Carilion Giles Community Hospital
Carilion Giles Community Hospital was paid $1.14M by Medicaid between Sep 2020 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
ROCKY MOUNT, VA 24151
Next to other Rural Health Clinic/Center providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,638 | $66K | |
| 2021 | 5,014 | $242K | |
| 2022 | 4,597 | $272K | |
| 2023 | 4,524 | $267K | |
| 2024incomplete | 6,467 | $292K |
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 | 65% | 10,068 | 9,583 | $744K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 5,577 | 5,268 | $329K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 184 | 180 | $20K |
| 90686 | 1.0% | 799 | 780 | $12K | |
| 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% | 1,158 | 1,092 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 62 | 61 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 746 | 730 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,385 | 2,298 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 37 | 37 | $3K |
| 90656 | <1% | 122 | 122 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 244 | 237 | $1K |
| 87428 | <1% | 27 | 26 | $835.30 |
10 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $594.49 |
| 3078F | <1% | 215 | $550.30 | |
| 3074F | <1% | 178 | $400.30 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 12 | $312.80 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $195.47 |
| 90734 | <1% | 14 | $193.16 | |
| 3044F | <1% | 12 | $25.00 | |
| 36416 | <1% | 104 | $1.10 | |
| 91300 | <1% | 14 | $0.09 | |
| 1159F | 0% | 252 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.