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

Fauquier Medical Center LLC

Fauquier Medical Center LLC was paid $12.86M by Medicaid between Jan 2018 and Dec 2024, across 160 billing codes. Its largest line is 99284, emergency room visit (serious) — 18% of everything it billed.

33Billing provider infoFAUQUIER MEDICAL CENTER LLC
WARRENTON, VA 20186
33aNPI1912334517assigned 09/27/2013
28Total paid$12.86M
24GClaims323,859
24DCodes billed160
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Virginia

Rank by total paid#44 of 80
Median peer was paid$14.69M
This provider vs. median0.9×

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$100K$200K$300K2018201920202021202220232024
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
201849,211$1.37M
201959,366$2.05M
202044,332$1.74M
202146,908$1.74M
202246,540$2.01M
202348,722$2.25M
2024incomplete28,780$1.70M
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 18% 13,894 11,405 $2.31M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 12,425 10,859 $2.18M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 6.5% 6,094 5,005 $836K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 5.3% 3,925 1,471 $680K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5.1% 12,704 3,816 $660K
96361 Intravenous infusion, hydration; each additional hour 5.1% 2,806 2,226 $655K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4.9% 11,316 3,785 $632K
99281 Emergency department visit for the evaluation and management, self-limited or minor 4.3% 3,595 3,293 $552K
74177 Computed tomography, abdomen and pelvis; with contrast material 4.2% 2,456 2,152 $542K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3.8% 3,340 2,968 $493K
70450 Computed tomography, head or brain; without contrast material 3.8% 2,913 2,405 $488K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3.1% 5,567 1,848 $394K
148 more codes
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3.1% 2,479 $394K
G0378 Hospital observation service, per hour 1.7% 1,700 $223K
0202U Oncology (prostate), multianalyte, gene expression profiling 1.5% 2,344 $197K
74176 Computed tomography, abdomen and pelvis; without contrast material 1.4% 816 $175K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 723 $116K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,958 $87K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 2,008 $83K
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% 3,475 $75K
59025 Fetal non-stress test <1% 404 $74K
71046 Radiologic examination, chest; 2 views <1% 3,079 $72K
80053 Comprehensive metabolic panel <1% 14,296 $57K
80048 Basic metabolic panel (calcium, ionized) <1% 9,691 $52K
77067 Screening mammography, bilateral, including computer-aided detection <1% 851 $52K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 95 $45K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 447 $44K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 1,686 $43K
G0237 Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) <1% 1,132 $42K
71275 Computed tomographic angiography, chest, with contrast material <1% 139 $41K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 157 $36K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 492 $36K
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% 1,877 $29K
97113 <1% 456 $27K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 7,969 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 146 $24K
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% 1,136 $24K
97162 <1% 149 $22K
72125 Computed tomography, cervical spine; without contrast material <1% 388 $17K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 7,841 $13K
97116 <1% 449 $13K
71045 Radiologic examination, chest; single view <1% 6,736 $12K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 46 $12K
77063 Screening digital breast tomosynthesis, bilateral <1% 662 $11K
83735 <1% 4,920 $10K
85027 <1% 15,992 $10K
84443 Thyroid stimulating hormone (TSH) <1% 1,721 $10K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,439 $10K
80061 Lipid panel <1% 1,414 $9K
G0238 Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) <1% 1,003 $9K
J3490 Unclassified drugs <1% 4,110 $9K
81001 <1% 10,930 $9K
76830 Ultrasound, transvaginal <1% 68 $8K
74018 <1% 306 $8K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 8,843 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 16 $8K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 7,637 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 60 $7K
73630 <1% 491 $6K
84484 <1% 5,083 $6K
84703 <1% 5,286 $6K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,014 $5K
93971 <1% 47 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 1,152 $5K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 3,554 $5K
73610 <1% 448 $5K
93000 <1% 2,308 $5K
73030 <1% 328 $5K
87040 <1% 749 $4K
85379 <1% 925 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 4,702 $4K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 66 $4K
83880 <1% 488 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 475 $3K
96375 Therapeutic injection; each additional sequential IV push <1% 4,709 $3K
76642 <1% 28 $3K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 12 $3K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 2,306 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,427 $2K
J0690 Injection, cefazolin sodium, 500 mg <1% 443 $2K
70551 Magnetic resonance imaging, brain; without contrast material <1% 14 $2K
76770 <1% 18 $2K
82962 <1% 5,998 $2K
88342 <1% 211 $2K
97010 <1% 105 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 116 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,668 $2K
80076 <1% 568 $2K
J1815 Injection, insulin, per 5 units <1% 95 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 4,203 $2K
87070 <1% 2,577 $2K
85610 <1% 3,755 $2K
73564 <1% 119 $2K
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% 839 $1K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 31 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 15 $1K
83605 <1% 1,030 $1K
73110 <1% 54 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 13 $1K
87186 <1% 1,656 $1K
73130 <1% 64 $1K
87400 <1% 193 $1K
85730 <1% 2,725 $968.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 5,050 $891.19
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 66 $707.23
92523 <1% 13 $611.84
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,349 $590.07
87077 <1% 1,074 $583.55
86850 <1% 382 $566.89
86900 <1% 835 $526.05
82607 <1% 96 $523.99
86901 <1% 836 $455.80
72110 <1% 13 $449.12
J1170 Injection, hydromorphone, up to 4 mg <1% 2,816 $393.67
83690 <1% 5,698 $386.14
84439 <1% 62 $359.34
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 4,603 $334.65
90715 <1% 12 $254.50
82746 <1% 43 $226.58
87205 <1% 655 $197.69
96376 <1% 2,091 $161.67
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,642 $142.54
J0780 Injection, prochlorperazine, up to 10 mg <1% 338 $132.24
84100 <1% 482 $128.33
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 1,429 $104.27
97168 <1% 17 $104.27
86140 <1% 101 $102.18
97164 <1% 22 $98.74
82728 <1% 13 $94.47
85652 <1% 130 $93.25
84702 <1% 103 $92.17
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,115 $76.64
J2704 Injection, propofol, 10 mg <1% 3,101 $70.67
97597 <1% 25 $68.38
J2060 Injection, lorazepam, 2 mg <1% 792 $63.75
87147 <1% 217 $34.17
82803 <1% 137 $25.90
87088 <1% 53 $18.99
J1644 Injection, heparin sodium, per 1000 units <1% 544 $17.85
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 94 $12.44
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 81 $5.91
82043 <1% 15 $5.15
82550 <1% 15 $2.91
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 16 $2.23
A9270 Non-covered item or service <1% 5,552 $0.40
A9577 Injection, gadobenate dimeglumine (multihance), per ml 0% 126 $0.00
36600 0% 17 $0.00
88312 0% 24 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 0% 15 $0.00
82375 0% 17 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 76 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 19 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 0% 20 $0.00
99152 0% 17 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 20 $0.00
C1769 Guide wire 0% 101 $0.00
87807 0% 205 $0.00
88304 0% 18 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 0% 15 $0.00
76801 0% 12 $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.