Medicaid Provider Spending

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

CARILION NEW RIVER VALLEY MEDICAL CENTER

NPI: 1376536573 · CHRISTIANSBURG, VA 24073 · General Acute Care Hospital · NPI assigned 08/24/2005

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

Authorized official GRISETTI, NICOLE controls 20+ related entities in our dataset. Read more

$32.42M
Total Medicaid Paid
812,349
Total Claims
588,073
Beneficiaries
287
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRISETTI, NICOLE (DIRECTOR OF OPERATIONAL SUPPORT)
NPI Enumeration Date08/24/2005

Related Entities

Other providers sharing the same authorized official: GRISETTI, NICOLE

ProviderCityStateTotal Paid
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $18.38M
CARILION MEDICAL CENTER ROANOKE VA $5.13M
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $3.73M
CARILION NEW RIVER VALLEY MEDICAL CENTER RADFORD VA $3.01M
CARILION NEW RIVER VALLEY MEDICAL CENTER CHRISTIANSBURG VA $446K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $375K
CARILION VELOCITYCARE BLACKSBURG VA $349K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $297K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BLUEFIELD VA $234K
CARILION EMERGENCY SERVICES INC ROANOKE VA $185K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BUENA VISTA VA $153K
CARILION MEDICAL CENTER ROANOKE VA $93K
CARILION MEDICAL CENTER ROANOKE VA $71K
CARILION MEDICAL CENTER ROANOKE VA $58K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $21K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $7K
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $4K
CARILION TAZEWELL COMMUNITY HOSPITAL TAZEWELL VA $379.73
CARILION NEW RIVER VALLEY MEDICAL CENTER RADFORD VA $154.45
CARILION HEALTHCARE CORPORATION ROANOKE VA $99.45

