Medicaid Provider Spending

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

BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC

NPI: 1265465777 · RICHMOND, VA 23226 · Internal Medicine Physician · NPI assigned 07/08/2006

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

Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more

$882K
Total Medicaid Paid
29,403
Total Claims
22,107
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
Parent OrganizationBON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
NPI Enumeration Date07/08/2006

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $83.03M
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $24.51M
ST FRANCIS HOSPITAL INC GREENVILLE SC $17.81M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - TIFFIN HOSPITAL LLC TIFFIN OH $12.99M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
COMMUNITY MERCY HEALTH PARTNERS URBANA OH $8.81M
MERCY HEALTH-ALLEN HOSPITAL LLC OBERLIN OH $8.61M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 3,602 $181K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,635 11,376 $675K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,787 1,491 $73K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2,186 1,406 $35K
99232 Subsequent hospital care, per day, moderate complexity 740 264 $30K
99308 Subsequent nursing facility care, per day, straightforward 2,166 1,397 $24K
99222 Initial hospital care, per day, moderate complexity 287 259 $19K
99231 Subsequent hospital care, per day, straightforward or low complexity 359 151 $9K
90686 263 236 $4K
99223 Prolong inpt eval add15 m 42 33 $4K
99233 Prolong inpt eval add15 m 44 13 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 44 40 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 25 25 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 22 18 $971.47
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 125 106 $791.04
99215 Prolong outpt/office vis 16 12 $649.48
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 44 27 $638.52
90653 13 12 $224.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 54 41 $96.50
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,465 1,760 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 308 204 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 653 433 $0.00
1090F 242 150 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 41 25 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 23 13 $0.00
3017F 795 561 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 662 424 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 742 546 $0.00
G8432 Depression screening not documented, reason not given 339 203 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 422 316 $0.00
1101F 383 263 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 232 140 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 164 98 $0.00
G8756 No documentation of blood pressure measurement, reason not given 52 40 $0.00
1123F 14 12 $0.00
1036F 14 12 $0.00