Medicaid Provider Spending

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

CARILION FRANKLIN MEMORIAL HOSPITAL

NPI: 1710970918 · ROCKY MOUNT, VA 24151 · General Acute Care Hospital · NPI assigned 08/24/2005

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

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

$18.38M
Total Medicaid Paid
434,132
Total Claims
341,300
Beneficiaries
194
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRISETTI, NICOLE (DIRECTOR OF OPERATIONAL SUPPORT)
NPI Enumeration Date08/24/2005

Related Entities

Other providers sharing the same authorized official: GRISETTI, NICOLE

ProviderCityStateTotal Paid
CARILION NEW RIVER VALLEY MEDICAL CENTER CHRISTIANSBURG VA $32.42M
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 EMERGENCY SERVICES INC ROANOKE VA $185K
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 38,931 $1.18M
2019 61,658 $2.18M
2020 53,438 $2.06M
2021 66,553 $2.52M
2022 70,099 $3.13M
2023 80,053 $3.85M
2024 63,400 $3.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 20,450 18,340 $3.58M
99284 Emergency department visit for the evaluation and management, high severity 16,828 14,586 $3.02M
96361 Intravenous infusion, hydration; each additional hour 8,256 6,990 $2.38M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,563 9,168 $2.00M
99282 Emergency department visit for the evaluation and management, low to moderate severity 6,462 5,942 $1.04M
74177 Computed tomography, abdomen and pelvis; with contrast material 4,299 3,959 $965K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 12,596 3,443 $675K
70450 Computed tomography, head or brain; without contrast material 3,324 3,000 $537K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 6,307 5,816 $422K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,223 2,027 $334K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,497 1,371 $286K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,143 1,003 $282K
71275 Computed tomographic angiography, chest, with contrast material 1,239 1,168 $255K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,005 1,899 $212K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,040 2,582 $205K
76830 Ultrasound, transvaginal 1,331 1,264 $150K
97162 877 841 $137K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,820 1,581 $124K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 552 527 $123K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 461 442 $118K
77067 Screening mammography, bilateral, including computer-aided detection 1,962 1,910 $108K
99281 Emergency department visit for the evaluation and management, self-limited or minor 701 601 $107K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,702 2,379 $105K
97161 812 759 $78K
80053 Comprehensive metabolic panel 19,169 15,929 $71K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 628 586 $67K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 285 270 $62K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 141 133 $57K
71046 Radiologic examination, chest; 2 views 5,082 4,666 $51K
93971 500 457 $49K
99220 1,041 324 $45K
71260 Computed tomography, thorax, diagnostic; with contrast material 709 665 $38K
73630 1,891 1,667 $36K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 304 294 $35K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,694 11,711 $34K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 42 42 $32K
80048 Basic metabolic panel (calcium, ionized) 7,107 5,765 $31K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 13,360 11,111 $29K
76536 225 219 $25K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 537 288 $22K
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 1,989 1,653 $22K
74018 1,066 983 $20K
94060 223 217 $20K
72125 Computed tomography, cervical spine; without contrast material 1,092 1,000 $18K
70496 58 58 $17K
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 963 869 $16K
73610 1,270 1,168 $16K
71045 Radiologic examination, chest; single view 7,325 6,314 $16K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 43 40 $15K
83880 2,010 1,791 $15K
72100 778 727 $15K
71250 214 201 $14K
10060 63 55 $14K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,790 2,203 $14K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 192 174 $12K
84484 9,375 6,962 $11K
J8597 Antiemetic drug, oral, not otherwise specified 1,834 1,605 $11K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 725 659 $11K
87040 1,618 1,183 $9K
80047 2,230 2,041 $7K
73030 669 602 $7K
96375 Therapeutic injection; each additional sequential IV push 10,595 8,261 $7K
73564 963 804 $7K
94726 152 148 $7K
70551 Magnetic resonance imaging, brain; without contrast material 42 41 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 748 702 $7K
94729 174 169 $7K
73130 719 646 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 28 27 $7K
J3490 Unclassified drugs 22,855 12,534 $6K
72141 25 24 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 25,322 20,027 $6K
90715 270 257 $5K
12001 25 24 $5K
82565 1,202 1,122 $5K
97014 123 56 $4K
70491 12 12 $4K
70498 97 97 $4K
85610 2,481 1,839 $3K
83605 2,669 2,230 $3K
99234 372 92 $3K
