Medicaid Provider Spending

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

MARYVIEW HOSPITAL LLC

NPI: 1699705699 · CHESAPEAKE, VA 23321 · Family Medicine Physician · NPI assigned 07/04/2006

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

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

$690K
Total Medicaid Paid
16,515
Total Claims
13,895
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationMARYVIEW HOSPITAL LLC
NPI Enumeration Date07/04/2006

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
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $658K
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 2,717 $47K
2019 4,571 $164K
2020 1,974 $102K
2021 1,931 $90K
2022 1,578 $90K
2023 2,790 $148K
2024 954 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,644 7,455 $461K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,362 3,780 $168K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 330 302 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 304 279 $9K
99385 134 117 $8K
99386 90 82 $7K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 128 114 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 30 29 $2K
90686 100 91 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $671.87
90715 15 13 $414.47
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 15 13 $73.33
83036 Hemoglobin; glycosylated (A1C) 13 13 $38.84
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,161 783 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 85 51 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 72 53 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 20 14 $0.00
1101F 20 13 $0.00
G8432 Depression screening not documented, reason not given 408 259 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 269 192 $0.00
3017F 246 189 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 20 14 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 36 26 $0.00