Medicaid Provider Spending

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

APPLEDORE MEDICAL GROUP, INC

NPI: 1720077167 · PORTSMOUTH, NH 03801 · Family Medicine Physician · NPI assigned 10/18/2005

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

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

$1.41M
Total Medicaid Paid
57,856
Total Claims
43,971
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERGAMO, SUZANNE (VICE PRESIDENT)
NPI Enumeration Date10/18/2005

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
SPOTSYLVANIA MULTI-SPECIALTY GROUP, LLC FREDERICKSBURG VA $1.73M
REGIONAL HOSPITAL HEALTHCARE PARTNERS LLC TERRE HAUTE IN $1.55M
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 136 $3K
2019 928 $19K
2020 8,225 $185K
2021 9,744 $236K
2022 16,670 $406K
2023 12,535 $314K
2024 9,618 $251K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,752 9,823 $514K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,287 9,171 $360K
99232 Subsequent hospital care, per day, moderate complexity 9,339 2,261 $139K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,696 1,631 $106K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,505 1,366 $91K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 530 480 $31K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 5,866 4,203 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 343 328 $20K
90460 Immunization administration through 18 years of age via any route, first or only component 2,279 2,109 $14K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 506 465 $14K
99223 Prolong inpt eval add15 m 213 178 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,441 2,251 $11K
90461 1,562 1,430 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 208 183 $9K
99215 Prolong outpt/office vis 169 145 $8K
90472 Immunization administration, each additional vaccine (list separately) 1,157 1,036 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 247 197 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 146 137 $5K
92551 875 835 $4K
99239 Hospital discharge day management, more than 30 minutes 113 102 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 454 151 $4K
99173 688 662 $3K
99233 Prolong inpt eval add15 m 124 52 $3K
80061 Lipid panel 203 198 $2K
90792 Psychiatric diagnostic evaluation with medical services 56 51 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 124 120 $2K
90686 1,278 1,223 $2K
90677 54 50 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 76 74 $1K
95806 19 17 $886.57
83036 Hemoglobin; glycosylated (A1C) 239 188 $875.07
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 67 63 $619.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $507.16
93000 60 50 $439.07
82948 300 243 $375.24
83718 51 51 $342.60
90670 462 422 $295.20
90791 Psychiatric diagnostic evaluation 19 12 $271.62
83655 29 24 $247.65
81025 45 42 $213.06
82465 51 51 $186.16
93356 14 12 $170.36
96127 56 50 $168.15
96110 Developmental screening, with scoring and documentation, per standardized instrument 26 25 $129.90
20610 19 12 $127.29
90656 137 126 $74.30
36416 477 406 $63.70
99442 17 12 $48.32
90648 452 403 $0.05
90723 175 156 $0.00
G8432 Depression screening not documented, reason not given 36 28 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 573 463 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 69 51 $0.00
90633 58 51 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 40 36 $0.00
90715 13 13 $0.00
G8785 Blood pressure reading not documented, reason not given 35 27 $0.00
90681 13 12 $0.00