Medicaid Provider Spending

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

REGIONAL HOSPITAL HEALTHCARE PARTNERS LLC

NPI: 1194968958 · TERRE HAUTE, IN 47802 · Surgery Physician · NPI assigned 04/09/2009

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

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

$1.55M
Total Medicaid Paid
67,566
Total Claims
45,155
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBERGAMO, SUZANNE (VP)
NPI Enumeration Date04/09/2009

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
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
SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC DULLES VA $49K
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 25,805 $97K
2019 10,279 $236K
2020 8,264 $323K
2021 7,916 $321K
2022 5,505 $223K
2023 5,631 $216K
2024 4,166 $131K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,780 9,351 $305K
59425 3,105 1,817 $244K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,123 5,267 $242K
99232 Subsequent hospital care, per day, moderate complexity 4,117 1,715 $191K
59426 1,418 575 $121K
99238 Hospital discharge day management, 30 minutes or less 1,582 1,298 $63K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,108 853 $55K
99223 Prolong inpt eval add15 m 617 404 $52K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,069 866 $46K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,464 736 $36K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 285 207 $28K
99222 Initial hospital care, per day, moderate complexity 277 234 $23K
99233 Prolong inpt eval add15 m 403 205 $23K
90792 Psychiatric diagnostic evaluation with medical services 194 154 $21K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 359 280 $18K
73620 1,320 723 $13K
99239 Hospital discharge day management, more than 30 minutes 183 161 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 521 390 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 235 197 $9K
81001 5,736 4,194 $6K
99205 Prolong outpt/office vis 27 25 $4K
51798 1,019 730 $4K
59430 59 25 $3K
99221 33 29 $2K
95819 104 73 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 39 27 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 20 14 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 19 17 $2K
76819 Fetal biophysical profile; without non-stress testing 17 12 $1K
95886 17 13 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 69 55 $1K
99442 65 32 $884.29
11750 29 12 $765.99
81025 115 89 $740.05
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $681.36
99441 56 27 $422.40
81003 448 361 $379.16
73630 23 17 $344.79
36415 Collection of venous blood by venipuncture 24 24 $67.35
85610 17 12 $25.65
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 377 220 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,200 4,116 $0.00
G8421 Bmi not documented and no reason is given 522 314 $0.00
G8482 Influenza immunization administered or previously received 1,960 1,262 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 2,402 1,508 $0.00
G8484 Influenza immunization was not administered, reason not given 737 514 $0.00
1090F 308 167 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 649 442 $0.00
G9534 Advanced brain imaging (cta, ct, mra or mri) was not ordered 123 81 $0.00
1124F 217 131 $0.00
4004F 629 429 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 542 332 $0.00
4040F 658 391 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 300 218 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 39 32 $0.00
G8785 Blood pressure reading not documented, reason not given 42 25 $0.00
81002 41 24 $0.00
3017F 1,623 1,199 $0.00
1036F 1,586 986 $0.00
1123F 398 230 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 75 46 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 221 143 $0.00
G9535 Patients with a normal neurological examination 124 81 $0.00
0509F 198 118 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 650 403 $0.00
G8732 No documentation of pain assessment, reason not given 297 185 $0.00
G9197 Documentation of order for first or second generation cephalosporin for antimicrobial prophylaxis 18 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 504 301 $0.00
4044F 18 12 $0.00