Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Carilion New River Valley Medical Center

Carilion New River Valley Medical Center was paid $32.42M by Medicaid between Jan 2018 and Dec 2024, across 287 billing codes. Its largest line is 99283, emergency room visit (moderate) — 10% of everything it billed.

33Billing provider infoCARILION NEW RIVER VALLEY MEDICAL CENTER
CHRISTIANSBURG, VA 24073
33aNPI1376536573assigned 08/24/2005
28Total paid$32.42M
24GClaims812,349
24DCodes billed287
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#24 of 80
Median peer was paid$14.69M
This provider vs. median2.2×

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 GRISETTI, NICOLE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
201875,565$2.00M
2019122,062$3.80M
2020105,078$3.84M
2021133,780$4.80M
2022133,275$5.55M
2023134,944$6.40M
2024incomplete107,645$6.03M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 10% 19,829 17,688 $3.39M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 10% 19,814 17,145 $3.28M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 7.4% 13,772 11,953 $2.39M
96361 Intravenous infusion, hydration; each additional hour 7.3% 7,836 6,653 $2.36M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6.6% 39,146 11,609 $2.13M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5.0% 4,953 4,554 $1.63M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.9% 6,544 5,904 $1.28M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.7% 2,196 1,972 $862K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.6% 5,449 4,959 $856K
70450 Computed tomography, head or brain; without contrast material 2.5% 4,965 4,373 $816K
78451 2.2% 1,542 1,397 $723K
97161 2.0% 4,745 4,464 $647K
275 more codes
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2.0% 1,088 $637K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.8% 4,176 $588K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.6% 7,767 $533K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.5% 1,763 $483K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.4% 1,386 $465K
76705 Ultrasound, abdominal, real time with image documentation; limited 1.3% 4,200 $428K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1.1% 1,802 $363K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 1,817 $359K
71275 Computed tomographic angiography, chest, with contrast material 1.1% 1,882 $346K
59025 Fetal non-stress test 1.0% 1,640 $336K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 5,932 $307K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,054 $294K
76830 Ultrasound, transvaginal <1% 2,629 $292K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 5,531 $273K
99213 Doctor's office visit, returning patient (routine) <1% 1,428 $266K
99220 <1% 4,544 $255K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 707 $248K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,356 $230K
93017 <1% 2,651 $230K
95806 <1% 435 $214K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,299 $184K
97162 <1% 1,756 $183K
41899 Unlisted procedure, dentoalveolar structures <1% 97 $164K
78815 Positron emission tomography (PET) for limited area imaging <1% 173 $162K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 249 $157K
93971 <1% 1,511 $146K
94060 <1% 2,276 $145K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,448 $144K
80053 Comprehensive metabolic panel <1% 30,948 $138K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,078 $135K
72141 <1% 720 $135K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 2,358 $127K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 875 $126K
76642 <1% 1,065 $117K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 489 $111K
93880 <1% 1,088 $97K
70551 Magnetic resonance imaging, brain; without contrast material <1% 451 $95K
76536 <1% 810 $95K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,896 $94K
70496 <1% 383 $87K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 897 $87K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 23,414 $86K
71046 Radiologic examination, chest; 2 views <1% 6,364 $84K
97535 Self-care/home management training, each 15 minutes <1% 1,090 $84K
59899 <1% 118 $78K
94726 <1% 2,303 $76K
93970 <1% 542 $75K
74183 <1% 272 $74K
94729 <1% 2,366 $68K
71250 <1% 996 $67K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 546 $65K
80048 Basic metabolic panel (calcium, ionized) <1% 11,712 $55K
97163 <1% 359 $49K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,878 $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% 1,851 $47K
47562 <1% 12 $44K
74018 <1% 2,284 $43K
99234 <1% 1,913 $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 <1% 3,568 $40K
