Medicaid Provider Spending

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

CARILION GILES COMMUNITY HOSPITAL

NPI: 1275151318 · ROCKY MOUNT, VA 24151 · 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

$233K
Total Medicaid Paid
4,579
Total Claims
4,340
Beneficiary Records
8
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 GILES COMMUNITY HOSPITAL HILLSVILLE VA $354K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BUCHANAN VA $322K
CARILION GILES COMMUNITY HOSPITAL PEARISBURG VA $254K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 274 $11K
2021 782 $34K
2022 1,193 $59K
2023 1,021 $63K
2024 1,309 $66K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,583 2,458 $179K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 872 810 $49K
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) 347 331 $3K
36415 Collection of venous blood by venipuncture 671 637 $988.08
90686 40 39 $624.35
3078F 12 12 $125.00
83036 Hemoglobin; glycosylated (A1C) 13 12 $93.32
1159F 41 41 $0.00