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

Clinch Valley Medical Center INC.

Clinch Valley Medical Center INC. was paid $26.28M by Medicaid between Jan 2018 and Dec 2024, across 338 billing codes. Its largest line is 99284, emergency room visit (serious) — 12% of everything it billed.

33Billing provider infoCLINCH VALLEY MEDICAL CENTER INC.
RICHLANDS, VA 24641
33aNPI1871534297assigned 06/09/2006
28Total paid$26.28M
24GClaims877,299
24DCodes billed338
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#27 of 80
Median peer was paid$14.69M
This provider vs. median1.8×

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 LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
2018110,496$2.23M
2019137,432$3.63M
2020115,910$3.51M
2021132,099$3.86M
2022129,718$4.06M
2023139,822$4.91M
2024incomplete111,822$4.07M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 22,666 19,397 $3.27M
96361 Intravenous infusion, hydration; each additional hour 8.1% 9,471 7,251 $2.13M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 7.6% 14,778 12,881 $2.00M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.1% 9,458 7,794 $1.33M
74177 Computed tomography, abdomen and pelvis; with contrast material 4.0% 5,517 4,931 $1.04M
41899 Unlisted procedure, dentoalveolar structures 3.7% 590 553 $960K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3.3% 1,577 1,395 $864K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.1% 2,961 2,695 $821K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2.9% 1,950 1,755 $771K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.7% 7,007 4,806 $699K
70450 Computed tomography, head or brain; without contrast material 2.4% 3,735 3,266 $640K
11043 2.4% 2,725 1,437 $629K
326 more codes
45380 Colonoscopy, flexible; with biopsy, single or multiple 2.2% 1,445 $570K
G0378 Hospital observation service, per hour 1.9% 8,087 $511K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1.8% 3,498 $476K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1.6% 2,046 $426K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1.6% 3,171 $411K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.5% 2,142 $401K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.5% 3,324 $398K
80053 Comprehensive metabolic panel 1.3% 47,108 $346K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.1% 9,710 $282K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 4,819 $241K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,252 $214K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 51,055 $212K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,962 $201K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,728 $190K
71250 <1% 2,472 $173K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,674 $170K
93017 <1% 1,884 $159K
97032 <1% 3,474 $152K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 1,667 $138K
84443 Thyroid stimulating hormone (TSH) <1% 19,884 $136K
96367 <1% 2,662 $134K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 6,496 $132K
29581 <1% 1,083 $123K
80061 Lipid panel <1% 13,345 $123K
95886 <1% 589 $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 <1% 6,997 $109K
74178 <1% 574 $109K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 2,623 $108K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 604 $104K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 17,666 $103K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,436 $97K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 2,882 $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 <1% 4,782 $95K
81001 <1% 21,467 $92K
80306 <1% 6,617 $88K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 4,740 $87K
80048 Basic metabolic panel (calcium, ionized) <1% 8,506 $87K
71046 Radiologic examination, chest; 2 views <1% 5,044 $87K
93970 <1% 831 $85K
86803 <1% 1,889 $84K
86003 <1% 1,911 $78K
82607 <1% 4,021 $77K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,195 $73K
82728 <1% 4,843 $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 <1% 4,605 $72K
83036 Hemoglobin; glycosylated (A1C) <1% 10,942 $70K
97161 <1% 438 $69K
87086 Culture, bacterial; quantitative colony count, urine <1% 12,535 $67K
87522 Neg quan hep c or qual rna <1% 1,812 $63K
80076 <1% 2,453 $61K
93971 <1% 725 $60K
J1453 Injection, fosaprepitant, 1 mg <1% 795 $59K
36415 Collection of venous blood by venipuncture <1% 44,888 $59K
96375 Therapeutic injection; each additional sequential IV push <1% 13,371 $58K
78815 Positron emission tomography (PET) for limited area imaging <1% 89 $57K
84439 <1% 5,868 $55K
