Physician
Bon Secours Medical Group Hampton Roads Specialty Care LLC
Bon Secours Medical Group Hampton Roads Specialty Care LLC was paid $9.80M by Medicaid between Jan 2020 and Dec 2024, across 120 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoBON SECOURS MEDICAL GROUP HAMPTON ROADS SPECIALTY CARE LLC
RICHMOND, VA 23227
RICHMOND, VA 23227
33aNPI1629637475assigned 06/06/2019
33bProvider typeRadiation Oncology Physician
28Total paid$9.80M
24GClaims233,687
24DCodes billed120
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Radiation Oncology Physician providers in Virginia
Rank by total paid#1 of 6
Median peer was paid$11K
This provider vs. median925×
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.
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 | 45,974 | $1.72M | |
| 2021 | 45,195 | $1.84M | |
| 2022 | 42,614 | $1.95M | |
| 2023 | 51,767 | $2.19M | |
| 2024incomplete | 48,137 | $2.11M |
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 | 27% | 43,573 | 39,092 | $2.67M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 22,842 | 20,412 | $1.04M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 34,002 | 12,443 | $1.04M |
| 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 | 7.9% | 8,502 | 7,808 | $776K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.6% | 7,589 | 6,892 | $450K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.5% | 6,479 | 5,782 | $442K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.2% | 4,369 | 1,211 | $414K |
| 20610 | 3.8% | 9,173 | 6,440 | $373K | |
| 20611 | 2.2% | 3,683 | 2,746 | $215K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 3,571 | 3,125 | $163K |
| 95886 | 1.7% | 1,682 | 1,543 | $163K | |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 1.6% | 1,576 | 742 | $158K |
108 more codes
| 99223 | Prolong inpt eval add15 m | 1.6% | 1,881 | $157K |
| 99205 | Prolong outpt/office vis | 1.5% | 1,227 | $149K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 1,976 | $133K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.3% | 22,665 | $126K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.2% | 2,824 | $115K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.0% | 1,036 | $100K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.0% | 4,848 | $99K |
| 47379 | <1% | 515 | $95K | |
| 98929 | <1% | 1,668 | $90K | |
| 43644 | <1% | 63 | $70K | |
| 93970 | <1% | 2,092 | $53K | |
| 93000 | <1% | 5,780 | $50K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,153 | $43K |
| 93971 | <1% | 2,334 | $43K | |
| 95911 | <1% | 249 | $37K | |
| 20526 | <1% | 535 | $36K | |
| 73630 | <1% | 1,710 | $35K | |
| 73562 | <1% | 1,287 | $34K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 5,399 | $32K |
| 73564 | <1% | 1,045 | $28K | |
| 95909 | <1% | 325 | $27K | |
| 73030 | <1% | 1,289 | $27K | |
| 20550 | <1% | 787 | $24K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 6,738 | $23K |
| 73110 | <1% | 835 | $22K | |
| 73610 | <1% | 942 | $21K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 191 | $20K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 126 | $16K |
| 72110 | <1% | 1,003 | $14K | |
| 72100 | <1% | 962 | $13K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 202 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 350 | $10K |
| 74240 | <1% | 897 | $9K | |
| 43775 | <1% | 12 | $9K | |
| 99442 | <1% | 165 | $8K | |
| 73130 | <1% | 315 | $7K | |
| 72040 | <1% | 685 | $7K | |
| 98926 | <1% | 210 | $7K | |
| 73502 | <1% | 224 | $6K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 59 | $6K |
| 64721 | <1% | 30 | $5K | |
| 93015 | <1% | 124 | $5K | |
| 73560 | <1% | 228 | $5K | |
| 99292 | <1% | 81 | $5K | |
| 95800 | <1% | 147 | $5K | |
| 93458 | <1% | 28 | $4K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 29 | $4K |
| 00731 | <1% | 91 | $4K | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 25 | $4K |
| 77427 | <1% | 26 | $4K | |
| 93308 | <1% | 159 | $3K | |
| 99443 | <1% | 39 | $3K | |
| 20552 | <1% | 155 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 64 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 270 | $3K |
| 20600 | <1% | 66 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 14 | $2K |
| 93922 | <1% | 95 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $2K |
| 81025 | <1% | 431 | $2K | |
| 93268 | <1% | 32 | $2K | |
| 93880 | <1% | 38 | $2K | |
| 93016 | <1% | 112 | $1K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 15 | $1K |
| 94060 | <1% | 77 | $1K | |
| 94729 | <1% | 66 | $1K | |
| 77334 | <1% | 18 | $1K | |
| 93272 | <1% | 55 | $991.78 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 151 | $976.36 |
| 99221 | <1% | 16 | $975.22 | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 14 | $945.92 |
| 93018 | <1% | 103 | $830.99 | |
| 93325 | <1% | 210 | $793.07 | |
| 00811 | <1% | 12 | $718.73 | |
| 99152 | <1% | 103 | $679.52 | |
| 73600 | <1% | 43 | $621.63 | |
| 77300 | <1% | 14 | $610.63 | |
| 72170 | <1% | 26 | $542.89 | |
| 73140 | <1% | 14 | $441.99 | |
| 93923 | <1% | 15 | $424.47 | |
| 1123F | <1% | 688 | $403.21 | |
| 20605 | <1% | 17 | $314.32 | |
| 94727 | <1% | 14 | $285.37 | |
| 81003 | <1% | 190 | $247.79 | |
| 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% | 35 | $212.26 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 164 | $177.87 |
| 93296 | <1% | 12 | $164.12 | |
| 93321 | <1% | 36 | $161.93 | |
| 76937 | <1% | 14 | $125.13 | |
| 99406 | <1% | 13 | $78.57 | |
| 3017F | <1% | 827 | $75.00 | |
| 3078F | <1% | 103 | $50.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 251 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 713 | $0.00 |
| 1101F | 0% | 161 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 267 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 265 | $0.00 |
| 3074F | 0% | 44 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 34 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 40 | $0.00 |
| 1036F | 0% | 30 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 14 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,139 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 62 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 498 | $0.00 |
| 1090F | 0% | 96 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 32 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 20 | $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 officialHARDY, SHANE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Mercy Health Physicians Cincinnati, LLC | Cincinnati, OH | $28.01M |
| Mercy Health Physicians Kentucky LLC | Paducah, KY | $11.90M |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Cincinnati, OH | $7.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.