Medicaid Provider Spending

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

CLINCH VALLEY MEDICAL CENTER INC.

NPI: 1871534297 · RICHLANDS, VA 24641 · General Acute Care Hospital · NPI assigned 06/09/2006

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

Authorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more

$26.28M
Total Medicaid Paid
877,299
Total Claims
696,964
Beneficiaries
338
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAWRENCE, CHARLOTTE (SECRETARY)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: LAWRENCE, CHARLOTTE

ProviderCityStateTotal Paid
LAKE CUMBERLAND REGIONAL HOSPITAL LLC SOMERSET KY $77.77M
DANVILLE REGIONAL MEDICAL CENTER, LLC DANVILLE VA $65.11M
PHC-LAS CRUCES INC LAS CRUCES NM $64.77M
GEORGETOWN COMMUNITY HOSPITAL LLC GEORGETOWN KY $44.03M
PINELAKE REGIONAL HOSPITAL LLC MAYFIELD KY $43.34M
RALEIGH GENERAL HOSPITAL LLC BECKLEY WV $36.44M
LOURDES HOSPITAL LLC PASCO WA $33.94M
RCHP-SIERRA VISTA INC SIERRA VISTA AZ $29.77M
SPRING VIEW HOSPITAL LLC LEBANON KY $23.35M
HAVASU REGIONAL MEDICAL CENTER LLC LAKE HAVASU CITY AZ $23.19M
LAS CRUCES PHYSICIAN PRACTICES, LLC LAS CRUCES NM $22.78M
MEADOWVIEW REGIONAL MEDICAL CENTER LLC MAYSVILLE KY $22.57M
LOURDES HOSPITAL LLC RICHLAND WA $22.38M
DANVILLE REGIONAL MEDICAL CENTER LLC MARTINSVILLE VA $21.09M
PHC-FORT MOHAVE INC FORT MOHAVE AZ $19.95M
WYTHE COUNTY COMMUNITY HOSPITAL LLC WYTHEVILLE VA $18.30M
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC JOHNSTOWN PA $18.22M
BOURBON COMMUNITY HOSPITAL LLC PARIS KY $18.14M
WILLAMETTE VALLEY MEDICAL CENTER LLC MCMINNVILLE OR $17.29M
LAKE CUMBERLAND REGIONAL HOSPITAL, LLC SOMERSET KY $15.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 110,496 $2.23M
2019 137,432 $3.63M
2020 115,910 $3.51M
2021 132,099 $3.86M
2022 129,718 $4.06M
2023 139,822 $4.91M
2024 111,822 $4.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 22,666 19,397 $3.27M
96361 Intravenous infusion, hydration; each additional hour 9,471 7,251 $2.13M
99283 Emergency department visit for the evaluation and management, moderate severity 14,778 12,881 $2.00M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,458 7,794 $1.33M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,517 4,931 $1.04M
41899 Unlisted procedure, dentoalveolar structures 590 553 $960K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,577 1,395 $864K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,961 2,695 $821K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,950 1,755 $771K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,007 4,806 $699K
70450 Computed tomography, head or brain; without contrast material 3,735 3,266 $640K
11043 2,725 1,437 $629K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,445 1,301 $570K
G0378 Hospital observation service, per hour 8,087 4,101 $511K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3,498 1,216 $476K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,046 1,435 $426K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,171 2,901 $411K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,142 1,876 $401K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,324 3,016 $398K
80053 Comprehensive metabolic panel 47,108 36,656 $346K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 9,710 2,663 $282K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 4,819 2,934 $241K
71275 Computed tomographic angiography, chest, with contrast material 1,252 1,097 $214K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 51,055 37,243 $212K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,962 1,594 $201K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,728 1,615 $190K
71250 2,472 2,181 $173K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,674 1,543 $170K
