Medicaid Provider Spending

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

CARILION ROCKBRIDGE COMMUNITY HOSPITAL

NPI: 1518950484 · LEXINGTON, VA 24450 · Multi-Specialty Clinic/Center · NPI assigned 08/25/2005

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

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

$11.82M
Total Medicaid Paid
181,105
Total Claims
144,215
Beneficiaries
125
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRESCOTT, ELEANOR (GOVERNMENT PROGRAM MANAGER)
NPI Enumeration Date08/25/2005

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 EMERGENCY SERVICES, INC. ROANOKE VA $11.09M
CARILION GILES COMMUNITY HOSPITAL PEARISBURG VA $10.32M
CARILION TAZEWELL COMMUNITY HOSPITAL TAZEWELL VA $8.03M
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 8,189 $420K
2019 19,551 $990K
2020 23,517 $1.43M
2021 29,853 $1.82M
2022 33,767 $2.20M
2023 38,924 $2.67M
2024 27,304 $2.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 10,117 8,934 $2.36M
99284 Emergency department visit for the evaluation and management, high severity 10,994 9,234 $2.22M
96361 Intravenous infusion, hydration; each additional hour 3,360 2,955 $1.61M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,185 4,459 $1.37M
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,018 2,781 $651K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 6,960 2,179 $559K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,005 1,708 $557K
70450 Computed tomography, head or brain; without contrast material 1,764 1,464 $454K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 2,992 2,753 $288K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 453 432 $243K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 887 815 $191K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,399 1,216 $153K
71275 Computed tomographic angiography, chest, with contrast material 448 413 $148K
76705 Ultrasound, abdominal, real time with image documentation; limited 787 679 $110K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,472 1,308 $102K
74176 Computed tomography, abdomen and pelvis; without contrast material 411 356 $101K
77067 Screening mammography, bilateral, including computer-aided detection 804 762 $69K
97161 352 344 $66K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 172 154 $61K
71046 Radiologic examination, chest; 2 views 2,714 2,311 $52K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 398 138 $44K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 588 525 $42K
80053 Comprehensive metabolic panel 6,993 6,056 $42K
97162 118 115 $31K
80048 Basic metabolic panel (calcium, ionized) 5,229 4,198 $30K
99220 363 117 $24K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 427 413 $23K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 5,562 4,873 $19K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,910 5,051 $18K
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 1,131 948 $17K
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 369 336 $12K
74018 231 191 $10K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 12 12 $10K
96375 Therapeutic injection; each additional sequential IV push 4,109 3,493 $9K
71045 Radiologic examination, chest; single view 3,943 3,270 $9K
72100 159 128 $8K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 100 97 $8K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 26 25 $8K
J8597 Antiemetic drug, oral, not otherwise specified 829 689 $7K
99281 Emergency department visit for the evaluation and management, self-limited or minor 43 42 $6K
83880 663 597 $6K
93017 39 36 $6K
76830 Ultrasound, transvaginal 47 40 $6K
97014 93 39 $5K
84484 3,948 3,211 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 11,166 9,155 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,850 3,222 $4K
73630 268 226 $4K
72125 Computed tomography, cervical spine; without contrast material 154 136 $4K
73610 213 175 $3K
73030 124 104 $3K
73562 106 94 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31 29 $3K
85379 465 424 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 18 $2K
81025 2,476 2,225 $2K
83690 2,985 2,604 $2K
J3490 Unclassified drugs 9,270 4,561 $2K
83605 1,791 1,553 $1K
81001 4,847 4,305 $1K
80076 576 524 $987.12
87086 Culture, bacterial; quantitative colony count, urine 1,288 1,157 $837.21
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 35 33 $828.46
36415 Collection of venous blood by venipuncture 3,273 2,323 $808.37
83735 3,304 2,852 $768.47
73130 70 53 $764.29
82962 1,720 1,054 $684.69
99235 46 12 $674.82
99239 Hospital discharge day management, more than 30 minutes 12 12 $647.77
J7030 Infusion, normal saline solution , 1000 cc 4,671 3,775 $604.25
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,415 1,157 $588.71
80306 322 283 $576.63
81003 1,354 1,242 $480.48
84703 1,366 1,239 $469.36
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 499 464 $437.89
85027 183 144 $409.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg 1,114 977 $374.69
G0378 Hospital observation service, per hour 19 13 $370.21
J1885 Injection, ketorolac tromethamine, per 15 mg 2,813 2,399 $346.92
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,287 3,029 $340.47
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 909 856 $287.88
J7120 Ringers lactate infusion, up to 1000 cc 1,707 1,397 $238.72
71260 Computed tomography, thorax, diagnostic; with contrast material 13 12 $228.77
J3010 Injection, fentanyl citrate, 0.1 mg 2,388 1,653 $225.41
87040 177 144 $209.70
96376 801 596 $185.84
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15 14 $176.43
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,514 1,242 $161.90
J2270 Injection, morphine sulfate, up to 10 mg 1,309 1,038 $139.48
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 44 39 $125.30
87081 732 685 $109.35
J2704 Injection, propofol, 10 mg 1,573 1,298 $109.05
73110 15 13 $99.13
80047 15 13 $96.14
86140 28 16 $83.40
88305 Level IV - Surgical pathology, gross and microscopic examination 28 25 $51.17
J2250 Injection, midazolam hydrochloride, per 1 mg 562 454 $48.24
85610 241 216 $42.16
J8499 Prescription drug, oral, non chemotherapeutic, nos 3,845 1,181 $36.02
87186 144 129 $32.42
J0690 Injection, cefazolin sodium, 500 mg 440 342 $31.06
85652 58 43 $28.95
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 15 14 $19.44
85014 16 14 $11.57
J1200 Injection, diphenhydramine hcl, up to 50 mg 301 255 $11.25
82803 16 13 $9.27
86850 32 26 $7.16
J0696 Injection, ceftriaxone sodium, per 250 mg 190 128 $5.01
86900 34 28 $3.58
86901 36 30 $3.58
J7050 Infusion, normal saline solution, 250 cc 54 40 $3.24
J3475 Injection, magnesium sulfate, per 500 mg 57 50 $1.80
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 521 356 $0.00
J1650 Injection, enoxaparin sodium, 10 mg 51 26 $0.00
S0164 Injection, pantoprazole sodium, 40 mg 17 13 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 17 13 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 15 12 $0.00
84702 16 15 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 17 13 $0.00
87077 27 25 $0.00
J2060 Injection, lorazepam, 2 mg 46 38 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 43 37 $0.00
J7999 Compounded drug, not otherwise classified 206 135 $0.00
85730 31 29 $0.00
J1790 Injection, droperidol, up to 5 mg 34 29 $0.00