Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Lynchburg › NPI 1679677983
Hospital

Centra Health INC

Centra Health INC was paid $18.47M by Medicaid between Jan 2018 and Dec 2024, across 217 billing codes. Its largest line is 96361, Intravenous infusion, hydration; each additional hour — 18% of everything it billed.

33Billing provider infoCENTRA HEALTH INC
LYNCHBURG, VA 24501
33aNPI1679677983assigned 09/08/2006
28Total paid$18.47M
24GClaims468,054
24DCodes billed217
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#35 of 80
Median peer was paid$14.69M
This provider vs. median1.3×

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.

Entity ProliferationAuthorized official ADDISON, LEWIS controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201836,638$615K
201987,087$1.98M
202094,307$3.95M
2021103,340$4.38M
202270,293$3.21M
202336,292$1.90M
2024incomplete40,097$2.43M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96361 Intravenous infusion, hydration; each additional hour 18% 10,031 7,676 $3.31M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 16,862 14,545 $2.67M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 17,548 14,732 $2.52M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 17,452 15,142 $2.45M
G0378 Hospital observation service, per hour 3.7% 3,012 2,468 $682K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.2% 3,028 2,730 $599K
70450 Computed tomography, head or brain; without contrast material 3.2% 3,300 2,934 $596K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.8% 1,833 1,645 $516K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.3% 3,067 2,711 $419K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.2% 3,939 2,982 $415K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2.2% 6,132 4,637 $409K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2.0% 2,905 2,468 $370K
205 more codes
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.8% 2,536 $330K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.6% 1,652 $295K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.5% 5,096 $282K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.2% 1,060 $228K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 1,436 $199K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 889 $170K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,868 $168K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,599 $165K
71275 Computed tomographic angiography, chest, with contrast material <1% 681 $158K
80053 Comprehensive metabolic panel <1% 31,241 $152K
99214 Doctor's office visit, returning patient (more involved) <1% 1,416 $132K
59025 Fetal non-stress test <1% 739 $125K
93971 <1% 870 $96K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 913 $84K
J2469 Injection, palonosetron hcl, 25 mcg <1% 500 $75K
93017 <1% 291 $63K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 660 $61K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 2,543 $52K
71046 Radiologic examination, chest; 2 views <1% 10,114 $42K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 11,318 $40K
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% 1,134 $38K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 512 $33K
83880 <1% 2,284 $27K
80048 Basic metabolic panel (calcium, ionized) <1% 5,527 $25K
80329 <1% 1,646 $23K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,500 $21K
70496 <1% 72 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 135 $20K
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% 994 $18K
93246 <1% 262 $18K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 746 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 28,413 $17K
84484 <1% 11,315 $14K
93000 <1% 6,635 $13K
87040 <1% 1,298 $13K
72125 Computed tomography, cervical spine; without contrast material <1% 963 $11K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 13 $11K
85380 <1% 1,534 $10K
74018 <1% 623 $10K
93325 <1% 247 $9K
90715 <1% 529 $9K
93320 <1% 29 $9K
70498 <1% 174 $9K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 40 $9K
80061 Lipid panel <1% 1,477 $9K
96367 <1% 1,512 $9K
76801 <1% 128 $8K
J3490 Unclassified drugs <1% 3,533 $8K
36415 Collection of venous blood by venipuncture <1% 14,445 $8K
84443 Thyroid stimulating hormone (TSH) <1% 5,383 $7K
97161 <1% 196 $7K
80047 <1% 1,374 $7K
85027 <1% 8,891 $6K
76641 <1% 56 $5K
71045 Radiologic examination, chest; single view <1% 2,350 $5K
0296T <1% 367 $5K
A0425 Ground mileage, per statute mile <1% 273 $5K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,968 $4K
80320 <1% 2,926 $4K
0002A <1% 110 $4K
82962 <1% 6,752 $3K
81001 <1% 18,705 $3K
0001A <1% 126 $3K
93242 <1% 35 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 5,789 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 1,628 $3K
72100 <1% 552 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 141 $3K
99203 Doctor's office visit, new patient (routine) <1% 38 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 559 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 763 $2K
99070 <1% 521 $2K
83605 <1% 3,056 $2K
85610 <1% 3,888 $2K
93970 <1% 15 $2K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 117 $2K
93296 <1% 93 $2K
73030 <1% 592 $2K
76770 <1% 12 $2K
77066 Tomosynthesis, mammo <1% 50 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,509 $2K
86900 <1% 1,166 $2K
83690 <1% 7,373 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 10,815 $2K
86850 <1% 684 $2K
83735 <1% 3,985 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 10,257 $1K
73610 <1% 581 $1K
87081 <1% 3,048 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 7,870 $1K
