Physician
Bon Secours ST Mary's Hospital of Richmond LLC
Bon Secours ST Mary's Hospital of Richmond LLC was paid $882K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoBON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
RICHMOND, VA 23226
RICHMOND, VA 23226
33aNPI1265465777assigned 07/08/2006
33bProvider typeInternal Medicine Physician
28Total paid$882K
24GClaims29,403
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Virginia
Rank by total paid#27 of 478
Median peer was paid$17K
This provider vs. median53×
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 RALSTON, KIMBERLY 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 | 6,277 | $63K | |
| 2019 | 5,993 | $97K | |
| 2020 | 3,534 | $112K | |
| 2021 | 3,669 | $126K | |
| 2022 | 2,994 | $152K | |
| 2023 | 3,334 | $150K | |
| 2024incomplete | 3,602 | $181K |
Box 24 · Service lines
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 | 76% | 13,635 | 11,376 | $675K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 1,787 | 1,491 | $73K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.0% | 2,186 | 1,406 | $35K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.4% | 740 | 264 | $30K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.7% | 2,166 | 1,397 | $24K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.1% | 287 | 259 | $19K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 359 | 151 | $9K |
| 90686 | <1% | 263 | 236 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 42 | 33 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 44 | 13 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 44 | 40 | $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% | 25 | 25 | $2K |
23 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 22 | $971.47 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 125 | $791.04 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $649.48 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | $638.52 |
| 90653 | <1% | 13 | $224.14 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 54 | $96.50 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,465 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 308 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 653 | $0.00 |
| 1090F | 0% | 242 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 41 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 23 | $0.00 |
| 3017F | 0% | 795 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 662 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 742 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 339 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 422 | $0.00 |
| 1101F | 0% | 383 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 232 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 164 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 52 | $0.00 |
| 1123F | 0% | 14 | $0.00 | |
| 1036F | 0% | 14 | $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 officialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
Parent organizationBON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.