Medicaid Provider Spending

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

CARILION EMERGENCY SERVICES INC

NPI: 1700839958 · ROANOKE, VA 24014 · Family Medicine Physician · NPI assigned 05/18/2006

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

Authorized official GRISETTI, NICOLE controls 20+ related entities in our dataset. Read more

$185K
Total Medicaid Paid
4,274
Total Claims
3,568
Beneficiaries
7
Codes Billed
2018-01
First Month
2022-01
Last Month

Provider Details

Authorized OfficialGRISETTI, NICOLE (DIRECTOR OF OPERATIONAL SUPPORT)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: GRISETTI, NICOLE

ProviderCityStateTotal Paid
CARILION NEW RIVER VALLEY MEDICAL CENTER CHRISTIANSBURG VA $32.42M
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $18.38M
CARILION MEDICAL CENTER ROANOKE VA $5.13M
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $3.73M
CARILION NEW RIVER VALLEY MEDICAL CENTER RADFORD VA $3.01M
CARILION NEW RIVER VALLEY MEDICAL CENTER CHRISTIANSBURG VA $446K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $375K
CARILION VELOCITYCARE BLACKSBURG VA $349K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $297K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BLUEFIELD VA $234K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BUENA VISTA VA $153K
CARILION MEDICAL CENTER ROANOKE VA $93K
CARILION MEDICAL CENTER ROANOKE VA $71K
CARILION MEDICAL CENTER ROANOKE VA $58K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $21K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $7K
CARILION FRANKLIN MEMORIAL HOSPITAL ROCKY MOUNT VA $4K
CARILION TAZEWELL COMMUNITY HOSPITAL TAZEWELL VA $379.73
CARILION NEW RIVER VALLEY MEDICAL CENTER RADFORD VA $154.45
CARILION HEALTHCARE CORPORATION ROANOKE VA $99.45

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,420 $67K
2019 2,599 $107K
2020 149 $5K
2021 93 $6K
2022 13 $789.06

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,319 2,018 $108K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 586 519 $41K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 430 373 $25K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 492 256 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 346 319 $4K
81003 78 69 $153.05
99051 23 14 $15.00