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

Lewis-Gale Medical Center, LLC

Lewis-Gale Medical Center, LLC was paid $51.85M by Medicaid between Jan 2018 and Dec 2024, across 297 billing codes. Its largest line is 99283, emergency room visit (moderate) — 33% of everything it billed.

33Billing provider infoLEWIS-GALE MEDICAL CENTER, LLC
SALEM, VA 24153
33aNPI1619914785assigned 05/31/2006
28Total paid$51.85M
24GClaims1,288,362
24DCodes billed297
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#14 of 80
Median peer was paid$14.69M
This provider vs. median3.5×

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.

Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018115,625$2.64M
2019171,219$4.95M
2020152,954$5.57M
2021201,105$7.56M
2022216,243$9.42M
2023243,515$11.37M
2024incomplete187,701$10.33M
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 33% 95,799 82,972 $17.37M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 16% 51,537 43,044 $8.27M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8.3% 23,246 21,369 $4.32M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.7% 10,554 9,446 $1.93M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 3.2% 10,719 9,204 $1.67M
96361 Intravenous infusion, hydration; each additional hour 2.9% 4,893 4,315 $1.52M
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.8% 7,990 7,494 $1.46M
70450 Computed tomography, head or brain; without contrast material 2.7% 8,442 7,378 $1.39M
G0378 Hospital observation service, per hour 2.5% 10,637 5,850 $1.28M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.6% 1,386 1,238 $819K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.5% 2,314 2,006 $788K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1.3% 15,345 12,633 $699K
285 more codes
71275 Computed tomographic angiography, chest, with contrast material 1.3% 2,836 $656K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 2,200 $621K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 3,408 $578K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 11,591 $452K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,043 $449K
93458 <1% 243 $403K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 2,425 $383K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,073 $307K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,007 $280K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 2,362 $243K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 867 $243K
10060 <1% 1,605 $235K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,382 $234K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,526 $234K
12001 <1% 982 $222K
80053 Comprehensive metabolic panel <1% 70,764 $219K
93017 <1% 1,791 $205K
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% 11,314 $202K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,050 $197K
93971 <1% 1,818 $186K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 38,155 $178K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,774 $168K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 850 $146K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 422 $125K
76830 Ultrasound, transvaginal <1% 1,558 $124K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,533 $108K
71046 Radiologic examination, chest; 2 views <1% 11,043 $103K
97162 <1% 1,561 $97K
93976 <1% 2,127 $96K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 36,510 $92K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,130 $87K
96375 Therapeutic injection; each additional sequential IV push <1% 18,589 $76K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 469 $74K
71045 Radiologic examination, chest; single view <1% 32,296 $74K
72125 Computed tomography, cervical spine; without contrast material <1% 2,417 $73K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 11,694 $72K
G0330 Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room <1% 41 $71K
76536 <1% 675 $69K
85027 <1% 85,632 $68K
77067 Screening mammography, bilateral, including computer-aided detection <1% 1,837 $64K
12011 <1% 267 $63K
80048 Basic metabolic panel (calcium, ionized) <1% 14,731 $56K
70491 <1% 254 $47K
97166 <1% 710 $47K
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% 2,874 $46K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 903 $45K
70496 <1% 220 $45K
97163 <1% 432 $43K
72100 <1% 3,862 $43K
29125 <1% 484 $43K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,876 $42K
94060 <1% 866 $42K
87510 <1% 5,161 $41K
74018 <1% 3,102 $38K
97167 <1% 489 $38K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,053 $37K
70551 Magnetic resonance imaging, brain; without contrast material <1% 158 $36K
