Medicaid Provider Spending

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

PRIMARY HEALTH GROUP INC

NPI: 1578504452 · MIDLOTHIAN, VA 23112 · Family Medicine Physician · NPI assigned 06/09/2006

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

Authorized official BERGAMO, SUZANNE controls 19+ related entities in our dataset. Read more

$1.76M
Total Medicaid Paid
32,980
Total Claims
29,395
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERGAMO, SUZANNE (VP)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: BERGAMO, SUZANNE

ProviderCityStateTotal Paid
LEWIS GALE PHYSICIANS LLC SALEM VA $20.58M
COMMONWEALTH PERINATAL SERVICES, LLC FREDERICKSBURG VA $3.35M
JOHN RANDOLPH OB/GYN, LLC RICHMOND VA $1.97M
SPOTSYLVANIA MULTI-SPECIALTY GROUP, LLC FREDERICKSBURG VA $1.73M
REGIONAL HOSPITAL HEALTHCARE PARTNERS LLC TERRE HAUTE IN $1.55M
APPLEDORE MEDICAL GROUP, INC PORTSMOUTH NH $1.41M
COLUMBIA HEALTHCARE OF CENTRAL VIRGINIA INC RICHMOND VA $705K
APPOMATTOX RIVER PRIMARY CARE, LLC HOPEWELL VA $604K
HENRICO DOCTORS OB GYN SPECIALISTS LLC RICHMOND VA $504K
RETREAT CARDIOLOGY LLC RICHMOND VA $476K
PRIMARY CARE OF WEST END LLC RICHMOND VA $428K
HENRICO DOCTORS NEUROLOGY ASSOCIATES LLC RICHMOND VA $403K
HENRICO SURGICAL SPECIALISTS, LLC RICHMOND VA $386K
RETREAT INTERNAL MEDICINE LLC RICHMOND VA $317K
JAMES RIVER INTERNISTS LLC MIDLOTHIAN VA $193K
PARKLAND PHYSICIAN SERVICES, INC. DERRY NH $73K
SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC DULLES VA $49K
CHIPPENHAM AND JOHNSTON-WILLIS SPORTS MEDICINE, LLC NORTH CHESTERFIELD VA $30K
VIRGINIA GYNECOLOGIC ONCOLOGY LLC RICHMOND VA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,489 $45K
2019 3,674 $138K
2020 4,593 $252K
2021 5,370 $286K
2022 5,978 $356K
2023 6,340 $387K
2024 5,536 $301K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,683 17,569 $1.18M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,185 10,878 $546K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 176 152 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 126 105 $8K
3074F 291 244 $2K
3078F 275 232 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 28 28 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 26 24 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 19 15 $952.80
90686 70 60 $505.12
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 74 61 $278.63
3079F 15 15 $150.00
1124F 12 12 $0.00