96375 Therapeutic injection; each additional sequential IV push <1% 12,351 $38K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 44 $37K
97166 <1% 295 $34K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 17,800 $34K
72125 Computed tomography, cervical spine; without contrast material <1% 1,847 $32K
76770 <1% 215 $29K
95816 <1% 86 $29K
99235 <1% 1,247 $26K
93225 <1% 816 $26K
83880 <1% 3,094 $26K
77065 Tomosynthesis, mammo <1% 570 $24K
70498 <1% 552 $23K
95811 <1% 49 $23K
J8597 Antiemetic drug, oral, not otherwise specified <1% 2,773 $21K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 39,673 $21K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,310 $20K
71045 Radiologic examination, chest; single view <1% 9,048 $20K
96415 <1% 59 $19K
73630 <1% 1,736 $19K
77066 Tomosynthesis, mammo <1% 401 $18K
84484 <1% 13,657 $18K
74420 <1% 112 $18K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 14 $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 <1% 49 $15K
73030 <1% 1,290 $15K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,192 $14K
73564 <1% 1,561 $13K
72110 <1% 760 $13K
73610 <1% 1,268 $12K
J3490 Unclassified drugs <1% 43,740 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,141 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 5,417 $11K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 162 $11K
93922 <1% 149 $11K
82565 <1% 3,569 $11K
73221 <1% 44 $11K
49083 <1% 21 $10K
J7050 Infusion, normal saline solution, 250 cc <1% 6,643 $10K
71271 <1% 97 $10K
G0378 Hospital observation service, per hour <1% 512 $10K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 490 $9K
73130 <1% 1,059 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 2,167 $9K
93458 <1% 12 $9K
72100 <1% 260 $9K
90715 <1% 430 $8K
78227 <1% 25 $8K
93270 <1% 221 $8K
87040 <1% 1,206 $8K
85379 <1% 1,765 $7K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,920 $7K
85610 <1% 5,415 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 21 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 33 $7K
76819 Fetal biophysical profile; without non-stress testing <1% 71 $7K
73502 <1% 608 $7K
J7030 Infusion, normal saline solution , 1000 cc <1% 15,627 $6K
74174 <1% 30 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 234 $6K
72131 <1% 99 $6K
97165 <1% 52 $6K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring <1% 14 $5K
83605 <1% 3,848 $5K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 352 $5K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,486 $5K
86850 <1% 2,739 $5K
36415 Collection of venous blood by venipuncture <1% 8,832 $5K
86900 <1% 2,946 $5K
73110 <1% 613 $4K
80179 <1% 907 $4K
93226 <1% 125 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 53 $4K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 14,065 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,252 $4K
76870 <1% 45 $4K
70486 <1% 69 $4K
97802 <1% 52 $4K
82962 <1% 8,937 $3K
J2704 Injection, propofol, 10 mg <1% 10,108 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 13 $3K
84703 <1% 7,221 $3K
80047 <1% 1,113 $3K
12001 <1% 19 $3K
81001 <1% 12,577 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,177 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 857 $2K
86901 <1% 2,965 $2K
88342 <1% 775 $2K
85027 <1% 2,331 $2K
83735 <1% 6,213 $2K
83690 <1% 7,698 $2K
80143 <1% 954 $2K
85730 <1% 2,442 $2K
J2805 Injection, sincalide, 5 micrograms <1% 13 $2K
77085 <1% 28 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,697 $1K
87186 <1% 1,728 $1K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 36,491 $1K
J1650 Injection, enoxaparin sodium, 10 mg <1% 1,842 $1K
81003 <1% 4,464 $1K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 14,852 $1K
C9399 Unclassified drugs or biologicals <1% 101 $1K
97116 <1% 22 $1K
72072 <1% 70 $1K
82803 <1% 854 $1K
87075 <1% 99 $1K
86140 <1% 2,311 $980.57
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 44 $977.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,738 $972.37
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 27 $911.14
88304 <1% 158 $886.08
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 6,660 $871.44
J7120 Ringers lactate infusion, up to 1000 cc <1% 9,975 $764.87
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,504 $674.51
85014 <1% 1,732 $671.17
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,861 $666.25
84443 Thyroid stimulating hormone (TSH) <1% 651 $633.50
73590 <1% 85 $571.79
81025 <1% 1,972 $534.75
36416 <1% 557 $514.22
96376 <1% 4,717 $496.66
73080 <1% 75 $484.74
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 164 $470.03
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,285 $462.53
