Medicaid Provider Spending

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

HENRICO DOCTORS NEUROLOGY ASSOCIATES LLC

NPI: 1760542591 · RICHMOND, VA 23229 · Neurology Physician · NPI assigned 12/11/2006

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

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

$403K
Total Medicaid Paid
8,697
Total Claims
7,559
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBERGAMO, SUZANNE (VICE PRESIDENT)
NPI Enumeration Date12/11/2006

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
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 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 359 $8K
2019 885 $26K
2020 1,394 $57K
2021 1,355 $61K
2022 1,034 $46K
2023 2,209 $123K
2024 1,461 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,459 2,174 $127K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,558 2,358 $105K
99223 Prolong inpt eval add15 m 551 506 $50K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 312 288 $29K
99233 Prolong inpt eval add15 m 558 366 $27K
99232 Subsequent hospital care, per day, moderate complexity 544 368 $18K
95886 245 220 $17K
99222 Initial hospital care, per day, moderate complexity 252 218 $13K
93880 313 281 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 31 26 $4K
95885 77 66 $2K
95816 69 54 $2K
95910 12 12 $1K
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) 41 38 $293.09
99231 Subsequent hospital care, per day, straightforward or low complexity 16 12 $249.68
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 24 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 635 548 $0.00