Medicaid Provider Spending

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

CARILION GILES COMMUNITY HOSPITAL

NPI: 1235756354 · GALAX, VA 24333 · 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

$1.67M
Total Medicaid Paid
42,527
Total Claims
39,772
Beneficiaries
41
Codes Billed
2020-09
First Month
2024-12
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 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
2020 2,928 $88K
2021 9,528 $331K
2022 8,795 $347K
2023 10,266 $429K
2024 11,010 $471K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,173 12,318 $915K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,644 9,901 $598K
99215 Prolong outpt/office vis 218 204 $23K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 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) 1,631 1,532 $14K
36415 Collection of venous blood by venipuncture 8,345 7,805 $14K
99308 Subsequent nursing facility care, per day, straightforward 605 572 $13K
87428 366 353 $11K
80061 Lipid panel 982 937 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 115 113 $9K
80053 Comprehensive metabolic panel 1,298 1,227 $9K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 60 58 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 338 328 $5K
90686 316 297 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 34 34 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 28 28 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 28 24 $2K
3078F 271 260 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 41 39 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 43 42 $1K
3074F 218 208 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 92 44 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14 13 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 87 75 $839.39
83036 Hemoglobin; glycosylated (A1C) 83 81 $589.89
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 15 14 $589.04
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 111 107 $444.56
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 13 12 $363.76
96127 39 37 $295.07
84439 44 40 $293.83
90656 14 14 $228.49
84443 Thyroid stimulating hormone (TSH) 31 28 $218.40
84550 52 51 $213.65
87807 15 13 $201.45
81003 136 130 $195.96
90670 12 12 $141.72
80048 Basic metabolic panel (calcium, ionized) 14 12 $80.39
82044 13 12 $54.21
82570 14 13 $43.41
1159F 369 365 $0.00
3044F 14 12 $0.00