Medicaid Provider Spending

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

CARILION GILES COMMUNITY HOSPITAL

NPI: 1710504840 · MARTINSVILLE, VA 24112 · 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

$1.99M
Total Medicaid Paid
64,519
Total Claims
60,623
Beneficiaries
49
Codes Billed
2020-09
First Month
2024-12
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 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
2020 3,791 $95K
2021 14,027 $392K
2022 16,232 $548K
2023 16,762 $510K
2024 13,707 $444K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,457 16,133 $1.20M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,013 8,472 $481K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 485 471 $61K
80061 Lipid panel 3,765 3,569 $39K
83036 Hemoglobin; glycosylated (A1C) 3,214 3,039 $23K
80053 Comprehensive metabolic panel 3,133 3,012 $20K
36415 Collection of venous blood by venipuncture 11,052 10,361 $17K
84443 Thyroid stimulating hormone (TSH) 1,396 1,345 $15K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,768 2,576 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 136 134 $14K
90686 864 834 $14K
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) 1,338 1,268 $10K
93000 832 794 $8K
84439 1,248 1,178 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 103 97 $6K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 263 248 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 294 264 $5K
80048 Basic metabolic panel (calcium, ionized) 675 644 $5K
11721 215 211 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 635 603 $4K
82607 357 331 $4K
99406 439 392 $3K
80076 503 483 $3K
90677 14 12 $3K
99000 1,724 1,660 $2K
3078F 295 284 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 14 $1K
82044 293 281 $1K
82570 293 281 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 116 105 $1K
90656 72 72 $1K
85027 213 211 $1K
80050 General health panel 59 56 $997.83
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 152 133 $954.54
3074F 229 219 $876.51
3044F 117 112 $646.20
3075F 76 76 $625.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 26 26 $528.03
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $457.31
90734 12 12 $425.75
99441 14 14 $178.61
93227 12 12 $165.78
81003 95 92 $162.57
82728 12 12 $108.73
3079F 20 19 $100.90
84466 13 13 $92.99
83540 13 13 $58.73
J1100 Injection, dexamethasone sodium phosphate, 1 mg 41 39 $18.39
1159F 396 384 $0.00