Medicaid Provider Spending

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

MARY IMMACULATE HOSPITAL LLC

NPI: 1205142791 · NEWPORT NEWS, VA 23602 · Surgery Physician · NPI assigned 08/23/2010

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

Authorized official GAY, WILBUR controls 20+ related entities in our dataset. Read more

$631K
Total Medicaid Paid
7,505
Total Claims
6,515
Beneficiaries
10
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationMARY IMMACULATE HOSPITAL LLC
NPI Enumeration Date08/23/2010

Related Entities

Other providers sharing the same authorized official: GAY, WILBUR

ProviderCityStateTotal Paid
ST FRANCIS PHYSICIAN SERVICES INC MAULDIN SC $3.30M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC GLEN ALLEN VA $2.62M
BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC $2.14M
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $874K
MARYVIEW HOSPITAL LLC CHESAPEAKE VA $690K
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $658K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $532K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $471K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC KING WILLIAM VA $448K
MARYVIEW HOSPITAL LLC SUFFOLK VA $445K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC EASLEY SC $363K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $320K
ST. FRANCIS PHYSICIAN SERVICES INC GREER SC $315K
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC WARREN OH $302K
MARYVIEW HOSPITAL LLC SUFFOLK VA $264K
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $216K
ST FRANCIS PHYSICIAN SERVICES INC SIMPSONVILLE SC $192K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $190K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 389 $17K
2019 1,296 $98K
2020 1,593 $135K
2021 1,869 $142K
2022 2,358 $239K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,001 2,764 $206K
99215 Prolong outpt/office vis 1,124 1,030 $103K
47379 562 336 $101K
99205 Prolong outpt/office vis 849 749 $97K
43775 194 99 $78K
74240 1,182 1,078 $23K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 338 236 $14K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 225 199 $8K
83014 14 12 $8.99
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 16 12 $0.00