93017 1,884 1,684 $159K
97032 3,474 965 $152K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,667 1,488 $138K
84443 Thyroid stimulating hormone (TSH) 19,884 17,488 $136K
96367 2,662 1,465 $134K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 6,496 6,006 $132K
29581 1,083 366 $123K
80061 Lipid panel 13,345 12,199 $123K
95886 589 548 $118K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,997 6,183 $109K
74178 574 515 $109K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,623 1,264 $108K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 604 547 $104K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 17,666 13,762 $103K
77063 Screening digital breast tomosynthesis, bilateral 2,436 2,303 $97K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,882 1,611 $96K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 4,782 4,379 $95K
81001 21,467 17,757 $92K
80306 6,617 5,584 $88K
88305 Level IV - Surgical pathology, gross and microscopic examination 4,740 4,238 $87K
80048 Basic metabolic panel (calcium, ionized) 8,506 6,595 $87K
71046 Radiologic examination, chest; 2 views 5,044 4,424 $87K
93970 831 746 $85K
86803 1,889 1,778 $84K
86003 1,911 1,802 $78K
82607 4,021 3,691 $77K
77067 Screening mammography, bilateral, including computer-aided detection 3,195 3,012 $73K
82728 4,843 4,394 $73K
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 4,605 3,871 $72K
83036 Hemoglobin; glycosylated (A1C) 10,942 10,050 $70K
97161 438 419 $69K
87086 Culture, bacterial; quantitative colony count, urine 12,535 10,672 $67K
87522 Neg quan hep c or qual rna 1,812 1,684 $63K
80076 2,453 2,076 $61K
93971 725 635 $60K
J1453 Injection, fosaprepitant, 1 mg 795 454 $59K
36415 Collection of venous blood by venipuncture 44,888 32,267 $59K
96375 Therapeutic injection; each additional sequential IV push 13,371 8,157 $58K
78815 Positron emission tomography (PET) for limited area imaging 89 79 $57K
84439 5,868 5,377 $55K
76536 538 506 $54K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,707 693 $54K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,572 3,293 $53K
42820 Tonsillectomy and adenoidectomy; younger than age 12 28 25 $50K
83880 4,890 4,010 $49K
96523 783 667 $48K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 3,571 3,290 $45K
87040 5,156 3,718 $44K
83550 4,531 4,132 $43K
83655 2,591 2,494 $42K
73564 2,095 1,861 $40K
71260 Computed tomography, thorax, diagnostic; with contrast material 630 562 $39K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,062 937 $38K
72125 Computed tomography, cervical spine; without contrast material 1,051 960 $38K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 364 285 $38K
72110 1,313 1,201 $38K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 374 240 $35K
87902 407 358 $35K
87077 6,059 5,199 $34K
84702 2,480 2,060 $34K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 872 747 $32K
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 1,150 1,095 $31K
84145 5,023 4,144 $31K
73630 1,733 1,555 $31K
80074 1,478 1,369 $28K
93880 389 347 $27K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 96 90 $26K
71045 Radiologic examination, chest; single view 10,363 8,418 $26K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 43 38 $25K
73610 1,582 1,409 $25K
82785 1,638 1,563 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,457 7,579 $24K
73030 1,224 1,118 $23K
87186 5,838 4,879 $22K
94726 539 494 $22K
83540 4,637 4,226 $22K
74018 868 699 $21K
84484 11,235 7,580 $21K
94375 557 510 $20K
85379 4,758 4,098 $20K
78227 69 64 $20K
83735 10,827 7,873 $19K
77080 341 311 $19K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 456 438 $18K
80050 General health panel 43 43 $17K
94200 541 495 $17K
72131 242 222 $16K
73130 787 704 $16K
85610 10,631 8,448 $16K
82570 1,545 1,342 $15K
