Medicaid Provider Spending

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

BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC

NPI: 1437182094 · KING WILLIAM, VA 23086 · Family Medicine Physician · NPI assigned 07/08/2006

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

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

$448K
Total Medicaid Paid
9,238
Total Claims
7,742
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationBON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC
NPI Enumeration Date07/08/2006

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
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $631K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $532K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $471K
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 1,308 $37K
2019 1,572 $64K
2020 1,613 $71K
2021 1,270 $67K
2022 1,506 $92K
2023 1,482 $90K
2024 487 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,820 4,059 $276K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,367 2,940 $157K
90686 376 302 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 51 47 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 32 26 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 98 47 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $951.63
99443 38 20 $901.95
99442 42 27 $525.60
90651 24 24 $285.58
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 16 15 $211.65
90734 12 12 $133.10
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19 13 $85.58
99000 16 12 $26.42
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 254 146 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 21 13 $0.00
G8432 Depression screening not documented, reason not given 28 15 $0.00