97116 <1% 19 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,638 $1K
73630 <1% 542 $1K
90686 <1% 58 $1K
73564 <1% 502 $920.91
86901 <1% 1,165 $886.35
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 87 $854.51
84702 <1% 1,187 $850.99
A0427 Emergency ambulance ride, advanced life support <1% 15 $818.48
82803 <1% 1,914 $788.86
86140 <1% 672 $749.39
73130 <1% 364 $748.50
96375 Therapeutic injection; each additional sequential IV push <1% 9,265 $737.41
84145 <1% 58 $683.02
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,563 $681.95
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,891 $680.67
82607 <1% 79 $665.44
10060 <1% 18 $655.36
85007 <1% 1,235 $639.88
82565 <1% 405 $609.71
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,374 $596.31
A0429 Emergency ambulance ride, basic life support <1% 15 $546.70
93976 <1% 131 $485.54
85014 <1% 1,385 $458.10
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 216 $451.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 4,242 $449.62
72070 <1% 14 $444.79
G0008 Administration of influenza virus vaccine <1% 49 $437.42
87186 <1% 1,589 $426.75
J2270 Injection, morphine sulfate, up to 10 mg <1% 3,663 $424.23
94664 <1% 324 $423.48
87077 <1% 590 $411.39
J7120 Ringers lactate infusion, up to 1000 cc <1% 3,505 $369.14
87210 <1% 1,186 $364.48
A0428 Ambulance service, basic life support, non-emergency transport, (bls) <1% 42 $329.76
84439 <1% 181 $324.33
83615 <1% 2,108 $319.78
85730 <1% 762 $289.17
81025 <1% 1,545 $287.37
J3010 Injection, fentanyl citrate, 0.1 mg <1% 2,464 $263.72
Q0162 Ondansetron 1 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% 1,380 $250.57
J1170 Injection, hydromorphone, up to 4 mg <1% 2,108 $207.89
85651 <1% 445 $193.89
J2060 Injection, lorazepam, 2 mg <1% 1,231 $192.98
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,561 $189.63
87807 <1% 677 $176.37
74022 <1% 75 $171.48
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,630 $159.39
87147 <1% 733 $158.64
82550 <1% 404 $148.92
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen <1% 998 $142.97
81015 <1% 159 $136.18
J2550 Injection, promethazine hcl, up to 50 mg <1% 920 $135.86
J7030 Infusion, normal saline solution , 1000 cc <1% 2,799 $133.52
J1815 Injection, insulin, per 5 units <1% 924 $133.09
87088 <1% 562 $112.12
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,100 $110.78
73110 <1% 85 $108.02
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 938 $99.43
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 43 $97.87
84703 <1% 108 $96.63
S0028 Injection, famotidine, 20 mg <1% 104 $91.48
73590 <1% 34 $89.86
J0690 Injection, cefazolin sodium, 500 mg <1% 736 $68.59
J3475 Injection, magnesium sulfate, per 500 mg <1% 490 $62.84
82947 <1% 77 $59.01
J1644 Injection, heparin sodium, per 1000 units <1% 442 $57.97
73502 <1% 47 $57.88
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 459 $55.50
81003 <1% 140 $54.71
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 418 $54.10
36600 <1% 14 $52.16
J0780 Injection, prochlorperazine, up to 10 mg <1% 356 $49.62
J7050 Infusion, normal saline solution, 250 cc <1% 431 $48.87
86803 <1% 27 $36.33
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 290 $33.37
84100 <1% 188 $33.06
84132 <1% 170 $26.59
80143 <1% 108 $26.58
87340 <1% 25 $26.09
86592 <1% 44 $26.09
J3480 Injection, potassium chloride, per 2 meq <1% 129 $23.88
J1790 Injection, droperidol, up to 5 mg <1% 164 $22.72
J1650 Injection, enoxaparin sodium, 10 mg <1% 346 $21.65
87184 <1% 104 $21.46
S0164 Injection, pantoprazole sodium, 40 mg <1% 90 $16.69
85652 <1% 16 $15.68
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% 94 $14.26
80179 <1% 108 $13.30
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 65 $11.86
82570 <1% 14 $10.84
87205 <1% 120 $8.71
87070 <1% 83 $8.70
J1630 Injection, haloperidol, up to 5 mg <1% 46 $6.25
C9113 Injection, pantoprazole sodium, per vial <1% 52 $5.29
96376 <1% 2,849 $1.66
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 0% 2,328 $0.00
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 0% 18 $0.00
J7510 Prednisolone oral, per 5 mg 0% 18 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 0% 231 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 46 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 0% 28 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 0% 27 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 0% 13 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 0% 15 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 17 $0.00
84295 0% 15 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 0% 13 $0.00
J2704 Injection, propofol, 10 mg 0% 1,340 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 0% 12 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 182 $0.00
82330 0% 16 $0.00
86762 0% 13 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 20 $0.00
G1011 Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program 0% 15 $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 officialADDISON, LEWIS (CFO)
Same official

Other billing entities under ADDISON, LEWIS

Full network →
ProviderLocationPaid
Centra Health INCLynchburg, VA$78.57M
Centra Medical Group, LLCLynchburg, VA$60.16M
Centra Health INCLynchburg, VA$5.20M
Centra Health INCLynchburg, VA$2.82M
Centra Health INCLynchburg, VA$2.35M
Centra Health INCLynchburg, VA$2.04M
Centra Health INCLynchburg, VA$1.59M
Centra Health INCLynchburg, VA$205K
Centra Health, INC.Lynchburg, VA$13K
Centra Medical Group, LLCLynchburg, VA$12K
Centra Health INCLynchburg, VA$7K
Centra Medical Group, LLCLynchburg, VA$0.00

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