76770 <1% 266 $34K
87040 <1% 5,918 $34K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 173 $33K
94729 <1% 775 $32K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,368 $32K
90715 <1% 2,025 $31K
70486 <1% 652 $29K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 6,597 $28K
76642 <1% 231 $25K
84484 <1% 20,606 $24K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 161 $24K
77063 Screening digital breast tomosynthesis, bilateral <1% 656 $23K
12002 <1% 115 $23K
97161 <1% 337 $23K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 1,070 $22K
87660 <1% 5,161 $22K
93246 <1% 241 $20K
71250 <1% 257 $19K
83880 <1% 3,083 $18K
85379 <1% 5,160 $18K
C1760 Closure device, vascular (implantable/insertable) <1% 164 $18K
94726 <1% 574 $18K
76775 <1% 235 $16K
97535 Self-care/home management training, each 15 minutes <1% 873 $15K
70498 <1% 162 $15K
78815 Positron emission tomography (PET) for limited area imaging <1% 28 $14K
72050 <1% 813 $14K
84703 <1% 20,768 $14K
73030 <1% 2,977 $13K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 111 $12K
76870 <1% 143 $11K
73630 <1% 3,719 $10K
93970 <1% 90 $10K
74022 <1% 836 $10K
36415 Collection of venous blood by venipuncture <1% 7,689 $10K
84443 Thyroid stimulating hormone (TSH) <1% 4,370 $9K
71101 <1% 759 $9K
59025 Fetal non-stress test <1% 45 $9K
87480 <1% 5,146 $8K
J1650 Injection, enoxaparin sodium, 10 mg <1% 5,073 $8K
85014 <1% 1,268 $8K
73610 <1% 3,497 $8K
71271 <1% 93 $8K
J7030 Infusion, normal saline solution , 1000 cc <1% 26,499 $8K
73130 <1% 2,794 $7K
97165 <1% 200 $7K
73560 <1% 2,316 $7K
96376 <1% 2,563 $7K
J7120 Ringers lactate infusion, up to 1000 cc <1% 9,646 $6K
86850 <1% 2,980 $6K
64400 <1% 12 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 41 $6K
83690 <1% 17,207 $6K
97116 <1% 395 $6K
87088 <1% 9,386 $6K
73110 <1% 1,948 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 26,894 $5K
80061 Lipid panel <1% 1,776 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 19,298 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 2,295 $5K
72141 <1% 27 $5K
81025 <1% 12,462 $5K
81001 <1% 28,034 $5K
62323 <1% 15 $5K
83735 <1% 9,472 $5K
85610 <1% 10,204 $4K
83605 <1% 5,460 $4K
73502 <1% 1,381 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 24,131 $4K
J7050 Infusion, normal saline solution, 250 cc <1% 11,360 $4K
80074 <1% 434 $4K
72040 <1% 631 $4K
87070 <1% 11,124 $4K
86900 <1% 3,935 $4K
73562 <1% 1,158 $4K
74174 <1% 31 $4K
82728 <1% 1,096 $3K
82565 <1% 1,462 $3K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 82 $3K
72131 <1% 43 $3K
93880 <1% 48 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,468 $3K
86901 <1% 3,937 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 19,502 $3K
C1769 Guide wire <1% 2,332 $3K
0296T <1% 118 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 6,579 $3K
80076 <1% 574 $3K
15853 <1% 74 $3K
95819 <1% 13 $3K
72070 <1% 479 $3K
77066 Tomosynthesis, mammo <1% 103 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 29,422 $2K
73090 <1% 734 $2K
82077 <1% 4,934 $2K
81003 <1% 19,897 $2K
76937 <1% 118 $2K
J2550 Injection, promethazine hcl, up to 50 mg <1% 2,135 $2K
J1644 Injection, heparin sodium, per 1000 units <1% 3,836 $2K
73590 <1% 876 $2K
84702 <1% 4,063 $2K
85730 <1% 5,669 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 7,346 $2K
84112 <1% 286 $2K
82607 <1% 519 $2K
73080 <1% 713 $2K
87147 <1% 1,755 $2K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 7,562 $2K
80143 <1% 541 $1K
87077 <1% 2,831 $1K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 3,279 $1K
82378 <1% 560 $1K
36591 <1% 101 $1K
73140 <1% 922 $1K
J1815 Injection, insulin, per 5 units <1% 3,781 $1K
J2270 Injection, morphine sulfate, up to 10 mg <1% 10,532 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 355 $1K
84100 <1% 2,402 $1K
87186 <1% 3,801 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,557 $986.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 6,634 $972.42
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 18,020 $926.89
A9270 Non-covered item or service <1% 9,690 $924.00
73564 <1% 56 $846.55
J2060 Injection, lorazepam, 2 mg <1% 2,024 $843.44
74021 <1% 41 $835.68
87205 <1% 1,184 $828.01
85652 <1% 890 $809.60
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 68 $727.20
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 3,068 $714.64
87807 <1% 5,499 $692.43
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 4,657 $661.82
87210 <1% 1,994 $638.21
80047 <1% 548 $584.39
J2785 Injection, regadenoson, 0.1 mg <1% 576 $571.52
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 1,407 $549.30
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 791 $533.95
