Medicaid Provider Spending

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

JOHN RANDOLPH OB/GYN, LLC

NPI: 1720117559 · RICHMOND, VA 23225 · Obstetrics & Gynecology Physician · NPI assigned 03/05/2007

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

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

$1.97M
Total Medicaid Paid
53,332
Total Claims
45,455
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERGAMO, SUZANNE (VP)
NPI Enumeration Date03/05/2007

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
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
APPLEDORE MEDICAL GROUP, INC PORTSMOUTH NH $1.41M
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 3,971 $88K
2019 7,273 $203K
2020 8,516 $307K
2021 9,080 $363K
2022 9,670 $387K
2023 9,071 $341K
2024 5,751 $281K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,281 15,786 $850K
J1050 Injection, medroxyprogesterone acetate, 1 mg 5,118 4,676 $364K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3,663 3,344 $268K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,187 2,768 $212K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 42 38 $77K
81025 11,230 9,472 $63K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,539 4,916 $59K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 253 228 $14K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 202 181 $13K
87210 3,788 3,166 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 244 227 $8K
59025 Fetal non-stress test 300 230 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 46 42 $5K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 53 50 $4K
99284 Emergency department visit for the evaluation and management, high severity 46 39 $3K
90715 74 67 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 51 50 $2K
99218 41 38 $2K
99385 13 12 $1K
99217 39 28 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 37 19 $726.19
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 56 51 $375.35
99459 14 14 $155.44
81003 15 13 $20.94