Clinic
Carilion Giles Community Hospital
Carilion Giles Community Hospital was paid $2.40M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoCARILION GILES COMMUNITY HOSPITAL
PEARISBURG, VA 24134
PEARISBURG, VA 24134
33aNPI1952791600assigned 02/03/2015
33bProvider typeRural Health Clinic/Center
28Total paid$2.40M
24GClaims52,152
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Virginia
Rank by total paid#3 of 66
Median peer was paid$195K
This provider vs. median12×
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 PRESCOTT, ELEANOR controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | 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 | |
| 2024incomplete | 4,821 | $266K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 47% | 20,518 | 18,001 | $1.12M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 46% | 15,860 | 14,440 | $1.11M |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 190 | 183 | $24K |
| 90686 | <1% | 1,296 | 1,258 | $20K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 117 | 112 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 986 | 470 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,762 | 5,292 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 125 | 116 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 121 | 112 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 833 | 803 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 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 | <1% | 321 | 283 | $7K |
31 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 488 | $6K |
| 99441 | <1% | 294 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 858 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 198 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 128 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 53 | $4K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 178 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 25 | $2K |
| 87428 | <1% | 30 | $2K | |
| 99442 | <1% | 59 | $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) | <1% | 170 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 28 | $1K |
| 80061 | Lipid panel | <1% | 593 | $979.08 |
| 90656 | <1% | 46 | $935.33 | |
| 90734 | <1% | 32 | $636.70 | |
| 3074F | <1% | 206 | $625.30 | |
| 0001A | <1% | 14 | $584.00 | |
| 3078F | <1% | 208 | $575.60 | |
| 90715 | <1% | 25 | $508.17 | |
| 80053 | Comprehensive metabolic panel | <1% | 641 | $504.78 |
| 90651 | <1% | 20 | $478.07 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | $437.56 |
| 90633 | <1% | 24 | $313.83 | |
| 81003 | <1% | 99 | $232.07 | |
| 3075F | <1% | 25 | $150.60 | |
| 3079F | <1% | 19 | $100.30 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 25 | $13.85 |
| 84439 | <1% | 56 | $9.92 | |
| 91300 | <1% | 15 | $0.10 | |
| 1159F | 0% | 353 | $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 officialPRESCOTT, ELEANOR (GOVERNMENT PROGRAM MANAGER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.