Behavioral
Bon Secours Medical Group Richmond Specialty Care LLC
Bon Secours Medical Group Richmond Specialty Care LLC was paid $12.86M by Medicaid between Jan 2020 and Dec 2024, across 144 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoBON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC
RICHMOND, VA 23227
RICHMOND, VA 23227
33aNPI1477112225assigned 06/06/2019
33bProvider typePsychologist
28Total paid$12.86M
24GClaims234,244
24DCodes billed144
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Psychologist providers in Virginia
Rank by total paid#2 of 28
Median peer was paid$117K
This provider vs. median110×
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.
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 | |
|---|---|---|---|
| 2020 | 31,140 | $1.44M | |
| 2021 | 44,376 | $2.21M | |
| 2022 | 52,675 | $2.91M | |
| 2023 | 54,650 | $3.15M | |
| 2024incomplete | 51,403 | $3.15M |
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 | 31% | 59,258 | 53,901 | $4.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 32,555 | 28,644 | $1.54M |
| 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 | 12% | 15,636 | 14,389 | $1.52M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.0% | 11,702 | 10,358 | $1.16M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.4% | 26,041 | 5,881 | $828K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.1% | 10,041 | 9,352 | $660K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 3,771 | 3,349 | $338K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.7% | 1,748 | 1,658 | $222K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 2,486 | 2,345 | $189K |
| 96139 | 1.4% | 2,260 | 1,306 | $182K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.2% | 4,951 | 3,245 | $152K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 1.2% | 3,063 | 1,084 | $149K |
132 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,676 | $123K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,932 | $106K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,755 | $101K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,194 | $92K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,776 | $79K |
| 99205 | Prolong outpt/office vis | <1% | 618 | $75K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 1,007 | $73K |
| 95816 | <1% | 468 | $64K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 3,546 | $63K |
| 20610 | <1% | 1,265 | $57K | |
| 96130 | <1% | 674 | $54K | |
| 96132 | <1% | 623 | $50K | |
| 96131 | <1% | 666 | $49K | |
| 93880 | <1% | 810 | $45K | |
| 95811 | <1% | 660 | $44K | |
| 76830 | Ultrasound, transvaginal | <1% | 550 | $43K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 6,321 | $40K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 1,622 | $38K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 628 | $33K |
| 96133 | <1% | 359 | $32K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 82 | $32K |
| 96136 | <1% | 1,047 | $31K | |
| 95806 | <1% | 790 | $30K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 242 | $29K |
| 96138 | <1% | 1,419 | $29K | |
| 96137 | <1% | 1,024 | $27K | |
| 95886 | <1% | 235 | $27K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 446 | $21K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 278 | $21K |
| 95251 | <1% | 849 | $20K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 479 | $19K |
| 73630 | <1% | 918 | $19K | |
| 72082 | <1% | 269 | $14K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,267 | $14K |
| 99221 | <1% | 320 | $14K | |
| 77427 | <1% | 100 | $12K | |
| 92557 | <1% | 524 | $11K | |
| 64615 | <1% | 108 | $11K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 220 | $10K |
| 94010 | <1% | 1,010 | $10K | |
| 76801 | <1% | 114 | $10K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 47 | $9K |
| 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) | <1% | 1,393 | $8K |
| 93970 | <1% | 462 | $8K | |
| 11721 | <1% | 439 | $8K | |
| 95800 | <1% | 264 | $8K | |
| 95819 | <1% | 89 | $8K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 134 | $7K |
| 72110 | <1% | 197 | $7K | |
| 73610 | <1% | 370 | $7K | |
| 69210 | <1% | 252 | $7K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 775 | $7K |
| 92567 | <1% | 630 | $6K | |
| 95117 | <1% | 776 | $6K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 112 | $6K |
| 73564 | <1% | 165 | $6K | |
| 93971 | <1% | 412 | $5K | |
| 81025 | <1% | 875 | $5K | |
| 90837 | Psychotherapy session, about an hour | <1% | 57 | $5K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 72 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 44 | $5K |
| 90785 | <1% | 385 | $4K | |
| G0109 | Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes | <1% | 158 | $4K |
| 97803 | <1% | 162 | $4K | |
| 81003 | <1% | 2,895 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 49 | $4K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 53 | $4K |
| 76642 | <1% | 51 | $4K | |
| 97802 | <1% | 51 | $3K | |
| 82962 | <1% | 1,785 | $3K | |
| 94375 | <1% | 271 | $3K | |
| 99385 | <1% | 41 | $3K | |
| 51798 | <1% | 504 | $3K | |
| 99460 | <1% | 40 | $3K | |
| 73130 | <1% | 130 | $3K | |
| 3046F | <1% | 643 | $3K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 30 | $2K |
| 99442 | <1% | 126 | $2K | |
| 95911 | <1% | 13 | $2K | |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 67 | $2K |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | <1% | 152 | $2K |
| 96116 | <1% | 35 | $2K | |
| 99462 | <1% | 50 | $2K | |
| 99441 | <1% | 69 | $2K | |
| L4387 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf | <1% | 12 | $1K |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 96 | $1K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 12 | $1K |
| 73030 | <1% | 49 | $1K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 15 | $1K |
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | <1% | 55 | $1K |
| 76536 | <1% | 14 | $1K | |
| 77073 | <1% | 32 | $971.25 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 160 | $966.33 |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 19 | $956.05 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 18 | $938.46 |
| 11755 | <1% | 13 | $910.59 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 266 | $837.54 |
| 99459 | <1% | 72 | $776.22 | |
| 3044F | <1% | 119 | $723.11 | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 14 | $710.01 |
| 95812 | <1% | 14 | $678.02 | |
| 90686 | <1% | 44 | $645.26 | |
| 99443 | <1% | 35 | $617.66 | |
| 59025 | Fetal non-stress test | <1% | 17 | $575.77 |
| 99356 | <1% | 19 | $533.31 | |
| 1123F | <1% | 392 | $500.00 | |
| 73100 | <1% | 16 | $476.01 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 23 | $466.26 |
| 90674 | <1% | 13 | $408.66 | |
| 99201 | <1% | 15 | $397.09 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 69 | $382.66 |
| 93922 | <1% | 56 | $313.03 | |
| 90661 | <1% | 15 | $282.30 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 26 | $260.39 |
| 93298 | <1% | 14 | $179.96 | |
| 3017F | <1% | 142 | $175.00 | |
| 87210 | <1% | 92 | $153.97 | |
| 81001 | <1% | 63 | $106.81 | |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | <1% | 30 | $98.45 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 29 | $89.03 |
| 1036F | <1% | 13 | $25.00 | |
| 3051F | <1% | 30 | $20.00 | |
| 99000 | <1% | 13 | $18.87 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 271 | $2.39 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 768 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 56 | $0.00 |
| 0502F | 0% | 24 | $0.00 | |
| 2022F | 0% | 26 | $0.00 | |
| 98960 | 0% | 16 | $0.00 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 34 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 106 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 69 | $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 officialCUMMINGS, HERBERT (COO)
| Provider | Location | Paid |
|---|---|---|
| Bon Secours-St. Mary's Hospital of Richmond, INC. | Mechanicsville, VA | $15K |
| Bon Secours Memorial Regional Medical Center INC | Mechanicsville, VA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.