76536 <1% 538 $54K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,707 $54K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,572 $53K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 28 $50K
83880 <1% 4,890 $49K
96523 <1% 783 $48K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,571 $45K
87040 <1% 5,156 $44K
83550 <1% 4,531 $43K
83655 <1% 2,591 $42K
73564 <1% 2,095 $40K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 630 $39K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,062 $38K
72125 Computed tomography, cervical spine; without contrast material <1% 1,051 $38K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 364 $38K
72110 <1% 1,313 $38K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 374 $35K
87902 <1% 407 $35K
87077 <1% 6,059 $34K
84702 <1% 2,480 $34K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 872 $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% 1,150 $31K
84145 <1% 5,023 $31K
73630 <1% 1,733 $31K
80074 <1% 1,478 $28K
93880 <1% 389 $27K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 96 $26K
71045 Radiologic examination, chest; single view <1% 10,363 $26K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 43 $25K
73610 <1% 1,582 $25K
82785 <1% 1,638 $24K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 9,457 $24K
73030 <1% 1,224 $23K
87186 <1% 5,838 $22K
94726 <1% 539 $22K
83540 <1% 4,637 $22K
74018 <1% 868 $21K
84484 <1% 11,235 $21K
94375 <1% 557 $20K
85379 <1% 4,758 $20K
78227 <1% 69 $20K
83735 <1% 10,827 $19K
77080 <1% 341 $19K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 456 $18K
80050 General health panel <1% 43 $17K
94200 <1% 541 $17K
72131 <1% 242 $16K
73130 <1% 787 $16K
85610 <1% 10,631 $16K
82570 <1% 1,545 $15K
87070 <1% 3,149 $15K
85652 <1% 2,218 $14K
84402 <1% 983 $14K
J7050 Infusion, normal saline solution, 250 cc <1% 12,689 $14K
73110 <1% 742 $14K
76642 <1% 104 $12K
97162 <1% 554 $12K
76641 <1% 91 $12K
84403 <1% 921 $12K
86038 <1% 558 $11K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 28 $11K
83605 <1% 6,909 $10K
94729 <1% 483 $10K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 1,592 $10K
84550 <1% 734 $10K
82043 <1% 2,483 $10K
83690 <1% 7,857 $10K
82962 <1% 10,917 $10K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 57 $10K
82150 <1% 3,180 $9K
82565 <1% 2,212 $9K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 12,947 $9K
86738 <1% 1,240 $9K
J7030 Infusion, normal saline solution , 1000 cc <1% 13,078 $9K
84153 <1% 977 $8K
90715 <1% 536 $8K
84100 <1% 3,679 $8K
82746 <1% 930 $8K
86140 <1% 1,895 $8K
84481 <1% 596 $8K
80081 <1% 505 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 790 $7K
84703 <1% 3,793 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 7,252 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 662 $7K
88342 <1% 1,282 $7K
83001 <1% 252 $7K
96415 <1% 27 $7K
82677 <1% 349 $7K
99213 Doctor's office visit, returning patient (routine) <1% 70 $6K
84436 <1% 220 $6K
88304 <1% 573 $6K
J7120 Ringers lactate infusion, up to 1000 cc <1% 7,302 $6K
87507 <1% 234 $6K
87205 <1% 3,034 $6K
99204 Doctor's office visit, new patient (more involved) <1% 66 $6K
78451 <1% 36 $6K
73502 <1% 348 $6K
82784 <1% 479 $6K
87631 <1% 216 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 790 $6K
76937 <1% 147 $5K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 64 $5K
99214 Doctor's office visit, returning patient (more involved) <1% 62 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 5,735 $5K
93225 <1% 139 $5K
95911 <1% 195 $5K
85027 <1% 379 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 8,940 $5K
82550 <1% 376 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 13,190 $5K
78226 <1% 13 $5K
J2704 Injection, propofol, 10 mg <1% 7,606 $5K
J2785 Injection, regadenoson, 0.1 mg <1% 1,078 $4K
85730 <1% 6,470 $4K
96368 <1% 580 $4K
81025 <1% 4,189 $4K
81596 <1% 62 $4K
10060 <1% 12 $4K
87505 <1% 89 $4K
86141 <1% 1,524 $3K
86336 <1% 347 $3K
82805 <1% 737 $3K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 121 $3K
29125 <1% 18 $3K
86850 <1% 900 $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 <1% 358 $3K
76770 <1% 25 $3K
82947 <1% 318 $3K
82977 <1% 229 $3K
29799 <1% 15 $3K
87486 <1% 494 $3K
87481 <1% 148 $3K
86800 <1% 187 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,191 $3K
93226 <1% 139 $3K
87150 <1% 346 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 241 $3K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 5,286 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,423 $2K
86901 <1% 1,461 $2K
93246 <1% 75 $2K
87529 <1% 165 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 9,801 $2K