S0028 Injection, famotidine, 20 mg <1% 808 $495.59
80179 <1% 418 $488.24
84145 <1% 26 $434.62
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) <1% 310 $428.60
J1170 Injection, hydromorphone, up to 4 mg <1% 4,600 $415.96
86140 <1% 155 $404.18
86592 <1% 77 $403.46
82550 <1% 909 $397.18
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 288 $396.23
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 5,711 $382.91
87899 <1% 140 $379.20
93922 <1% 13 $372.53
82274 <1% 611 $351.81
84439 <1% 171 $351.77
J3475 Injection, magnesium sulfate, per 500 mg <1% 915 $336.72
82803 <1% 446 $304.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 394 $265.11
87522 Neg quan hep c or qual rna <1% 15 $261.64
J3490 Unclassified drugs <1% 2,716 $237.87
87086 Culture, bacterial; quantitative colony count, urine <1% 1,496 $232.22
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 3,063 $220.97
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 262 $218.74
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 2,891 $200.98
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 1,110 $185.98
J0780 Injection, prochlorperazine, up to 10 mg <1% 2,998 $180.45
73120 <1% 12 $159.11
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 537 $153.03
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 52 $151.35
82150 <1% 1,063 $150.69
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,042 $142.22
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 1,387 $140.34
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 2,530 $132.98
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 31 $129.66
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 1,393 $122.24
86703 <1% 85 $105.98
J3370 Injection, vancomycin hcl, 500 mg <1% 258 $82.28
86141 <1% 51 $78.91
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 1,398 $73.90
82570 <1% 100 $68.28
73552 <1% 25 $62.31
72170 <1% 88 $61.95
76000 <1% 64 $59.45
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 129 $49.83
83540 <1% 42 $44.10
J0690 Injection, cefazolin sodium, 500 mg <1% 1,029 $42.37
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 490 $37.75
J1630 Injection, haloperidol, up to 5 mg <1% 676 $35.21
72072 <1% 30 $34.78
C9113 Injection, pantoprazole sodium, per vial <1% 453 $34.38
84156 <1% 54 $27.33
82010 <1% 308 $22.74
J2704 Injection, propofol, 10 mg <1% 2,696 $21.95
82746 <1% 35 $19.74
82947 <1% 28 $18.61
82435 <1% 15 $16.24
86706 <1% 13 $16.08
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals <1% 21 $14.98
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% 125 $11.02
86308 <1% 40 $10.92
J0456 Injection, azithromycin, 500 mg <1% 194 $10.38
84295 <1% 15 $8.13
84132 <1% 18 $8.13
83550 <1% 25 $7.64
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting <1% 24 $7.51
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,360 $4.17
J3480 Injection, potassium chloride, per 2 meq <1% 77 $3.77
J0692 Injection, cefepime hydrochloride, 500 mg <1% 34 $3.05
J1940 Injection, furosemide, up to 20 mg <1% 94 $2.62
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 66 $0.69
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 261 $0.47
J7510 Prednisolone oral, per 5 mg <1% 343 $0.46
S4991 Nicotine patches, non-legend <1% 1,045 $0.23
J1171 Injection, hydromorphone, 0.1 mg 0% 82 $0.00
G1003 Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program 0% 222 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 193 $0.00
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 0% 25 $0.00
29515 0% 27 $0.00
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 0% 50 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 154 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 38 $0.00
J3535 Drug administered through a metered dose inhaler 0% 102 $0.00
73060 0% 14 $0.00
72126 0% 14 $0.00
G1011 Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program 0% 18 $0.00
73620 0% 19 $0.00
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 0% 13 $0.00
C1726 Catheter, balloon dilatation, non-vascular 0% 15 $0.00
73660 0% 12 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 0% 21 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 46 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 16 $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 officialREYNOLDS, ANGELA (CFO)
Same official

Other billing entities under REYNOLDS, ANGELA

Full network →
ProviderLocationPaid
Columbia-Alleghany Regional Hospital INCLow Moor, VA$9.82M
Lewis-Gale Medical Center, LLCCave Spring, VA$1.17M
Lewisgale Medical Center, LLCRoanoke, VA$413K

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