Medicaid Provider Spending

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

SPOTSYLVANIA MULTI-SPECIALTY GROUP, LLC

NPI: 1588980015 · FREDERICKSBURG, VA 22408 · Surgery Physician · NPI assigned 04/08/2010

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

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

$1.73M
Total Medicaid Paid
35,038
Total Claims
31,330
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERGAMO, SUZANNE (VP)
NPI Enumeration Date04/08/2010

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
PRIMARY HEALTH GROUP INC MIDLOTHIAN VA $1.76M
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 4,065 $152K
2019 8,068 $338K
2020 6,457 $305K
2021 4,088 $207K
2022 5,049 $275K
2023 4,129 $253K
2024 3,182 $195K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,625 14,143 $970K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,181 8,981 $460K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,023 970 $78K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,069 926 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 511 455 $48K
99205 Prolong outpt/office vis 128 120 $16K
90670 819 747 $11K
90686 656 609 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 82 80 $7K
90698 521 476 $6K
90680 439 401 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 92 79 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 348 140 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 49 43 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 320 275 $4K
90744 238 215 $3K
90633 234 227 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 148 133 $2K
99000 779 661 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 312 293 $2K
90707 171 162 $2K
90716 162 153 $2K
99222 Initial hospital care, per day, moderate complexity 28 24 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 209 196 $1K
99441 43 40 $1K
99381 15 15 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg 14 12 $1K
90685 93 90 $977.58
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 25 $948.93
92551 100 91 $876.76
99442 17 16 $721.99
90647 68 62 $679.60
83036 Hemoglobin; glycosylated (A1C) 84 81 $632.07
90460 Immunization administration through 18 years of age via any route, first or only component 48 43 $530.15
90661 15 15 $337.40
73562 15 14 $319.99
90696 30 25 $309.50
99173 129 119 $291.92
90723 26 24 $262.80
87807 56 42 $211.80
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 14 $171.32
90687 17 16 $165.00
82962 40 39 $96.48
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) 27 26 $39.31
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14 12 $0.00