Carilion Medical Center
Carilion Medical Center was paid $7.31M by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 53% of everything it billed.
ROANOKE, VA 24016
Next to other Home Health Agency providers in Virginia
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,325 | $839K | |
| 2019 | 19,708 | $1.06M | |
| 2020 | 16,690 | $1.11M | |
| 2021 | 18,669 | $1.34M | |
| 2022 | 17,565 | $1.35M | |
| 2023 | 15,462 | $1.21M | |
| 2024incomplete | 7,230 | $398K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 53% | 61,569 | 10,748 | $3.87M |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 29% | 26,188 | 6,911 | $2.09M |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 9.4% | 8,190 | 3,992 | $690K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 4.0% | 5,841 | 1,952 | $293K |
| G0158 | Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes | 2.6% | 3,542 | 1,254 | $190K |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | 1.3% | 1,249 | 458 | $98K |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | <1% | 2,421 | 506 | $56K |
| Q5001 | Hospice or home health care provided in patient's home/residence | <1% | 2,877 | 2,304 | $12K |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | <1% | 91 | 67 | $1K |
| 1AA11 | 0% | 681 | 507 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.