Carilion Medical Center
Carilion Medical Center was paid $18.08M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
ROANOKE, VA 24014
Next to other General Acute Care Hospital providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 30,458 | $2.82M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 44% | 122,494 | 113,115 | $7.97M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 42% | 72,382 | 66,995 | $7.67M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.9% | 41,318 | 38,193 | $1.61M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.0% | 3,687 | 3,520 | $546K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 4,092 | 3,803 | $116K |
| 99223 | Prolong inpt eval add15 m | <1% | 405 | 395 | $45K |
| 99220 | <1% | 196 | 190 | $22K | |
| 99217 | <1% | 454 | 443 | $21K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,026 | 2,608 | $15K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 237 | 232 | $12K |
| 10061 | <1% | 71 | 69 | $11K | |
| 12001 | <1% | 258 | 252 | $10K |
12 more codes
| 10060 | <1% | 75 | $6K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 268 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 58 | $3K |
| 12002 | <1% | 57 | $3K | |
| 12011 | <1% | 52 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 24 | $2K |
| 99236 | Prolong inpt eval add15 m | <1% | 14 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 41 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 26 | $2K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 74 | $1K |
| 93308 | <1% | 45 | $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) | <1% | 13 | $740.32 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.