Medicaid Provider Spending

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

CARILION GILES COMMUNITY HOSPITAL

NPI: 1184241218 · HILLSVILLE, VA 24343 · Rural Health Clinic/Center · NPI assigned 07/06/2020

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

Authorized official PRESCOTT, ELEANOR controls 20+ related entities in our dataset. Read more

$354K
Total Medicaid Paid
7,397
Total Claims
6,939
Beneficiaries
13
Codes Billed
2020-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRESCOTT, ELEANOR (GOVERNMENT PROGRAM MANAGER)
Parent OrganizationCARILION GILES COMMUNITY HOSPITAL
NPI Enumeration Date07/06/2020

Related Entities

Other providers sharing the same authorized official: PRESCOTT, ELEANOR

ProviderCityStateTotal Paid
CARILION MEDICAL CENTER ROANOKE VA $124.86M
CARILION MEDICAL CENTER ROANOKE VA $73.43M
CARILION HEALTHCARE CORPORATION ROANOKE VA $26.07M
CARILION MEDICAL CENTER ROANOKE VA $18.08M
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $11.82M
CARILION EMERGENCY SERVICES, INC. ROANOKE VA $11.09M
CARILION GILES COMMUNITY HOSPITAL PEARISBURG VA $10.32M
CARILION TAZEWELL COMMUNITY HOSPITAL TAZEWELL VA $8.03M
CARILION MEDICAL CENTER ROANOKE VA $7.31M
CARILION GILES COMMUNITY HOSPITAL PEARISBURG VA $2.40M
CARILION GILES COMMUNITY HOSPITAL MARTINSVILLE VA $1.99M
CARILION GILES COMMUNITY HOSPITAL GALAX VA $1.67M
CARILION GILES COMMUNITY HOSPITAL ROCKY MOUNT VA $1.14M
CARILION GILES COMMUNITY HOSPITAL WYTHEVILLE VA $880K
CARILION GILES COMMUNITY HOSPITAL FLOYD VA $697K
CARILION TAZEWELL COMMUNITY HOSPITAL TAZEWELL VA $677K
CARILION GILES COMMUNITY HOSPITAL TAZEWELL VA $379K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BUCHANAN VA $322K
CARILION GILES COMMUNITY HOSPITAL PEARISBURG VA $254K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BEDFORD VA $241K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 351 $15K
2021 1,685 $81K
2022 2,089 $103K
2023 1,439 $79K
2024 1,833 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,330 3,065 $201K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,758 1,677 $145K
36415 Collection of venous blood by venipuncture 1,605 1,525 $3K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 271 260 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 34 33 $1K
87428 13 13 $412.09
83036 Hemoglobin; glycosylated (A1C) 41 38 $344.88
90686 28 28 $344.79
3078F 81 80 $325.72
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 26 12 $321.60
3074F 66 65 $250.81
81003 52 52 $81.61
1159F 92 91 $0.00