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75,565 $2.00M
2019 122,062 $3.80M
2020 105,078 $3.84M
2021 133,780 $4.80M
2022 133,275 $5.55M
2023 134,944 $6.40M
2024 107,645 $6.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 19,829 17,688 $3.39M
99284 Emergency department visit for the evaluation and management, high severity 19,814 17,145 $3.28M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,772 11,953 $2.39M
96361 Intravenous infusion, hydration; each additional hour 7,836 6,653 $2.36M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 39,146 11,609 $2.13M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,953 4,554 $1.63M
74177 Computed tomography, abdomen and pelvis; with contrast material 6,544 5,904 $1.28M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,196 1,972 $862K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5,449 4,959 $856K
70450 Computed tomography, head or brain; without contrast material 4,965 4,373 $816K
78451 1,542 1,397 $723K
97161 4,745 4,464 $647K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,088 998 $637K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,176 1,662 $588K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 7,767 7,085 $533K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,763 1,264 $483K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,386 1,307 $465K
76705 Ultrasound, abdominal, real time with image documentation; limited 4,200 3,920 $428K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,802 1,685 $363K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,817 1,643 $359K
71275 Computed tomographic angiography, chest, with contrast material 1,882 1,705 $346K
59025 Fetal non-stress test 1,640 1,137 $336K
97530 Therapeutic activities, direct patient contact, each 15 minutes 5,932 3,149 $307K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,054 1,873 $294K
76830 Ultrasound, transvaginal 2,629 2,449 $292K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,531 4,829 $273K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,428 1,138 $266K
99220 4,544 1,544 $255K
45380 Colonoscopy, flexible; with biopsy, single or multiple 707 644 $248K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,356 2,596 $230K
93017 2,651 2,386 $230K
95806 435 427 $214K
77067 Screening mammography, bilateral, including computer-aided detection 3,299 3,223 $184K
97162 1,756 1,619 $183K
41899 Unlisted procedure, dentoalveolar structures 97 96 $164K
78815 Positron emission tomography (PET) for limited area imaging 173 167 $162K
95810 Polysomnography; sleep staging with 4 or more additional parameters 249 234 $157K
93971 1,511 1,371 $146K
94060 2,276 2,091 $145K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,448 1,271 $144K
80053 Comprehensive metabolic panel 30,948 25,507 $138K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,078 1,647 $135K
72141 720 682 $135K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,358 900 $127K
99281 Emergency department visit for the evaluation and management, self-limited or minor 875 794 $126K
76642 1,065 943 $117K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 489 462 $111K
93880 1,088 1,012 $97K
70551 Magnetic resonance imaging, brain; without contrast material 451 429 $95K
76536 810 761 $95K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,896 1,754 $94K
70496 383 358 $87K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 897 778 $87K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 23,414 18,510 $86K
71046 Radiologic examination, chest; 2 views 6,364 5,688 $84K
97535 Self-care/home management training, each 15 minutes 1,090 444 $84K
59899 118 97 $78K
94726 2,303 2,120 $76K
93970 542 509 $75K
74183 272 260 $74K
94729 2,366 2,179 $68K
71250 996 907 $67K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 546 450 $65K
80048 Basic metabolic panel (calcium, ionized) 11,712 8,431 $55K
97163 359 345 $49K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,878 1,906 $47K
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 1,851 1,666 $47K
47562 12 12 $44K
74018 2,284 2,053 $43K
99234 1,913 435 $40K
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 3,568 2,984 $40K
96375 Therapeutic injection; each additional sequential IV push 12,351 9,900 $38K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 44 38 $37K
97166 295 276 $34K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 17,800 14,877 $34K
72125 Computed tomography, cervical spine; without contrast material 1,847 1,653 $32K
76770 215 208 $29K
95816 86 85 $29K
99235 1,247 296 $26K
93225 816 730 $26K
83880 3,094 2,661 $26K
77065 Tomosynthesis, mammo 570 496 $24K
70498 552 513 $23K
95811 49 41 $23K
J8597 Antiemetic drug, oral, not otherwise specified 2,773 2,292 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 39,673 30,519 $21K
77063 Screening digital breast tomosynthesis, bilateral 1,310 1,277 $20K
71045 Radiologic examination, chest; single view 9,048 7,897 $20K
96415 59 51 $19K
73630 1,736 1,475 $19K
77066 Tomosynthesis, mammo 401 373 $18K
84484 13,657 9,222 $18K
74420 112 103 $18K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 14 12 $15K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 49 42 $15K
73030 1,290 1,128 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,192 1,076 $14K
73564 1,561 1,295 $13K
72110 760 703 $13K
73610 1,268 1,143 $12K
J3490 Unclassified drugs 43,740 15,305 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,141 3,445 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 5,417 3,220 $11K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 162 121 $11K
93922 149 144 $11K
82565 3,569 3,185 $11K
73221 44 42 $11K
49083 21 12 $10K
J7050 Infusion, normal saline solution, 250 cc 6,643 4,643 $10K
71271 97 93 $10K
G0378 Hospital observation service, per hour 512 406 $10K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 490 434 $9K
73130 1,059 898 $9K
83036 Hemoglobin; glycosylated (A1C) 2,167 1,969 $9K
93458 12 12 $9K
72100 260 251 $9K
90715 430 402 $8K
78227 25 24 $8K
93270 221 213 $8K
87040 1,206 898 $8K
85379 1,765 1,636 $7K
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,920 2,465 $7K
85610 5,415 3,874 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 21 21 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 33 31 $7K
76819 Fetal biophysical profile; without non-stress testing 71 39 $7K
73502 608 550 $7K
J7030 Infusion, normal saline solution , 1000 cc 15,627 12,498 $6K
74174 30 26 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 234 203 $6K
72131 99 94 $6K
97165 52 48 $6K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 14 14 $5K
83605 3,848 3,149 $5K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 352 310 $5K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,486 1,235 $5K
