Medicaid Provider Spending

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

CARILION TAZEWELL COMMUNITY HOSPITAL

NPI: 1427040328 · TAZEWELL, VA 24651 · General Acute Care Hospital · NPI assigned 08/17/2005

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

Authorized official PRESCOTT, ELEANOR controls 20+ related entities in our dataset. Read more

$8.03M
Total Medicaid Paid
236,955
Total Claims
185,113
Beneficiaries
121
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRESCOTT, ELEANOR (GOVERNMENT PROGRAM MANAGER)
NPI Enumeration Date08/17/2005

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 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
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BEDFORD VA $241K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32,057 $659K
2019 36,752 $979K
2020 29,121 $965K
2021 36,238 $1.06M
2022 37,853 $1.31M
2023 39,040 $1.55M
2024 25,894 $1.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 10,362 9,179 $1.56M
99284 Emergency department visit for the evaluation and management, high severity 9,000 7,946 $1.37M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 6,085 5,181 $990K
96361 Intravenous infusion, hydration; each additional hour 3,660 3,249 $858K
70450 Computed tomography, head or brain; without contrast material 3,455 2,605 $458K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,422 3,071 $457K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,352 1,739 $427K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,381 1,688 $355K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,573 4,185 $265K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,437 1,087 $206K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,432 2,071 $169K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 589 519 $135K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,165 1,914 $84K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,477 1,172 $78K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 474 439 $63K
80053 Comprehensive metabolic panel 14,722 11,255 $62K
71046 Radiologic examination, chest; 2 views 4,091 3,099 $51K
97161 349 333 $46K
71045 Radiologic examination, chest; single view 8,672 6,197 $38K
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 2,104 1,661 $30K
83880 2,767 2,386 $26K
99281 Emergency department visit for the evaluation and management, self-limited or minor 202 176 $25K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 7,852 6,160 $24K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,368 5,423 $18K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,560 11,736 $18K
87040 2,247 1,652 $15K
72125 Computed tomography, cervical spine; without contrast material 359 276 $13K
84484 6,295 4,593 $13K
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 784 707 $12K
77067 Screening mammography, bilateral, including computer-aided detection 249 180 $12K
71275 Computed tomographic angiography, chest, with contrast material 63 50 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,145 3,531 $9K
97014 279 85 $8K
96375 Therapeutic injection; each additional sequential IV push 5,131 4,165 $8K
83735 8,525 6,911 $8K
85379 1,474 1,322 $7K
81001 5,217 4,566 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,291 1,875 $5K
83605 3,439 2,905 $5K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 846 668 $5K
99220 138 44 $5K
73564 354 260 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,985 3,688 $4K
J7030 Infusion, normal saline solution , 1000 cc 4,902 3,949 $4K
73630 303 213 $4K
85610 5,835 5,011 $3K
72100 182 133 $3K
36600 1,117 840 $3K
J3490 Unclassified drugs 4,033 2,729 $3K
85730 4,702 4,117 $3K
73030 239 175 $3K
80179 572 501 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,384 2,947 $3K
72131 45 38 $2K
87081 3,417 3,176 $2K
36415 Collection of venous blood by venipuncture 3,028 1,923 $2K
82150 1,744 1,537 $2K
J8597 Antiemetic drug, oral, not otherwise specified 278 260 $2K
87086 Culture, bacterial; quantitative colony count, urine 1,451 1,293 $2K
81025 930 862 $2K
80143 590 520 $2K
73130 101 68 $1K
73610 225 171 $1K
81003 2,318 2,101 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,109 1,787 $1K
82962 1,797 848 $1K
96376 1,223 896 $1K
80048 Basic metabolic panel (calcium, ionized) 553 476 $1K
82803 767 568 $1K
84703 1,640 1,474 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 50 50 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,003 1,568 $1K
93971 33 26 $1K
J8499 Prescription drug, oral, non chemotherapeutic, nos 7,882 1,876 $834.50
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 2,878 2,625 $650.97
J3010 Injection, fentanyl citrate, 0.1 mg 1,328 1,086 $633.76
87186 870 728 $616.54
J2550 Injection, promethazine hcl, up to 50 mg 500 420 $526.50
71260 Computed tomography, thorax, diagnostic; with contrast material 14 12 $484.74
87807 61 55 $477.67
90715 27 25 $474.90
80306 350 308 $443.93
71250 13 12 $364.25
87077 668 555 $299.29
82140 187 158 $237.59
J1100 Injection, dexamethasone sodium phosphate, 1 mg 732 638 $184.06
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 34 26 $178.98
85652 190 166 $132.24
73110 20 14 $130.10
J1200 Injection, diphenhydramine hcl, up to 50 mg 189 161 $125.60
J2250 Injection, midazolam hydrochloride, per 1 mg 255 199 $96.19
85027 19 19 $53.48
83690 807 708 $47.40
J0780 Injection, prochlorperazine, up to 10 mg 313 283 $25.96
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 17 13 $18.73
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 208 177 $16.88
P9612 Catheterization for collection of specimen, single patient, all places of service 131 125 $16.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34 27 $16.10
87147 26 25 $9.44
82550 16 13 $5.06
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 76 68 $4.85
J2060 Injection, lorazepam, 2 mg 56 43 $4.63
J3480 Injection, potassium chloride, per 2 meq 87 61 $2.20
J7050 Infusion, normal saline solution, 250 cc 16 12 $1.69
C9113 Injection, pantoprazole sodium, per vial 14 13 $1.40
J2270 Injection, morphine sulfate, up to 10 mg 18 16 $1.36
J1815 Injection, insulin, per 5 units 19 13 $0.33
J2360 Injection, orphenadrine citrate, up to 60 mg 132 127 $0.00
87205 12 12 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 45 41 $0.00
87070 12 12 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 13 12 $0.00
J3535 Drug administered through a metered dose inhaler 14 13 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 12 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 14 14 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,552 1,844 $0.00
S0077 Injection, clindamycin phosphate, 300 mg 14 14 $0.00
S0164 Injection, pantoprazole sodium, 40 mg 65 61 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 14 12 $0.00
S0028 Injection, famotidine, 20 mg 45 40 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 13 13 $0.00