Medicaid Provider Spending

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

CARILION GILES COMMUNITY HOSPITAL

NPI: 1194718304 · PEARISBURG, VA 24134 · Multi-Specialty Clinic/Center · NPI assigned 08/24/2005

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

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

$10.32M
Total Medicaid Paid
135,232
Total Claims
108,878
Beneficiaries
100
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRESCOTT, ELEANOR (GOVERNMENT PROGRAM MANAGER)
NPI Enumeration Date08/24/2005

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 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 GILES COMMUNITY HOSPITAL HILLSVILLE VA $354K
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
2018 9,402 $604K
2019 15,512 $961K
2020 18,888 $1.34M
2021 21,843 $1.46M
2022 22,472 $1.65M
2023 24,937 $2.12M
2024 22,178 $2.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 9,526 8,557 $2.11M
99284 Emergency department visit for the evaluation and management, high severity 10,142 8,895 $1.98M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,506 3,791 $1.22M
96361 Intravenous infusion, hydration; each additional hour 2,199 1,966 $804K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,746 867 $674K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,033 2,797 $598K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,781 2,238 $487K
74177 Computed tomography, abdomen and pelvis; with contrast material 1,265 1,091 $418K
70450 Computed tomography, head or brain; without contrast material 1,114 946 $269K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,403 2,224 $222K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,096 967 $151K
80053 Comprehensive metabolic panel 7,705 6,547 $136K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,532 677 $114K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 4,583 3,859 $87K
71046 Radiologic examination, chest; 2 views 2,313 2,031 $77K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 359 342 $75K
96375 Therapeutic injection; each additional sequential IV push 2,965 2,523 $58K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 4,873 4,099 $56K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,038 938 $55K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 831 752 $53K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 261 247 $53K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,042 7,427 $47K
97162 124 119 $38K
76705 Ultrasound, abdominal, real time with image documentation; limited 233 211 $37K
74176 Computed tomography, abdomen and pelvis; without contrast material 116 102 $31K
71045 Radiologic examination, chest; single view 3,143 2,594 $28K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,428 3,403 $26K
80048 Basic metabolic panel (calcium, ionized) 1,650 1,374 $23K
84484 3,124 2,586 $22K
73610 564 453 $20K
97161 121 111 $20K
83690 2,119 1,864 $20K
77067 Screening mammography, bilateral, including computer-aided detection 235 227 $19K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 699 618 $17K
81001 3,206 2,867 $16K
73030 354 286 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 770 709 $15K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 43 38 $14K
73130 258 204 $13K
83880 668 591 $12K
J8597 Antiemetic drug, oral, not otherwise specified 793 682 $11K
20610 287 243 $11K
73630 308 246 $10K
83735 2,234 1,908 $10K
73110 187 142 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,363 1,277 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg 2,364 2,079 $8K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 201 168 $8K
J7030 Infusion, normal saline solution , 1000 cc 3,051 2,605 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 715 615 $7K
76830 Ultrasound, transvaginal 45 43 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 112 101 $6K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 308 262 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,164 1,994 $6K
71275 Computed tomographic angiography, chest, with contrast material 16 15 $6K
81025 816 731 $5K
84703 1,005 914 $5K
73562 80 65 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 59 55 $4K
36415 Collection of venous blood by venipuncture 2,042 1,548 $4K
83605 776 679 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,839 1,623 $4K
87081 1,025 975 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 44 40 $3K
J8499 Prescription drug, oral, non chemotherapeutic, nos 2,138 1,002 $3K
J3490 Unclassified drugs 3,718 2,164 $3K
81003 743 688 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 15 13 $2K
82962 945 653 $2K
72100 59 49 $2K
74018 81 72 $2K
96376 216 191 $2K
73564 63 54 $2K
87086 Culture, bacterial; quantitative colony count, urine 599 549 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 848 683 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 372 354 $1K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 76 75 $1K
87040 75 66 $1K
72125 Computed tomography, cervical spine; without contrast material 18 16 $864.74
85379 85 79 $808.43
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 16 $443.07
80306 125 113 $373.66
74019 30 25 $311.43
85610 46 43 $221.64
87186 26 24 $152.51
J0780 Injection, prochlorperazine, up to 10 mg 12 12 $114.17
82565 95 88 $108.27
J2060 Injection, lorazepam, 2 mg 34 26 $64.01
85730 16 15 $27.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg 131 121 $27.19
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 50 49 $20.82
J1200 Injection, diphenhydramine hcl, up to 50 mg 26 24 $14.83
J2270 Injection, morphine sulfate, up to 10 mg 58 52 $7.06
J7120 Ringers lactate infusion, up to 1000 cc 113 99 $2.49
J2250 Injection, midazolam hydrochloride, per 1 mg 12 12 $1.65
J2003 Injection, lidocaine hydrochloride, 1 mg 17 17 $0.68
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 304 223 $0.09
J2704 Injection, propofol, 10 mg 41 38 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 14 12 $0.00
J8540 Dexamethasone, oral, 0.25 mg 13 13 $0.00