86850 2,739 2,377 $5K
36415 Collection of venous blood by venipuncture 8,832 4,930 $5K
86900 2,946 2,565 $5K
73110 613 550 $4K
80179 907 845 $4K
93226 125 116 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 53 44 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg 14,065 11,228 $4K
87086 Culture, bacterial; quantitative colony count, urine 5,252 4,607 $4K
76870 45 41 $4K
70486 69 65 $4K
97802 52 52 $4K
82962 8,937 4,345 $3K
J2704 Injection, propofol, 10 mg 10,108 8,772 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 13 12 $3K
84703 7,221 6,455 $3K
80047 1,113 999 $3K
12001 19 15 $3K
81001 12,577 10,774 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,177 1,064 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 857 756 $2K
86901 2,965 2,582 $2K
88342 775 639 $2K
85027 2,331 1,807 $2K
83735 6,213 4,609 $2K
83690 7,698 6,621 $2K
80143 954 887 $2K
85730 2,442 2,068 $2K
J2805 Injection, sincalide, 5 micrograms 13 12 $2K
77085 28 27 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 1,697 1,482 $1K
87186 1,728 1,444 $1K
J8499 Prescription drug, oral, non chemotherapeutic, nos 36,491 6,142 $1K
J1650 Injection, enoxaparin sodium, 10 mg 1,842 828 $1K
81003 4,464 3,961 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 14,852 10,060 $1K
C9399 Unclassified drugs or biologicals 101 91 $1K
97116 22 13 $1K
72072 70 64 $1K
82803 854 735 $1K
87075 99 76 $1K
86140 2,311 2,003 $980.57
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 44 41 $977.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,738 1,654 $972.37
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 27 24 $911.14
88304 158 132 $886.08
J2250 Injection, midazolam hydrochloride, per 1 mg 6,660 5,638 $871.44
J7120 Ringers lactate infusion, up to 1000 cc 9,975 7,630 $764.87
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,504 1,238 $674.51
85014 1,732 1,455 $671.17
J1885 Injection, ketorolac tromethamine, per 15 mg 8,861 7,230 $666.25
84443 Thyroid stimulating hormone (TSH) 651 579 $633.50
73590 85 77 $571.79
81025 1,972 1,774 $534.75
36416 557 311 $514.22
96376 4,717 3,194 $496.66
73080 75 66 $484.74
J0171 Injection, adrenalin, epinephrine, 0.1 mg 164 137 $470.03
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,285 5,531 $462.53
87081 1,860 1,730 $461.05
99152 806 701 $451.09
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 14 13 $437.35
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 2,134 1,701 $426.94
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,403 1,927 $421.85
J2270 Injection, morphine sulfate, up to 10 mg 4,862 3,422 $403.83
84702 1,010 838 $358.52
87077 1,126 920 $352.49
J0690 Injection, cefazolin sodium, 500 mg 4,427 3,098 $330.91
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 13,937 12,022 $282.66
99153 Mod sedat endo service >5yrs 210 187 $277.93
94010 14 13 $270.33
J1644 Injection, heparin sodium, per 1000 units 3,120 1,126 $267.11
73090 33 26 $247.23
80061 Lipid panel 110 99 $221.05
87210 291 258 $213.58
86803 18 14 $210.27
96368 13 13 $200.50
85652 1,708 1,485 $187.52
J2370 Injection, phenylephrine hcl, up to 1 ml 2,100 1,743 $177.37
J0330 Injection, succinylcholine chloride, up to 20 mg 1,733 1,498 $174.15
J0696 Injection, ceftriaxone sodium, per 250 mg 2,545 1,892 $143.53
90686 17 13 $133.46
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 648 450 $130.44
J2060 Injection, lorazepam, 2 mg 1,054 793 $120.32
J0780 Injection, prochlorperazine, up to 10 mg 1,013 854 $103.46
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 4,187 3,267 $90.00
J3475 Injection, magnesium sulfate, per 500 mg 1,108 783 $88.83
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 1,733 1,619 $86.94
J2550 Injection, promethazine hcl, up to 50 mg 729 605 $83.29
C1769 Guide wire 1,751 1,464 $80.84
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 17 14 $73.24
J1790 Injection, droperidol, up to 5 mg 1,182 1,044 $72.12
87205 240 182 $57.10
J2765 Injection, metoclopramide hcl, up to 10 mg 1,205 1,061 $55.50
J1815 Injection, insulin, per 5 units 563 331 $53.93
87807 214 203 $51.28
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,954 1,822 $48.29
C1758 Catheter, ureteral 97 85 $47.96
87070 191 144 $46.79
J7999 Compounded drug, not otherwise classified 2,576 2,037 $42.39
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 547 448 $39.74
87088 133 119 $32.27
86592 15 12 $26.52
J3370 Injection, vancomycin hcl, 500 mg 325 177 $23.11
J1170 Injection, hydromorphone, up to 4 mg 332 262 $22.34
S0028 Injection, famotidine, 20 mg 2,077 1,838 $21.40
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 478 359 $20.34
A4649 Surgical supply; miscellaneous 495 366 $20.33
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 99 77 $18.71
J8540 Dexamethasone, oral, 0.25 mg 15 14 $16.51
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 481 349 $16.01
J3480 Injection, potassium chloride, per 2 meq 197 127 $14.10
84156 46 42 $12.23
84100 33 26 $8.56
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 82 67 $7.42
82550 127 107 $6.63
82570 49 45 $6.13
S0164 Injection, pantoprazole sodium, 40 mg 106 82 $4.94
87015 47 37 $4.52
J2795 Injection, ropivacaine hydrochloride, 1 mg 15 14 $2.96
J1940 Injection, furosemide, up to 20 mg 35 24 $0.92
Q0169 Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 13 12 $0.73
S0077 Injection, clindamycin phosphate, 300 mg 219 149 $0.48
J3535 Drug administered through a metered dose inhaler 531 405 $0.00
A9585 Injection, gadobutrol, 0.1 ml 553 504 $0.00
J2785 Injection, regadenoson, 0.1 mg 1,776 1,587 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 231 215 $0.00
A9270 Non-covered item or service 475 260 $0.00
88341 74 52 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 56 51 $0.00
94644 31 25 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 60 44 $0.00
80050 General health panel 12 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 154 130 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 48 47 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 26 25 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 97 89 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 704 652 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 190 183 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 12 12 $0.00
80076 16 15 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 68 59 $0.00
Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml 259 229 $0.00
84145 13 12 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 110 80 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 122 84 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 40 28 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 12 12 $0.00
82140 15 13 $0.00
82365 14 12 $0.00
93356 13 13 $0.00