87081 <1% 1,860 $461.05
99152 <1% 806 $451.09
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 14 $437.35
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 2,134 $426.94
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 2,403 $421.85
J2270 Injection, morphine sulfate, up to 10 mg <1% 4,862 $403.83
84702 <1% 1,010 $358.52
87077 <1% 1,126 $352.49
J0690 Injection, cefazolin sodium, 500 mg <1% 4,427 $330.91
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 13,937 $282.66
99153 Mod sedat endo service >5yrs <1% 210 $277.93
94010 <1% 14 $270.33
J1644 Injection, heparin sodium, per 1000 units <1% 3,120 $267.11
73090 <1% 33 $247.23
80061 Lipid panel <1% 110 $221.05
87210 <1% 291 $213.58
86803 <1% 18 $210.27
96368 <1% 13 $200.50
85652 <1% 1,708 $187.52
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 2,100 $177.37
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,733 $174.15
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,545 $143.53
90686 <1% 17 $133.46
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 648 $130.44
J2060 Injection, lorazepam, 2 mg <1% 1,054 $120.32
J0780 Injection, prochlorperazine, up to 10 mg <1% 1,013 $103.46
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program <1% 4,187 $90.00
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,108 $88.83
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 1,733 $86.94
J2550 Injection, promethazine hcl, up to 50 mg <1% 729 $83.29
C1769 Guide wire <1% 1,751 $80.84
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 17 $73.24
J1790 Injection, droperidol, up to 5 mg <1% 1,182 $72.12
87205 <1% 240 $57.10
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,205 $55.50
J1815 Injection, insulin, per 5 units <1% 563 $53.93
87807 <1% 214 $51.28
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 1,954 $48.29
C1758 Catheter, ureteral <1% 97 $47.96
87070 <1% 191 $46.79
J7999 Compounded drug, not otherwise classified <1% 2,576 $42.39
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 547 $39.74
87088 <1% 133 $32.27
86592 <1% 15 $26.52
J3370 Injection, vancomycin hcl, 500 mg <1% 325 $23.11
J1170 Injection, hydromorphone, up to 4 mg <1% 332 $22.34
S0028 Injection, famotidine, 20 mg <1% 2,077 $21.40
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg <1% 478 $20.34
A4649 Surgical supply; miscellaneous <1% 495 $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 <1% 99 $18.71
J8540 Dexamethasone, oral, 0.25 mg <1% 15 $16.51
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 481 $16.01
J3480 Injection, potassium chloride, per 2 meq <1% 197 $14.10
84156 <1% 46 $12.23
84100 <1% 33 $8.56
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 82 $7.42
82550 <1% 127 $6.63
82570 <1% 49 $6.13
S0164 Injection, pantoprazole sodium, 40 mg <1% 106 $4.94
87015 <1% 47 $4.52
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 15 $2.96
J1940 Injection, furosemide, up to 20 mg <1% 35 $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 <1% 13 $0.73
S0077 Injection, clindamycin phosphate, 300 mg <1% 219 $0.48
J3535 Drug administered through a metered dose inhaler 0% 531 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 553 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 1,776 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 231 $0.00
A9270 Non-covered item or service 0% 475 $0.00
88341 0% 74 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 0% 56 $0.00
94644 0% 31 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 60 $0.00
80050 General health panel 0% 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 154 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 0% 48 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 0% 26 $0.00
Q9957 Injection, perflutren lipid microspheres, per ml 0% 97 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 704 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 0% 190 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 12 $0.00
80076 0% 16 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 68 $0.00
Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml 0% 259 $0.00
84145 0% 13 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 110 $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 0% 122 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 40 $0.00
00170 Anesthesia for intraoral procedures, including biopsy 0% 12 $0.00
82140 0% 15 $0.00
82365 0% 14 $0.00
93356 0% 13 $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

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Authorized officialGRISETTI, NICOLE (DIRECTOR OF OPERATIONAL SUPPORT)
Same official

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