85379 890 823 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,282 2,628 $3K
71271 27 27 $3K
36415 Collection of venous blood by venipuncture 5,736 4,130 $2K
81025 3,908 3,563 $2K
97163 12 12 $2K
82962 4,552 2,568 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 416 363 $2K
84703 3,338 3,052 $2K
81001 9,378 8,260 $1K
73110 258 236 $1K
87086 Culture, bacterial; quantitative colony count, urine 3,303 2,993 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 745 700 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 8,789 7,165 $1K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 13 13 $1K
83036 Hemoglobin; glycosylated (A1C) 207 184 $940.30
70486 12 12 $828.09
83690 6,100 5,205 $777.67
80076 347 321 $739.41
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 33 32 $713.41
J7030 Infusion, normal saline solution , 1000 cc 6,085 4,703 $691.37
88305 Level IV - Surgical pathology, gross and microscopic examination 936 687 $603.78
83735 4,348 3,617 $548.14
84702 579 468 $544.69
85014 2,330 2,124 $531.69
80306 357 326 $490.64
J7120 Ringers lactate infusion, up to 1000 cc 3,203 2,698 $469.57
80179 74 65 $466.28
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,619 1,566 $464.74
72131 12 12 $434.26
J1885 Injection, ketorolac tromethamine, per 15 mg 5,607 4,832 $420.19
73590 76 68 $401.96
J3010 Injection, fentanyl citrate, 0.1 mg 5,757 4,362 $398.15
80143 106 93 $394.23
85027 155 129 $389.61
82803 445 403 $388.78
96376 4,048 2,706 $381.59
86900 427 373 $365.15
73502 56 51 $363.43
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,332 1,129 $358.86
J2704 Injection, propofol, 10 mg 3,634 3,020 $358.81
81003 3,568 3,240 $356.60
87186 1,515 1,307 $325.65
77063 Screening digital breast tomosynthesis, bilateral 13 13 $321.79
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 7,553 6,882 $243.86
87210 401 375 $207.33
36416 201 142 $200.81
86850 304 258 $193.93
74022 42 38 $189.30
J2270 Injection, morphine sulfate, up to 10 mg 3,049 2,216 $189.02
87077 1,028 867 $177.09
86140 1,046 938 $164.05
84443 Thyroid stimulating hormone (TSH) 168 155 $155.34
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,353 1,755 $148.72
86901 540 471 $138.71
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 13 13 $136.97
J1650 Injection, enoxaparin sodium, 10 mg 390 173 $132.82
87081 1,304 1,263 $129.63
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 413 364 $124.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,393 2,158 $119.09
73140 12 12 $111.91
J0696 Injection, ceftriaxone sodium, per 250 mg 1,985 1,532 $103.98
85652 1,033 935 $91.72
85730 501 452 $66.03
J7050 Infusion, normal saline solution, 250 cc 1,373 828 $64.95
J2250 Injection, midazolam hydrochloride, per 1 mg 907 772 $57.33
J1170 Injection, hydromorphone, up to 4 mg 1,333 741 $52.16
J8499 Prescription drug, oral, non chemotherapeutic, nos 15,437 3,962 $44.08
G0378 Hospital observation service, per hour 35 29 $43.82
82550 201 181 $43.08
J2060 Injection, lorazepam, 2 mg 356 257 $41.06
J2550 Injection, promethazine hcl, up to 50 mg 344 266 $39.29
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 108 107 $37.88
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 254 210 $35.16
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 475 382 $33.87
J3475 Injection, magnesium sulfate, per 500 mg 929 794 $27.42
A9585 Injection, gadobutrol, 0.1 ml 93 87 $23.10
J2765 Injection, metoclopramide hcl, up to 10 mg 586 486 $20.24
J1790 Injection, droperidol, up to 5 mg 765 656 $20.04
J0780 Injection, prochlorperazine, up to 10 mg 394 353 $18.60
S0164 Injection, pantoprazole sodium, 40 mg 110 85 $9.53
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 46 43 $9.49
J1815 Injection, insulin, per 5 units 36 24 $3.00
Q0169 Promethazine hydrochloride, 12.5 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 13 12 $2.44
J1630 Injection, haloperidol, up to 5 mg 14 12 $2.43
J3411 Injection, thiamine hcl, 100 mg 21 12 $1.78
S0028 Injection, famotidine, 20 mg 215 202 $1.78
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 232 213 $1.68
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 627 588 $0.00
94644 57 54 $0.00
J3535 Drug administered through a metered dose inhaler 167 144 $0.00
J7999 Compounded drug, not otherwise classified 450 344 $0.00
J0690 Injection, cefazolin sodium, 500 mg 360 298 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 29 25 $0.00
84132 28 25 $0.00
87807 29 28 $0.00
J1836 Injection, metronidazole, 10 mg 22 12 $0.00
A9270 Non-covered item or service 16 12 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 54 51 $0.00
J3480 Injection, potassium chloride, per 2 meq 48 38 $0.00
96368 27 26 $0.00
87088 20 18 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,432 1,882 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 17 12 $0.00
J3370 Injection, vancomycin hcl, 500 mg 73 56 $0.00
94664 92 79 $0.00
A4649 Surgical supply; miscellaneous 209 151 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 22 13 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 93 60 $0.00
82272 14 12 $0.00
96367 14 13 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 16 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 16 13 $0.00