Clinic
Carilion Giles Community Hospital
Carilion Giles Community Hospital was paid $1.67M by Medicaid between Sep 2020 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoCARILION GILES COMMUNITY HOSPITAL
GALAX, VA 24333
GALAX, VA 24333
33aNPI1235756354assigned 07/06/2020
33bProvider typeRural Health Clinic/Center
28Total paid$1.67M
24GClaims42,527
24DCodes billed41
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Virginia
Rank by total paid#5 of 66
Median peer was paid$195K
This provider vs. median8.6×
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 PRESCOTT, ELEANOR controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,928 | $88K | |
| 2021 | 9,528 | $331K | |
| 2022 | 8,795 | $347K | |
| 2023 | 10,266 | $429K | |
| 2024incomplete | 11,010 | $471K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 55% | 13,173 | 12,318 | $915K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 10,644 | 9,901 | $598K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 218 | 204 | $23K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,591 | 2,407 | $14K |
| 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) | <1% | 1,631 | 1,532 | $14K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,345 | 7,805 | $14K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 605 | 572 | $13K |
| 87428 | <1% | 366 | 353 | $11K | |
| 80061 | Lipid panel | <1% | 982 | 937 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 115 | 113 | $9K |
| 80053 | Comprehensive metabolic panel | <1% | 1,298 | 1,227 | $9K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 60 | 58 | $7K |
29 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 338 | $5K |
| 90686 | <1% | 316 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 34 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 28 | $2K |
| 3078F | <1% | 271 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 41 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 43 | $1K |
| 3074F | <1% | 218 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 92 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 87 | $839.39 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 83 | $589.89 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $589.04 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 111 | $444.56 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $363.76 |
| 96127 | <1% | 39 | $295.07 | |
| 84439 | <1% | 44 | $293.83 | |
| 90656 | <1% | 14 | $228.49 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 31 | $218.40 |
| 84550 | <1% | 52 | $213.65 | |
| 87807 | <1% | 15 | $201.45 | |
| 81003 | <1% | 136 | $195.96 | |
| 90670 | <1% | 12 | $141.72 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 14 | $80.39 |
| 82044 | <1% | 13 | $54.21 | |
| 82570 | <1% | 14 | $43.41 | |
| 1159F | 0% | 369 | $0.00 | |
| 3044F | 0% | 14 | $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 officialPRESCOTT, ELEANOR (GOVERNMENT PROGRAM MANAGER)
Parent organizationCARILION GILES COMMUNITY HOSPITAL
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.