Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Roanoke › NPI 1073835567
Physician

Carilion Medical Center

Carilion Medical Center was paid $93K by Medicaid between Jan 2018 and Jun 2023, across 18 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 50% of everything it billed.

33Billing provider infoCARILION MEDICAL CENTER
ROANOKE, VA 24011
33aNPI1073835567assigned 02/24/2010
28Total paid$93K
24GClaims6,333
24DCodes billed18
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers

Next to other Internal Medicine Physician providers in Virginia

Rank by total paid#147 of 478
Median peer was paid$17K
This provider vs. median5.6×

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.

Entity ProliferationAuthorized official GRISETTI, NICOLE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201827$271.21
2020756$18K
20211,620$33K
20222,915$31K
20231,015$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74177 Computed tomography, abdomen and pelvis; with contrast material 50% 678 662 $47K
70450 Computed tomography, head or brain; without contrast material 19% 611 547 $18K
71045 Radiologic examination, chest; single view 12% 1,812 1,442 $11K
71275 Computed tomographic angiography, chest, with contrast material 6.5% 120 117 $6K
71046 Radiologic examination, chest; 2 views 2.6% 289 278 $2K
74018 1.9% 273 228 $2K
72110 1.9% 177 176 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.7% 27 27 $2K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.5% 34 14 $1K
77067 Screening mammography, bilateral, including computer-aided detection 1.0% 32 30 $965.14
72100 <1% 52 52 $465.04
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 16 14 $339.17
6 more codes
73630 <1% 39 $265.83
72125 Computed tomography, cervical spine; without contrast material <1% 16 $262.81
72040 <1% 13 $87.81
73610 <1% 13 $85.49
73030 <1% 13 $76.47
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 2,118 $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.

From NPPES

Who's on the registration

Authorized officialGRISETTI, NICOLE (OPERATIONAL SUPPORT DIRECTOR)
Same official

Other billing entities under GRISETTI, NICOLE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.