Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CARILION MEDICAL CENTER

NPI: 1073835567 · ROANOKE, VA 24011 · Internal Medicine Physician · NPI assigned 02/24/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GRISETTI, NICOLE controls 20+ related entities in our dataset. Read more

$93K
Total Medicaid Paid
6,333
Total Claims
4,973
Beneficiaries
18
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialGRISETTI, NICOLE (OPERATIONAL SUPPORT DIRECTOR)
NPI Enumeration Date02/24/2010

Related Entities

Other providers sharing the same authorized official: GRISETTI, NICOLE

ProviderCityStateTotal Paid
CARILION NEW RIVER VALLEY MEDICAL CENTER CHRISTIANSBURG VA $32.42M
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $18.38M
CARILION MEDICAL CENTER ROANOKE VA $5.13M
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $3.73M
CARILION NEW RIVER VALLEY MEDICAL CENTER RADFORD VA $3.01M
CARILION NEW RIVER VALLEY MEDICAL CENTER CHRISTIANSBURG VA $446K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $375K
CARILION VELOCITYCARE BLACKSBURG VA $349K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $297K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BLUEFIELD VA $234K
CARILION EMERGENCY SERVICES INC ROANOKE VA $185K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BUENA VISTA VA $153K
CARILION MEDICAL CENTER ROANOKE VA $71K
CARILION MEDICAL CENTER ROANOKE VA $58K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $21K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $7K
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $4K
CARILION TAZEWELL COMMUNITY HOSPITAL TAZEWELL VA $379.73
CARILION NEW RIVER VALLEY MEDICAL CENTER RADFORD VA $154.45
CARILION HEALTHCARE CORPORATION ROANOKE VA $99.45

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $271.21
2020 756 $18K
2021 1,620 $33K
2022 2,915 $31K
2023 1,015 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
74177 Computed tomography, abdomen and pelvis; with contrast material 678 662 $47K
70450 Computed tomography, head or brain; without contrast material 611 547 $18K
71045 Radiologic examination, chest; single view 1,812 1,442 $11K
71275 Computed tomographic angiography, chest, with contrast material 120 117 $6K
71046 Radiologic examination, chest; 2 views 289 278 $2K
74018 273 228 $2K
72110 177 176 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 27 27 $2K
99232 Subsequent hospital care, per day, moderate complexity 34 14 $1K
77067 Screening mammography, bilateral, including computer-aided detection 32 30 $965.14
72100 52 52 $465.04
76705 Ultrasound, abdominal, real time with image documentation; limited 16 14 $339.17
73630 39 37 $265.83
72125 Computed tomography, cervical spine; without contrast material 16 15 $262.81
72040 13 13 $87.81
73610 13 12 $85.49
73030 13 12 $76.47
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,118 1,297 $0.00