84146 <1% 45 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 7,100 $2K
86431 <1% 470 $2K
87581 <1% 494 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 7,472 $2K
85014 <1% 256 $2K
83615 <1% 244 $2K
86900 <1% 1,470 $2K
88312 <1% 556 $2K
72050 <1% 46 $2K
84681 <1% 38 $2K
J3490 Unclassified drugs <1% 270 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 70 $2K
96376 <1% 2,683 $2K
80171 <1% 180 $2K
85018 <1% 289 $2K
86317 <1% 67 $1K
76870 <1% 14 $1K
J1650 Injection, enoxaparin sodium, 10 mg <1% 547 $1K
J1170 Injection, hydromorphone, up to 4 mg <1% 3,300 $1K
93922 <1% 15 $1K
95912 <1% 14 $1K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 108 $1K
74246 <1% 14 $1K
J0690 Injection, cefazolin sodium, 500 mg <1% 2,248 $1K
82140 <1% 392 $1K
83516 <1% 32 $1K
87340 <1% 107 $1K
77066 Tomosynthesis, mammo <1% 64 $1K
86592 <1% 122 $1K
83002 <1% 37 $1K
86235 <1% 27 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 26 $1K
86677 <1% 124 $1K
86225 <1% 71 $985.82
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,908 $912.50
36600 <1% 622 $897.23
86704 <1% 65 $867.31
73080 <1% 73 $849.97
86200 <1% 148 $769.33
87338 <1% 34 $737.87
J2805 Injection, sincalide, 5 micrograms <1% 13 $721.83
87506 <1% 17 $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 <1% 56 $600.74
97035 <1% 33 $592.05
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 2,950 $571.80
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,763 $529.74
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries <1% 248 $488.59
0002A <1% 13 $484.24
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 3,014 $480.87
74248 <1% 12 $458.31
0001A <1% 29 $451.70
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 964 $448.33
73590 <1% 58 $448.22
C9113 Injection, pantoprazole sodium, per vial <1% 2,621 $440.22
S9470 Nutritional counseling, dietitian visit <1% 104 $423.04
J1940 Injection, furosemide, up to 20 mg <1% 930 $415.04
83010 <1% 70 $409.84
82105 <1% 30 $403.71
84450 <1% 114 $399.14
86708 <1% 16 $384.19
84460 <1% 126 $363.07
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,890 $358.70
G0379 Direct admission of patient for hospital observation care <1% 62 $355.46
86665 <1% 27 $348.99
86376 <1% 37 $339.18
83525 <1% 31 $332.74
82172 <1% 37 $312.10
95913 <1% 46 $311.88
82248 <1% 44 $306.38
86231 <1% 55 $291.35
84478 <1% 66 $282.42
87177 <1% 41 $280.82
82652 <1% 25 $280.03
87807 <1% 663 $264.64
99152 <1% 249 $259.10
88300 <1% 108 $255.40
86364 <1% 76 $254.64
86258 <1% 76 $254.64
J1956 Injection, levofloxacin, 250 mg <1% 470 $253.38
36591 <1% 13 $250.31
87329 <1% 41 $246.66
82247 <1% 76 $188.78
90686 <1% 14 $176.81
82465 <1% 38 $172.04
87045 <1% 29 $170.49
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg <1% 671 $166.80
A9270 Non-covered item or service <1% 4,292 $149.35
96417 <1% 223 $130.86
88311 <1% 12 $125.06
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 1,537 $101.69
81003 <1% 34 $98.87
J2060 Injection, lorazepam, 2 mg <1% 812 $89.43
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 205 $77.57
J0780 Injection, prochlorperazine, up to 10 mg <1% 596 $72.97
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 689 $59.83
J1815 Injection, insulin, per 5 units <1% 369 $53.84
87427 <1% 15 $45.22
82272 <1% 63 $43.66
84156 <1% 20 $36.71
86769 <1% 14 $35.59
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 307 $32.54
86308 <1% 12 $31.56
87081 <1% 17 $28.14
84520 <1% 30 $26.43
85049 <1% 17 $21.22
J2360 Injection, orphenadrine citrate, up to 60 mg <1% 142 $18.42
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 539 $17.75
J8540 Dexamethasone, oral, 0.25 mg <1% 44 $17.48
85045 <1% 12 $14.52
J3480 Injection, potassium chloride, per 2 meq <1% 88 $14.24
99153 Mod sedat endo service >5yrs <1% 12 $11.83
C1769 Guide wire <1% 196 $11.74
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 133 $10.22
J1790 Injection, droperidol, up to 5 mg <1% 295 $9.43
J1644 Injection, heparin sodium, per 1000 units <1% 14 $9.05
J3475 Injection, magnesium sulfate, per 500 mg <1% 222 $4.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 74 $2.42
J1630 Injection, haloperidol, up to 5 mg <1% 13 $2.16
J7060 5% dextrose/water (500 ml = 1 unit) <1% 35 $1.35
J1596 Injection, glycopyrrolate, 0.1 mg 0% 163 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 93 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 90 $0.00
A9585 Injection, gadobutrol, 0.1 ml 0% 16 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 91 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 16 $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.