Medicaid Provider Spending

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

SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC

NPI: 1114157054 · DULLES, VA 20166 · Surgery Physician · NPI assigned 07/24/2009

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

Authorized official BERGAMO, SUZANNE controls 19+ related entities in our dataset. Read more

$49K
Total Medicaid Paid
991
Total Claims
853
Beneficiaries
5
Codes Billed
2018-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBERGAMO, SUZANNE (VP)
NPI Enumeration Date07/24/2009

Related Entities

Other providers sharing the same authorized official: BERGAMO, SUZANNE

ProviderCityStateTotal Paid
LEWIS GALE PHYSICIANS LLC SALEM VA $20.58M
COMMONWEALTH PERINATAL SERVICES, LLC FREDERICKSBURG VA $3.35M
JOHN RANDOLPH OB/GYN, LLC RICHMOND VA $1.97M
PRIMARY HEALTH GROUP INC MIDLOTHIAN VA $1.76M
SPOTSYLVANIA MULTI-SPECIALTY GROUP, LLC FREDERICKSBURG VA $1.73M
REGIONAL HOSPITAL HEALTHCARE PARTNERS LLC TERRE HAUTE IN $1.55M
APPLEDORE MEDICAL GROUP, INC PORTSMOUTH NH $1.41M
COLUMBIA HEALTHCARE OF CENTRAL VIRGINIA INC RICHMOND VA $705K
APPOMATTOX RIVER PRIMARY CARE, LLC HOPEWELL VA $604K
HENRICO DOCTORS OB GYN SPECIALISTS LLC RICHMOND VA $504K
RETREAT CARDIOLOGY LLC RICHMOND VA $476K
PRIMARY CARE OF WEST END LLC RICHMOND VA $428K
HENRICO DOCTORS NEUROLOGY ASSOCIATES LLC RICHMOND VA $403K
HENRICO SURGICAL SPECIALISTS, LLC RICHMOND VA $386K
RETREAT INTERNAL MEDICINE LLC RICHMOND VA $317K
JAMES RIVER INTERNISTS LLC MIDLOTHIAN VA $193K
PARKLAND PHYSICIAN SERVICES, INC. DERRY NH $73K
CHIPPENHAM AND JOHNSTON-WILLIS SPORTS MEDICINE, LLC NORTH CHESTERFIELD VA $30K
VIRGINIA GYNECOLOGIC ONCOLOGY LLC RICHMOND VA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $33.16
2019 153 $7K
2020 73 $4K
2021 26 $1K
2022 241 $13K
2023 350 $19K
2024 136 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 851 729 $43K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 99 87 $6K
81025 13 12 $46.02
81002 12 12 $33.16
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 16 13 $20.40