Medicaid Provider Spending

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

CARILION GILES COMMUNITY HOSPITAL

NPI: 1528685641 · FLOYD, VA 24091 · Rural Health Clinic/Center · NPI assigned 07/06/2020

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

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

$697K
Total Medicaid Paid
16,953
Total Claims
15,556
Beneficiaries
31
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRESCOTT, ELEANOR (GOVERNMENT PROGRAM MANAGER)
Parent OrganizationCARILION GILES COMMUNITY HOSPITAL
NPI Enumeration Date07/06/2020

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 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 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
2020 1,098 $33K
2021 3,542 $127K
2022 3,624 $168K
2023 3,917 $177K
2024 4,772 $191K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 4,393 4,035 $344K
99213 4,637 4,149 $271K
0241U 144 140 $18K
99215 Prolong outpt/office vis 97 93 $9K
90686 460 447 $7K
83036 798 769 $6K
85025 950 901 $6K
36415 3,098 2,818 $5K
99393 62 61 $5K
87428 157 152 $5K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 473 437 $4K
99394 26 26 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 68 65 $2K
87635 49 44 $2K
87880 140 135 $2K
85027 305 294 $2K
87804 120 59 $2K
90471 239 230 $1K
90656 76 72 $1K
3078F 121 114 $475.00
90619 19 19 $399.38
99212 14 12 $395.06
3074F 98 93 $350.00
96372 24 24 $248.06
81002 87 82 $240.48
3044F 49 46 $185.00
90734 12 12 $180.73
3075F 36 36 $100.00
3079F 15 15 $50.00
99000 16 15 $8.10
1159F 170 161 $0.00