Medicaid Provider Spending

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

BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC

NPI: 1699906875 · RICHMOND, VA 23226 · Pediatric Pulmonology Physician · NPI assigned 08/05/2009

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

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

$216K
Total Medicaid Paid
4,831
Total Claims
4,327
Beneficiaries
12
Codes Billed
2018-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
Parent OrganizationBON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
NPI Enumeration Date08/05/2009

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
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
ST FRANCIS PHYSICIAN SERVICES INC SIMPSONVILLE SC $192K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $190K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,144 $98K
2019 2,687 $118K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,951 1,735 $125K
99215 Prolong outpt/office vis 314 280 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 197 184 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 351 325 $17K
94375 1,392 1,244 $15K
99222 Initial hospital care, per day, moderate complexity 48 45 $5K
94010 458 408 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 20 20 $2K
94060 31 27 $270.21
90686 40 33 $230.63
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 13 $167.25
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 15 13 $1.44