Medicaid Provider Spending

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

BON SECOURS DEPAUL MEDICAL CENTER LLC

NPI: 1619001906 · NORFOLK, VA 23505 · Internal Medicine Physician · NPI assigned 03/16/2007

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

Authorized official GAY, WILBUR controls 20+ related entities in our dataset. Read more

$658K
Total Medicaid Paid
26,079
Total Claims
20,641
Beneficiaries
30
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationBON SECOURS DEPAUL MEDICAL CENTER LLC
NPI Enumeration Date03/16/2007

Related Entities

Other providers sharing the same authorized official: GAY, WILBUR

ProviderCityStateTotal Paid
ST FRANCIS PHYSICIAN SERVICES INC MAULDIN SC $3.30M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC GLEN ALLEN VA $2.62M
BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC $2.14M
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $874K
MARYVIEW HOSPITAL LLC CHESAPEAKE VA $690K
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $631K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $532K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $471K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC KING WILLIAM VA $448K
MARYVIEW HOSPITAL LLC SUFFOLK VA $445K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC EASLEY SC $363K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $320K
ST. FRANCIS PHYSICIAN SERVICES INC GREER SC $315K
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC WARREN OH $302K
MARYVIEW HOSPITAL LLC SUFFOLK VA $264K
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $216K
ST FRANCIS PHYSICIAN SERVICES INC SIMPSONVILLE SC $192K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $190K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,322 $137K
2019 9,203 $251K
2020 5,037 $208K
2021 1,517 $63K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,689 7,295 $437K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,197 4,380 $191K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 119 106 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 119 110 $8K
90686 481 452 $7K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 25 25 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 43 35 $992.96
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27 25 $440.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 31 29 $366.75
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 68 54 $363.92
99442 17 17 $362.35
G0008 Administration of influenza virus vaccine 28 26 $9.50
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,188 2,268 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 343 256 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 625 442 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 34 25 $0.00
2022F 75 64 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 210 163 $0.00
1090F 17 13 $0.00
G8399 Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed 16 12 $0.00
G8432 Depression screening not documented, reason not given 1,534 1,123 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 149 109 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,371 961 $0.00
3017F 1,844 1,345 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,321 939 $0.00
1101F 173 123 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 278 195 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 26 24 $0.00
3014F 18 13 $0.00