Medicaid Provider Spending

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

BON SECOURS MEDICAL GROUP HAMPTON ROADS PRIMARY CARE LLC

NPI: 1528627379 · RICHMOND, VA 23227 · Internal Medicine Physician · NPI assigned 06/06/2019

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

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

$5.26M
Total Medicaid Paid
99,947
Total Claims
88,720
Beneficiaries
56
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
NPI Enumeration Date06/06/2019

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
2020 10,130 $372K
2021 17,487 $769K
2022 19,883 $1.11M
2023 24,310 $1.37M
2024 28,137 $1.64M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 55,438 49,412 $3.56M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,072 17,763 $942K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,028 2,789 $298K
99215 Prolong outpt/office vis 2,506 2,231 $202K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 781 723 $49K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 635 590 $49K
99443 865 692 $30K
99442 873 709 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 747 647 $19K
90686 1,237 1,185 $19K
90674 662 577 $16K
83036 Hemoglobin; glycosylated (A1C) 1,727 1,571 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,646 1,441 $9K
99401 514 368 $7K
90661 332 261 $5K
99385 61 56 $4K
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) 704 578 $3K
99232 Subsequent hospital care, per day, moderate complexity 94 25 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 41 40 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 31 31 $2K
90715 64 54 $2K
36415 Collection of venous blood by venipuncture 955 833 $1K
3044F 182 167 $1K
93000 82 77 $877.16
99406 106 88 $590.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 76 65 $581.58
0012A 28 26 $577.79
20610 13 12 $544.06
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 32 $456.90
0011A 14 14 $453.20
G0444 Annual depression screening, 5 to 15 minutes 85 65 $453.17
96127 147 114 $451.27
90756 23 18 $404.01
3078F 681 607 $400.00
3074F 600 532 $325.00
1123F 872 780 $300.00
90460 Immunization administration through 18 years of age via any route, first or only component 22 12 $255.52
G0008 Administration of influenza virus vaccine 32 27 $143.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 31 27 $133.38
90694 20 14 $122.72
3046F 12 12 $45.60
91301 24 24 $0.23
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,532 1,361 $0.00
G8484 Influenza immunization was not administered, reason not given 33 28 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 366 322 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 201 187 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 26 24 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 366 340 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 28 24 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 178 157 $0.00
3017F 468 406 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 353 321 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 90 86 $0.00
G8432 Depression screening not documented, reason not given 143 119 $0.00
1101F 44 41 $0.00
1220F 17 15 $0.00