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

Carilion Tazewell Community Hospital

Carilion Tazewell Community Hospital was paid $8.03M by Medicaid between Jan 2018 and Dec 2024, across 121 billing codes. Its largest line is 99283, emergency room visit (moderate) — 19% of everything it billed.

33Billing provider infoCARILION TAZEWELL COMMUNITY HOSPITAL
TAZEWELL, VA 24651
33aNPI1427040328assigned 08/17/2005
28Total paid$8.03M
24GClaims236,955
24DCodes billed121
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#55 of 80
Median peer was paid$14.69M
This provider vs. median0.5×

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

Paid by month

$0$100K$200K2018201920202021202220232024
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
201832,057$659K
201936,752$979K
202029,121$965K
202136,238$1.06M
202237,853$1.31M
202339,040$1.55M
2024incomplete25,894$1.51M
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 19% 10,362 9,179 $1.56M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 17% 9,000 7,946 $1.37M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 12% 6,085 5,181 $990K
96361 Intravenous infusion, hydration; each additional hour 11% 3,660 3,249 $858K
70450 Computed tomography, head or brain; without contrast material 5.7% 3,455 2,605 $458K
99282 Emergency department visit for the evaluation and management, low to moderate severity 5.7% 3,422 3,071 $457K
74177 Computed tomography, abdomen and pelvis; with contrast material 5.3% 2,352 1,739 $427K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.4% 6,381 1,688 $355K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 3.3% 4,573 4,185 $265K
74176 Computed tomography, abdomen and pelvis; without contrast material 2.6% 1,437 1,087 $206K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.1% 2,432 2,071 $169K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.7% 589 519 $135K
109 more codes
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.0% 2,165 $84K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,477 $78K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 474 $63K
80053 Comprehensive metabolic panel <1% 14,722 $62K
71046 Radiologic examination, chest; 2 views <1% 4,091 $51K
97161 <1% 349 $46K
71045 Radiologic examination, chest; single view <1% 8,672 $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 <1% 2,104 $30K
83880 <1% 2,767 $26K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 202 $25K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,852 $24K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 6,368 $18K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 15,560 $18K
87040 <1% 2,247 $15K
72125 Computed tomography, cervical spine; without contrast material <1% 359 $13K
84484 <1% 6,295 $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 <1% 784 $12K
77067 Screening mammography, bilateral, including computer-aided detection <1% 249 $12K
71275 Computed tomographic angiography, chest, with contrast material <1% 63 $9K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 4,145 $9K
97014 <1% 279 $8K
96375 Therapeutic injection; each additional sequential IV push <1% 5,131 $8K
83735 <1% 8,525 $8K
85379 <1% 1,474 $7K
81001 <1% 5,217 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,291 $5K
83605 <1% 3,439 $5K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 846 $5K
99220 <1% 138 $5K
73564 <1% 354 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,985 $4K
J7030 Infusion, normal saline solution , 1000 cc <1% 4,902 $4K
73630 <1% 303 $4K
85610 <1% 5,835 $3K
72100 <1% 182 $3K
36600 <1% 1,117 $3K
J3490 Unclassified drugs <1% 4,033 $3K
85730 <1% 4,702 $3K
73030 <1% 239 $3K
80179 <1% 572 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,384 $3K
72131 <1% 45 $2K
87081 <1% 3,417 $2K
36415 Collection of venous blood by venipuncture <1% 3,028 $2K
82150 <1% 1,744 $2K
J8597 Antiemetic drug, oral, not otherwise specified <1% 278 $2K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,451 $2K
81025 <1% 930 $2K
80143 <1% 590 $2K
73130 <1% 101 $1K
73610 <1% 225 $1K
81003 <1% 2,318 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 2,109 $1K
82962 <1% 1,797 $1K
96376 <1% 1,223 $1K
80048 Basic metabolic panel (calcium, ionized) <1% 553 $1K
82803 <1% 767 $1K
84703 <1% 1,640 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 50 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,003 $1K
93971 <1% 33 $1K
J8499 Prescription drug, oral, non chemotherapeutic, nos <1% 7,882 $834.50
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 2,878 $650.97
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,328 $633.76
87186 <1% 870 $616.54
J2550 Injection, promethazine hcl, up to 50 mg <1% 500 $526.50
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 14 $484.74
87807 <1% 61 $477.67
90715 <1% 27 $474.90
80306 <1% 350 $443.93
71250 <1% 13 $364.25
87077 <1% 668 $299.29
82140 <1% 187 $237.59
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 732 $184.06
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 34 $178.98
85652 <1% 190 $132.24
73110 <1% 20 $130.10
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 189 $125.60
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 255 $96.19
85027 <1% 19 $53.48
83690 <1% 807 $47.40
J0780 Injection, prochlorperazine, up to 10 mg <1% 313 $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 <1% 17 $18.73
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 208 $16.88
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 131 $16.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 34 $16.10
87147 <1% 26 $9.44
82550 <1% 16 $5.06
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 76 $4.85
J2060 Injection, lorazepam, 2 mg <1% 56 $4.63
J3480 Injection, potassium chloride, per 2 meq <1% 87 $2.20
J7050 Infusion, normal saline solution, 250 cc <1% 16 $1.69
C9113 Injection, pantoprazole sodium, per vial <1% 14 $1.40
J2270 Injection, morphine sulfate, up to 10 mg <1% 18 $1.36
J1815 Injection, insulin, per 5 units <1% 19 $0.33
J2360 Injection, orphenadrine citrate, up to 60 mg 0% 132 $0.00
87205 0% 12 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 0% 45 $0.00
87070 0% 12 $0.00
J0131 Injection, acetaminophen, not otherwise specified,10 mg 0% 13 $0.00
J3535 Drug administered through a metered dose inhaler 0% 14 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 0% 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 14 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 2,552 $0.00
S0077 Injection, clindamycin phosphate, 300 mg 0% 14 $0.00
S0164 Injection, pantoprazole sodium, 40 mg 0% 65 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 0% 14 $0.00
S0028 Injection, famotidine, 20 mg 0% 45 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 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

Who's on the registration

Authorized officialPRESCOTT, ELEANOR (GOVERNMENT PROGRAM MANAGER)
Same official

Other billing entities under PRESCOTT, ELEANOR

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.