87070 3,149 2,696 $15K
85652 2,218 1,813 $14K
84402 983 887 $14K
J7050 Infusion, normal saline solution, 250 cc 12,689 8,351 $14K
73110 742 639 $14K
76642 104 93 $12K
97162 554 494 $12K
76641 91 87 $12K
84403 921 827 $12K
86038 558 500 $11K
95810 Polysomnography; sleep staging with 4 or more additional parameters 28 24 $11K
83605 6,909 5,555 $10K
94729 483 438 $10K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,592 1,404 $10K
84550 734 581 $10K
82043 2,483 2,226 $10K
83690 7,857 6,571 $10K
82962 10,917 5,836 $10K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 57 51 $10K
82150 3,180 2,765 $9K
82565 2,212 1,732 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,947 10,657 $9K
86738 1,240 1,081 $9K
J7030 Infusion, normal saline solution , 1000 cc 13,078 9,696 $9K
84153 977 870 $8K
90715 536 499 $8K
84100 3,679 2,796 $8K
82746 930 854 $8K
86140 1,895 1,645 $8K
84481 596 546 $8K
80081 505 485 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 790 739 $7K
84703 3,793 3,407 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 7,252 6,482 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 662 570 $7K
88342 1,282 1,178 $7K
83001 252 239 $7K
96415 27 15 $7K
82677 349 333 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70 54 $6K
84436 220 195 $6K
88304 573 526 $6K
J7120 Ringers lactate infusion, up to 1000 cc 7,302 6,477 $6K
87507 234 207 $6K
87205 3,034 2,575 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 66 64 $6K
78451 36 28 $6K
73502 348 311 $6K
82784 479 427 $6K
87631 216 205 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 790 726 $6K
76937 147 126 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 64 62 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 62 48 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 5,735 4,805 $5K
93225 139 129 $5K
95911 195 183 $5K
85027 379 353 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 8,940 7,631 $5K
82550 376 313 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,190 10,207 $5K
78226 13 12 $5K
J2704 Injection, propofol, 10 mg 7,606 6,931 $5K
J2785 Injection, regadenoson, 0.1 mg 1,078 963 $4K
85730 6,470 5,465 $4K
96368 580 355 $4K
81025 4,189 3,810 $4K
81596 62 54 $4K
10060 12 12 $4K
87505 89 85 $4K
86141 1,524 1,314 $3K
86336 347 331 $3K
82805 737 548 $3K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 121 109 $3K
29125 18 16 $3K
86850 900 774 $3K
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 358 345 $3K
76770 25 25 $3K
82947 318 304 $3K
82977 229 210 $3K
29799 15 15 $3K
87486 494 428 $3K
87481 148 127 $3K
86800 187 179 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,191 2,399 $3K
93226 139 129 $3K
87150 346 320 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 241 207 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 5,286 4,710 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,423 3,140 $2K
86901 1,461 1,244 $2K
93246 75 61 $2K
87529 165 142 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 9,801 8,664 $2K
84146 45 37 $2K
J2270 Injection, morphine sulfate, up to 10 mg 7,100 5,305 $2K
86431 470 429 $2K
87581 494 428 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 7,472 5,851 $2K
85014 256 226 $2K
83615 244 212 $2K
86900 1,470 1,252 $2K
88312 556 488 $2K
72050 46 42 $2K
84681 38 38 $2K
J3490 Unclassified drugs 270 184 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 70 58 $2K
96376 2,683 1,671 $2K
80171 180 161 $2K
85018 289 249 $2K
86317 67 63 $1K
76870 14 13 $1K
J1650 Injection, enoxaparin sodium, 10 mg 547 344 $1K
J1170 Injection, hydromorphone, up to 4 mg 3,300 2,554 $1K
93922 15 13 $1K
95912 14 13 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 108 93 $1K
74246 14 14 $1K
J0690 Injection, cefazolin sodium, 500 mg 2,248 1,946 $1K
82140 392 313 $1K
