5% or greater direct ownership interest, 100%, since 2017
Atrium Health Inc
Operational/managerial control, 50%, since 2020
Wake Forest University Baptist Medical Center
Operational/managerial control, 50%, since 2020
North Carolina Baptist Hospital
5% or greater indirect ownership interest, 40%, since 2020
Wake Forest University
5% or greater indirect ownership interest, 40%, since 2020
Atrium Health Inc
5% or greater indirect ownership interest, 20%, since 2020
Advocate Health Inc
Operational/managerial control, since 2022
Sources: CMS Hospital All Owners.
The officers and board members on Wilkes Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 5 of 6 are shown.
Wrmc Hospital Operating Corporation files the Form 990 for the tax ID insurers list for Wilkes Medical Center, so these people may lead the wider organization rather than Wilkes Medical Center alone.
| Name | Title |
|---|---|
| Bradley A Clark | Treasurer |
| J Mclain Wallace Jr | Secretary |
| Chad Brown | Chair & President |
| Barry Wald | Asst Treasurer (to 10/25/24) |
| Lori Mcneil | Asst Secretary |
Board members: Michael T Waid, Deborah Harding Dnp, Stephan L Lillie, Jena Folger, Suneel Kumar Parvathareddy MD, James Atkins MD, Joseph Calvert MD, Peter Matthew Belford MD, David Zaas MD.
Source: IRS Form 990 Part VII filed by Wrmc Hospital Operating Corporation (EIN 83-0343789), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH340064, registered as a disproportionate share hospital. Authorizing official: Barry Christopher Wald, Director - Affiliate Finance.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Wilkes Rgnl Medical Center
FAA location ID 49NC, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Wrmc hospital operating corp - snf
CCN 345386, certified 1991, Medicare prospective payment
Source: Worksheet S-2 Part I of Wilkes Medical Center's latest Medicare cost report (HCRIS).
About Wilkes Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wilkes Medical Center range from $1,322 to $2,606 across 4 insurers. Blue Cross Blue Shield's rate is $2,010. The median at nearby comparable hospitals is $1,676. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wilkes Medical Center range from $2,444 to $3,147 across 4 insurers. Aetna's rate is $2,711. The median at nearby comparable hospitals is $2,015. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Wilkes Medical Center range from $6,444 to $6,444 across 1 insurers. UnitedHealthcare's rate is $6,444. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wilkes Medical Center range from $162 to $276 across 4 insurers. Cigna's rate is $276. The median at nearby comparable hospitals is $166. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Wilkes Medical Center range from $15,187 to $15,187 across 1 insurers. UnitedHealthcare's rate is $15,187. The median at nearby comparable hospitals is $24,679. What a patient pays depends on their plan's deductible, coinsurance and network status.
Wilkes Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Wilkes Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Wilkes Medical Center's base inpatient payments by an estimated 0.19% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (116 discharges), heart failure and shock with mcc (44 discharges), kidney and urinary tract infections without mcc (24 discharges).
Wilkes Medical Center's Medicare case mix index is 1.35 for fiscal year 2027, higher than 14% of hospitals paid under the inpatient prospective payment system.
Wilkes Medical Center reported 4,639 inpatient discharges and 15,743 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Wilkes Medical Center reported 590 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Wilkes Medical Center reported $129.6M in net patient revenue on $579.8M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -5.9%, and net income of $30.8M.
Wilkes Medical Center reported $5.7M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $4.1M of charity care at cost.
Insurers' price transparency files list Wilkes Medical Center under employer identification number 83-0343789 ((multi-state) Wilkes Regional Medical Center). 49 health plans and networks list 83-0343789 for it.
HRSA's 340B database lists Wilkes Medical Center (340B ID DSH340064) as no longer participating since 2022.
437 clinicians who bill Medicare list Wilkes Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (48), nurse practitioner (38), diagnostic radiology physician (33).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Wilkes Medical Center, effective 2019.
In its Medicare enrollment, Wilkes Medical Center reports Wake Forest University Baptist Medical Center as 5% or greater direct ownership interest (100%).
CMS lists 29 services at Wilkes Medical Center, including Anesthesia, Cardiac Catheterization Lab, Clinical Laboratory, Coronary Care Unit, CT Scan, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Wilkes Medical Center came from ZIP codes 28659 (775), 28697 (472), 28651 (198).
Wilkes Medical Center has 87 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 120 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Wilkes Medical Center is located at 1370 West 'd' Street, North Wilkesboro, NC 28659. Its main phone number is (336) 651-8100.
Wilkes Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 340064.
The National Provider Identifier (NPI) on file for Wilkes Medical Center is 1881614071.
Wilkes Medical Center is affiliated with Atrium Health Wake Forest Baptist.
Wilkes Medical Center lists 27 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
278 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers