Bon Secours-St. Mary's Hospital of Richmond, INC.
Bon Secours-St. Mary's Hospital of Richmond, INC. was paid $175K by Medicaid between Sep 2018 and Dec 2019, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
RICHMOND, VA 23233
Next to other Primary Care Clinic/Center providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 827 | $17K | |
| 2019 | 4,419 | $158K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 2,008 | 1,617 | $103K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,231 | 1,015 | $47K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 330 | 302 | $20K |
| 90686 | 1.2% | 253 | 199 | $2K | |
| 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% | 14 | 14 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 119 | 105 | $607.49 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 67 | 54 | $274.84 |
| 81003 | <1% | 13 | 12 | $26.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 43 | 26 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 101 | 61 | $0.00 |
| 3017F | 0% | 103 | 63 | $0.00 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 51 | 25 | $0.00 |
6 more codes
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 64 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 118 | $0.00 |
| 1101F | 0% | 27 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 23 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 642 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 39 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.