Medicaid Provider Spending

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

CARILION MEDICAL CENTER

NPI: 1649423815 · ROANOKE, VA 24014 · General Acute Care Hospital · NPI assigned 10/31/2008

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

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

$18.08M
Total Medicaid Paid
249,367
Total Claims
230,436
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRESCOTT, ELEANOR (DIRECTOR OF PROVIDER ENROLLMENT)
NPI Enumeration Date10/31/2008

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 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 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 18,018 $845K
2019 51,662 $3.23M
2020 31,687 $2.01M
2021 33,846 $2.50M
2022 39,161 $2.86M
2023 44,535 $3.82M
2024 30,458 $2.82M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 122,494 113,115 $7.97M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 72,382 66,995 $7.67M
99283 Emergency department visit for the evaluation and management, moderate severity 41,318 38,193 $1.61M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,687 3,520 $546K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,092 3,803 $116K
99223 Prolong inpt eval add15 m 405 395 $45K
99220 196 190 $22K
99217 454 443 $21K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,026 2,608 $15K
99238 Hospital discharge day management, 30 minutes or less 237 232 $12K
10061 71 69 $11K
12001 258 252 $10K
10060 75 72 $6K
99281 Emergency department visit for the evaluation and management, self-limited or minor 268 196 $4K
99233 Prolong inpt eval add15 m 58 28 $3K
12002 57 56 $3K
12011 52 49 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24 24 $2K
99236 Prolong inpt eval add15 m 14 14 $2K
99232 Subsequent hospital care, per day, moderate complexity 41 35 $2K
99239 Hospital discharge day management, more than 30 minutes 26 26 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 74 66 $1K
93308 45 42 $894.48
G2213 Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list separately in addition to code for primary procedure) 13 13 $740.32