BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC
NPI: 1780961029
· RICHMOND, VA 23229
· 207Q00000X
$1.12M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,779 |
$58K |
| 2019 |
4,606 |
$191K |
| 2020 |
4,557 |
$221K |
| 2021 |
3,583 |
$181K |
| 2022 |
3,231 |
$188K |
| 2023 |
2,966 |
$166K |
| 2024 |
2,303 |
$116K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
13,118 |
11,200 |
$752K |
| 99213 |
|
7,934 |
6,920 |
$342K |
| 99204 |
|
94 |
84 |
$9K |
| 90686 |
|
584 |
502 |
$7K |
| 99203 |
|
59 |
54 |
$4K |
| 99212 |
|
59 |
56 |
$2K |
| 90471 |
|
320 |
264 |
$2K |
| 73130 |
|
107 |
50 |
$1K |
| 90653 |
|
15 |
13 |
$445.55 |
| 73630 |
|
27 |
15 |
$397.91 |
| 1123F |
|
82 |
75 |
$275.00 |
| G2211 |
Complex e/m visit add on |
39 |
29 |
$228.57 |
| 36415 |
|
71 |
61 |
$20.57 |
| 1101F |
|
15 |
12 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
55 |
39 |
$0.00 |
| G8536 |
No doc elder mal scrn |
15 |
12 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
431 |
303 |
$0.00 |