Medicaid Provider Spending

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

COLUMBIA HEALTHCARE OF CENTRAL VIRGINIA INC

NPI: 1417946450 · RICHMOND, VA 23220 · Plastic Surgery Physician · NPI assigned 10/20/2005

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

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

$705K
Total Medicaid Paid
18,537
Total Claims
12,925
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBERGAMO, SUZANNE (VP)
NPI Enumeration Date10/20/2005

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
REGIONAL HOSPITAL HEALTHCARE PARTNERS LLC TERRE HAUTE IN $1.55M
APPLEDORE MEDICAL GROUP, INC PORTSMOUTH NH $1.41M
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 1,602 $5K
2019 2,021 $19K
2020 1,803 $64K
2021 2,221 $86K
2022 3,387 $159K
2023 4,316 $220K
2024 3,187 $151K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,116 3,640 $195K
99232 Subsequent hospital care, per day, moderate complexity 3,281 1,343 $114K
99233 Prolong inpt eval add15 m 1,824 457 $100K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 865 778 $75K
19318 57 42 $48K
93970 1,848 1,687 $42K
93971 2,211 2,048 $37K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 456 412 $32K
99222 Initial hospital care, per day, moderate complexity 458 367 $26K
99223 Prolong inpt eval add15 m 201 186 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 231 194 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 86 81 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 318 145 $5K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 18 12 $997.57
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $112.41
1036F 1,265 755 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 1,247 726 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 43 40 $0.00