Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hospital

Centra Health INC

Centra Health INC was paid $205K by Medicaid between Jan 2018 and Oct 2024, across 36 billing codes. Its largest line is 59025, Fetal non-stress test — 68% of everything it billed.

33Billing provider infoCENTRA HEALTH INC
LYNCHBURG, VA 24503
33aNPI1760586077assigned 09/08/2006
28Total paid$205K
24GClaims8,962
24DCodes billed36
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#63 of 80
Median peer was paid$14.69M
This provider vs. median0.0×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,250$68K
2019933$3K
20201,221$36K
20211,470$42K
20221,404$22K
20231,549$17K
2024incomplete1,135$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59025 Fetal non-stress test 68% 623 454 $139K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 15% 355 266 $30K
76641 3.4% 39 38 $7K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.3% 22 12 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.0% 161 147 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.8% 19 16 $4K
G0378 Hospital observation service, per hour 1.3% 21 13 $3K
99070 1.1% 63 42 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.0% 56 42 $2K
77066 Tomosynthesis, mammo <1% 42 41 $2K
J3490 Unclassified drugs <1% 389 157 $1K
36415 Collection of venous blood by venipuncture <1% 1,154 820 $1K
24 more codes
80053 Comprehensive metabolic panel <1% 180 $1K
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% 41 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 28 $668.91
85027 <1% 153 $587.28
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 215 $329.49
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% 39 $292.06
80048 Basic metabolic panel (calcium, ionized) <1% 53 $273.65
J7120 Ringers lactate infusion, up to 1000 cc <1% 1,205 $143.76
J3010 Injection, fentanyl citrate, 0.1 mg <1% 614 $83.62
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 590 $82.67
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 645 $64.86
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 345 $63.79
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 403 $57.61
82247 <1% 24 $41.20
86900 <1% 17 $40.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 423 $37.12
86901 <1% 17 $20.16
82962 <1% 24 $15.68
83615 <1% 37 $10.00
J7050 Infusion, normal saline solution, 250 cc <1% 50 $9.66
81001 <1% 13 $6.52
J2704 Injection, propofol, 10 mg 0% 810 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 0% 65 $0.00
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 0% 27 $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$18.47M
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, 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.