Physician
Bon Secours Medical Group Hampton Roads Primary Care LLC
Bon Secours Medical Group Hampton Roads Primary Care LLC was paid $5.26M by Medicaid between Jan 2020 and Dec 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoBON SECOURS MEDICAL GROUP HAMPTON ROADS PRIMARY CARE LLC
RICHMOND, VA 23227
RICHMOND, VA 23227
33aNPI1528627379assigned 06/06/2019
33bProvider typeInternal Medicine Physician
28Total paid$5.26M
24GClaims99,947
24DCodes billed56
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Virginia
Rank by total paid#4 of 478
Median peer was paid$17K
This provider vs. median315×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more
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 | 10,130 | $372K | |
| 2021 | 17,487 | $769K | |
| 2022 | 19,883 | $1.11M | |
| 2023 | 24,310 | $1.37M | |
| 2024incomplete | 28,137 | $1.64M |
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 | 68% | 55,438 | 49,412 | $3.56M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 20,072 | 17,763 | $942K |
| 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 | 5.7% | 3,028 | 2,789 | $298K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.8% | 2,506 | 2,231 | $202K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 781 | 723 | $49K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 635 | 590 | $49K |
| 99443 | <1% | 865 | 692 | $30K | |
| 99442 | <1% | 873 | 709 | $24K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 747 | 647 | $19K |
| 90686 | <1% | 1,237 | 1,185 | $19K | |
| 90674 | <1% | 662 | 577 | $16K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,727 | 1,571 | $11K |
44 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,646 | $9K |
| 99401 | <1% | 514 | $7K | |
| 90661 | <1% | 332 | $5K | |
| 99385 | <1% | 61 | $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) | <1% | 704 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 94 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 41 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $2K |
| 90715 | <1% | 64 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 955 | $1K |
| 3044F | <1% | 182 | $1K | |
| 93000 | <1% | 82 | $877.16 | |
| 99406 | <1% | 106 | $590.24 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 76 | $581.58 |
| 0012A | <1% | 28 | $577.79 | |
| 20610 | <1% | 13 | $544.06 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | $456.90 |
| 0011A | <1% | 14 | $453.20 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 85 | $453.17 |
| 96127 | <1% | 147 | $451.27 | |
| 90756 | <1% | 23 | $404.01 | |
| 3078F | <1% | 681 | $400.00 | |
| 3074F | <1% | 600 | $325.00 | |
| 1123F | <1% | 872 | $300.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 22 | $255.52 |
| G0008 | Administration of influenza virus vaccine | <1% | 32 | $143.91 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 31 | $133.38 |
| 90694 | <1% | 20 | $122.72 | |
| 3046F | <1% | 12 | $45.60 | |
| 91301 | <1% | 24 | $0.23 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,532 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 33 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 366 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 201 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 26 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 366 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 28 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 178 | $0.00 |
| 3017F | 0% | 468 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 353 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 90 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 143 | $0.00 |
| 1101F | 0% | 44 | $0.00 | |
| 1220F | 0% | 17 | $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 officialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.