Medicaid Provider Spending

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

CARILION GILES COMMUNITY HOSPITAL

NPI: 1699393736 · WYTHEVILLE, VA 24382 · 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

$880K
Total Medicaid Paid
21,343
Total Claims
19,889
Beneficiaries
25
Codes Billed
2020-09
First Month
2024-11
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 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
2020 1,502 $44K
2021 4,066 $154K
2022 4,259 $196K
2023 4,729 $226K
2024 6,787 $261K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,332 5,936 $449K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,360 6,696 $390K
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) 1,274 1,210 $11K
36415 Collection of venous blood by venipuncture 3,767 3,523 $7K
90686 350 344 $5K
80053 Comprehensive metabolic panel 518 504 $4K
83036 Hemoglobin; glycosylated (A1C) 412 398 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 33 24 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 68 67 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 304 295 $2K
87428 42 42 $1K
90656 68 68 $1K
80061 Lipid panel 66 66 $643.97
3078F 139 135 $475.00
3074F 110 108 $375.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 65 56 $312.44
3075F 50 49 $300.00
3079F 35 34 $200.00
3044F 60 58 $195.30
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 13 12 $179.44
3077F 32 31 $150.00
3080F 13 13 $125.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 15 12 $105.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 14 13 $74.18
1159F 203 195 $0.00