Medicaid Provider Spending

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

CARILION GILES COMMUNITY HOSPITAL

NPI: 1952791600 · PEARISBURG, VA 24134 · Rural Health Clinic/Center · NPI assigned 02/03/2015

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

Authorized official PRESCOTT, ELEANOR controls 20+ related entities in our dataset. Read more

$2.40M
Total Medicaid Paid
52,152
Total Claims
46,752
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRESCOTT, ELEANOR (GOVERNMENT PROGRAM MANAGER)
NPI Enumeration Date02/03/2015

Related Entities

Other providers sharing the same authorized official: PRESCOTT, ELEANOR

ProviderCityStateTotal Paid
CARILION MEDICAL CENTER ROANOKE VA $124.86M
CARILION MEDICAL CENTER ROANOKE VA $73.43M
CARILION HEALTHCARE CORPORATION ROANOKE VA $26.07M
CARILION MEDICAL CENTER ROANOKE VA $18.08M
CARILION ROCKBRIDGE COMMUNITY HOSPITAL LEXINGTON VA $11.82M
CARILION EMERGENCY SERVICES, INC. ROANOKE VA $11.09M
CARILION GILES COMMUNITY HOSPITAL PEARISBURG VA $10.32M
CARILION TAZEWELL COMMUNITY HOSPITAL TAZEWELL VA $8.03M
CARILION MEDICAL CENTER ROANOKE VA $7.31M
CARILION GILES COMMUNITY HOSPITAL MARTINSVILLE VA $1.99M
CARILION GILES COMMUNITY HOSPITAL GALAX VA $1.67M
CARILION GILES COMMUNITY HOSPITAL ROCKY MOUNT VA $1.14M
CARILION GILES COMMUNITY HOSPITAL WYTHEVILLE VA $880K
CARILION GILES COMMUNITY HOSPITAL FLOYD VA $697K
CARILION TAZEWELL COMMUNITY HOSPITAL TAZEWELL VA $677K
CARILION GILES COMMUNITY HOSPITAL TAZEWELL VA $379K
CARILION GILES COMMUNITY HOSPITAL HILLSVILLE VA $354K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BUCHANAN VA $322K
CARILION GILES COMMUNITY HOSPITAL PEARISBURG VA $254K
CARILION ROCKBRIDGE COMMUNITY HOSPITAL BEDFORD VA $241K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,835 $104K
2019 5,853 $248K
2020 6,577 $275K
2021 10,162 $469K
2022 10,554 $510K
2023 11,350 $526K
2024 4,821 $266K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,518 18,001 $1.12M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,860 14,440 $1.11M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 190 183 $24K
90686 1,296 1,258 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 117 112 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 986 470 $12K
36415 Collection of venous blood by venipuncture 5,762 5,292 $12K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 125 116 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 121 112 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 833 803 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,065 984 $8K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 321 283 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 488 455 $6K
99441 294 267 $6K
83036 Hemoglobin; glycosylated (A1C) 858 808 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 198 189 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 128 125 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 53 52 $4K
84443 Thyroid stimulating hormone (TSH) 178 174 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 25 25 $2K
87428 30 30 $2K
99442 59 54 $2K
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) 170 153 $1K
99215 Prolong outpt/office vis 13 13 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 28 28 $1K
80061 Lipid panel 593 555 $979.08
90656 46 45 $935.33
90734 32 32 $636.70
3074F 206 204 $625.30
0001A 14 14 $584.00
3078F 208 204 $575.60
90715 25 25 $508.17
80053 Comprehensive metabolic panel 641 598 $504.78
90651 20 20 $478.07
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 35 29 $437.56
90633 24 24 $313.83
81003 99 95 $232.07
3075F 25 24 $150.60
3079F 19 18 $100.30
80048 Basic metabolic panel (calcium, ionized) 25 25 $13.85
84439 56 56 $9.92
91300 15 15 $0.10
1159F 353 342 $0.00