Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Carilion New River Valley Medical Center

Carilion New River Valley Medical Center was paid $3.01M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 55% of everything it billed.

33Billing provider infoCARILION NEW RIVER VALLEY MEDICAL CENTER
RADFORD, VA 24141
33aNPI1427041458assigned 08/24/2005
33bProvider typeHome Health Agency
28Total paid$3.01M
24GClaims41,762
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in Virginia

Rank by total paid#259 of 678
Median peer was paid$1.59M
This provider vs. median1.9×

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$25K$50K$75K2018201920202021202220232024
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
20186,613$368K
20197,815$447K
20205,929$444K
20215,585$455K
20226,219$536K
20236,156$537K
2024incomplete3,445$226K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 55% 23,758 4,283 $1.66M
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 34% 13,070 2,964 $1.03M
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 9.6% 3,418 1,476 $288K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes <1% 346 97 $20K
G0158 Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes <1% 116 52 $7K
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes <1% 292 68 $5K
Q5001 Hospice or home health care provided in patient's home/residence <1% 702 578 $3K
G0153 Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes <1% 31 12 $2K
1AA11 0% 29 25 $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 officialGRISETTI, NICOLE (DIRECTOR OF OPERATIONAL SUPPORT)
Same official

Other billing entities under GRISETTI, NICOLE

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