Medicaid Provider Spending

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

CARILION ROCKBRIDGE COMMUNITY HOSPITAL

NPI: 1780076265 · LEXINGTON, VA 24450 · Rural Health Clinic/Center · NPI assigned 02/20/2015

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

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

$297K
Total Medicaid Paid
8,278
Total Claims
7,159
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRISETTI, NICOLE (DIRECTOR OF OPERATIONAL SUPPORT)
NPI Enumeration Date02/20/2015

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 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 809 $18K
2019 954 $32K
2020 893 $32K
2021 1,772 $74K
2022 1,466 $60K
2023 928 $29K
2024 1,456 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,303 2,957 $174K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,266 1,949 $100K
93000 958 907 $9K
99308 Subsequent nursing facility care, per day, straightforward 461 217 $5K
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) 452 406 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
99215 Prolong outpt/office vis 12 12 $1K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 118 66 $1K
36415 Collection of venous blood by venipuncture 502 452 $788.67
99442 15 14 $512.01
99441 17 13 $323.43
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $91.14
99000 122 115 $82.25
1159F 28 27 $0.00