83516 32 30 $1K
87340 107 101 $1K
77066 Tomosynthesis, mammo 64 55 $1K
86592 122 112 $1K
83002 37 36 $1K
86235 27 27 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 26 24 $1K
86677 124 105 $1K
86225 71 67 $985.82
J2250 Injection, midazolam hydrochloride, per 1 mg 2,908 2,596 $912.50
36600 622 470 $897.23
86704 65 61 $867.31
73080 73 65 $849.97
86200 148 135 $769.33
87338 34 31 $737.87
J2805 Injection, sincalide, 5 micrograms 13 12 $721.83
87506 17 15 $720.22
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 56 50 $600.74
97035 33 12 $592.05
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 2,950 2,408 $571.80
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,763 2,517 $529.74
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries 248 237 $488.59
0002A 13 13 $484.24
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 3,014 2,732 $480.87
74248 12 12 $458.31
0001A 29 29 $451.70
J0330 Injection, succinylcholine chloride, up to 20 mg 964 898 $448.33
73590 58 53 $448.22
C9113 Injection, pantoprazole sodium, per vial 2,621 1,745 $440.22
S9470 Nutritional counseling, dietitian visit 104 99 $423.04
J1940 Injection, furosemide, up to 20 mg 930 668 $415.04
83010 70 67 $409.84
82105 30 27 $403.71
84450 114 109 $399.14
86708 16 16 $384.19
84460 126 121 $363.07
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,890 1,454 $358.70
G0379 Direct admission of patient for hospital observation care 62 49 $355.46
86665 27 25 $348.99
86376 37 37 $339.18
83525 31 28 $332.74
82172 37 36 $312.10
95913 46 42 $311.88
82248 44 39 $306.38
86231 55 54 $291.35
84478 66 63 $282.42
87177 41 39 $280.82
82652 25 25 $280.03
87807 663 628 $264.64
99152 249 208 $259.10
88300 108 100 $255.40
86364 76 68 $254.64
86258 76 68 $254.64
J1956 Injection, levofloxacin, 250 mg 470 344 $253.38
36591 13 12 $250.31
87329 41 39 $246.66
82247 76 69 $188.78
90686 14 12 $176.81
82465 38 37 $172.04
87045 29 26 $170.49
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 671 288 $166.80
A9270 Non-covered item or service 4,292 2,342 $149.35
96417 223 155 $130.86
88311 12 12 $125.06
J2765 Injection, metoclopramide hcl, up to 10 mg 1,537 1,297 $101.69
81003 34 33 $98.87
J2060 Injection, lorazepam, 2 mg 812 603 $89.43
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 205 61 $77.57
J0780 Injection, prochlorperazine, up to 10 mg 596 447 $72.97
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 689 632 $59.83
J1815 Injection, insulin, per 5 units 369 238 $53.84
87427 15 14 $45.22
82272 63 49 $43.66
84156 20 14 $36.71
86769 14 13 $35.59
J2370 Injection, phenylephrine hcl, up to 1 ml 307 280 $32.54
86308 12 12 $31.56
87081 17 16 $28.14
84520 30 12 $26.43
85049 17 14 $21.22
J2360 Injection, orphenadrine citrate, up to 60 mg 142 118 $18.42
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 539 503 $17.75
J8540 Dexamethasone, oral, 0.25 mg 44 39 $17.48
85045 12 12 $14.52
J3480 Injection, potassium chloride, per 2 meq 88 49 $14.24
99153 Mod sedat endo service >5yrs 12 12 $11.83
C1769 Guide wire 196 163 $11.74
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 133 109 $10.22
J1790 Injection, droperidol, up to 5 mg 295 269 $9.43
J1644 Injection, heparin sodium, per 1000 units 14 14 $9.05
J3475 Injection, magnesium sulfate, per 500 mg 222 186 $4.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 74 67 $2.42
J1630 Injection, haloperidol, up to 5 mg 13 13 $2.16
J7060 5% dextrose/water (500 ml = 1 unit) 35 24 $1.35
J1596 Injection, glycopyrrolate, 0.1 mg 163 149 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 93 82 $0.00
J1171 Injection, hydromorphone, 0.1 mg 90 74 $0.00
A9585 Injection, gadobutrol, 0.1 ml 16 13 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 91 70 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 16 13 $0.00