Medicaid Provider Spending

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

BON SECOURS ST. FRANCIS MEDICAL CENTER LLC

NPI: 1497788806 · MIDLOTHIAN, VA 23112 · Obstetrics & Gynecology Physician · NPI assigned 07/09/2006

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

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

$1.44M
Total Medicaid Paid
32,882
Total Claims
28,074
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
Parent OrganizationBON SECOURS ST. FRANCIS MEDICAL CENTER LLC
NPI Enumeration Date07/09/2006

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 2,789 $103K
2019 6,028 $248K
2020 3,742 $145K
2021 3,374 $142K
2022 5,908 $284K
2023 6,229 $296K
2024 4,812 $226K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,214 10,510 $710K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,688 11,900 $564K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,684 1,351 $89K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 522 446 $27K
90686 1,406 1,130 $14K
90670 633 559 $8K
99238 Hospital discharge day management, 30 minutes or less 202 149 $7K
99232 Subsequent hospital care, per day, moderate complexity 149 64 $5K
90715 57 54 $2K
90647 232 214 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 312 278 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 52 38 $2K
99442 70 56 $2K
99222 Initial hospital care, per day, moderate complexity 32 24 $2K
81003 833 613 $1K
90723 133 120 $1K
90681 152 131 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 20 17 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 66 64 $783.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 84 79 $529.96
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 17 $404.46
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 85 75 $397.47
90698 38 33 $298.76
90633 30 27 $242.68
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $155.19
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) 29 25 $107.11
90648 16 12 $99.55
90716 12 12 $98.79
90707 12 12 $98.79
83655 13 13 $97.96
90460 Immunization administration through 18 years of age via any route, first or only component 30 12 $47.60
85018 13 13 $26.28
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 19 14 $0.00