Medicaid Provider Spending

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

MARYVIEW HOSPITAL LLC

NPI: 1427229749 · PORTSMOUTH, VA 23707 · Neurology Physician · NPI assigned 03/14/2008

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

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

$524K
Total Medicaid Paid
9,406
Total Claims
8,282
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
NPI Enumeration Date03/14/2008

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 905 $20K
2019 2,434 $129K
2020 1,642 $105K
2021 1,411 $92K
2022 1,450 $97K
2023 1,126 $63K
2024 438 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,708 4,234 $271K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,477 1,350 $128K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,043 976 $44K
99215 Prolong outpt/office vis 456 394 $31K
90791 Psychiatric diagnostic evaluation 155 144 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 278 258 $15K
99233 Prolong inpt eval add15 m 74 51 $3K
95810 Polysomnography; sleep staging with 4 or more additional parameters 24 24 $2K
95886 32 24 $2K
96139 15 15 $2K
95910 14 12 $2K
99205 Prolong outpt/office vis 15 12 $1K
99232 Subsequent hospital care, per day, moderate complexity 44 28 $1K
99221 28 26 $1K
95819 52 41 $1K
95816 15 14 $869.46
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 21 21 $669.26
99222 Initial hospital care, per day, moderate complexity 13 12 $589.08
96136 15 15 $520.80
96137 15 15 $466.29
99231 Subsequent hospital care, per day, straightforward or low complexity 19 13 $408.26
96138 15 15 $342.22
G8754 Most recent diastolic blood pressure < 90 mmhg 55 38 $0.00
G8432 Depression screening not documented, reason not given 218 142 $0.00
3017F 53 39 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 59 40 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 477 316 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 16 13 $0.00