Medicaid Provider Spending

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

BON SECOURS ST. FRANCIS MEDICAL CENTER LLC

NPI: 1801173141 · CHESTER, VA 23831 · Family Medicine Physician · NPI assigned 11/15/2011

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

Authorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more

$1.69M
Total Medicaid Paid
57,706
Total Claims
44,350
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
NPI Enumeration Date11/15/2011

Related Entities

Other providers sharing the same authorized official: RALSTON, KIMBERLY

ProviderCityStateTotal Paid
BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $83.03M
MARYVIEW HOSPITAL LLC PORTSMOUTH VA $75.03M
BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC RICHMOND VA $57.21M
BON SECOURS ST FRANCIS MEDICAL CENTER LLC MIDLOTHIAN VA $44.86M
MERCY HEALTH YOUNGSTOWN LLC WARREN OH $43.63M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $42.02M
MERCY HEALTH YOUNGSTOWN LLC YOUNGSTOWN OH $36.60M
MERCY HEALTH - FAIRFIELD HOSPITAL LLC FAIRFIELD OH $25.17M
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $24.51M
ST FRANCIS HOSPITAL INC GREENVILLE SC $17.81M
NWO INTEGRATED LABORATORIES MERCY LLC TOLEDO OH $13.47M
HOSPICE OF THE VALLEY, INC. GIRARD OH $13.33M
MERCY HEALTH - TIFFIN HOSPITAL LLC TIFFIN OH $12.99M
MERCY HEALTH - DEFIANCE HOSPITAL LLC DEFIANCE OH $11.90M
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $11.59M
COMMUNITY MERCY HEALTH PARTNERS URBANA OH $8.81M
MERCY HEALTH-ALLEN HOSPITAL LLC OBERLIN OH $8.61M
CHESAPEAKE HOSPITAL LLC KILMARNOCK VA $6.00M
MARYVIEW HOSPITAL, LLC SUFFOLK VA $3.48M
ROPER ST FRANCIS ANCILLARY SERVICES LADSON SC $3.33M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,774 $210K
2019 14,607 $272K
2020 6,627 $217K
2021 6,601 $279K
2022 5,454 $301K
2023 5,441 $265K
2024 3,202 $146K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,789 14,193 $874K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,032 17,794 $782K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 168 140 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 253 207 $6K
90686 522 430 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 54 50 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 26 26 $2K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 153 129 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 106 80 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 101 49 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16 14 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 14 $914.05
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 91 78 $262.30
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $152.46
1036F 86 81 $75.00
3044F 13 13 $70.00
81003 27 24 $28.50
1123F 28 25 $25.00
3017F 1,707 1,046 $25.00
1101F 45 36 $25.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,323 4,174 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 864 527 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 431 326 $0.00
2022F 24 14 $0.00
G8484 Influenza immunization was not administered, reason not given 69 64 $0.00
1090F 20 12 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 260 177 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,292 804 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 718 523 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,860 1,082 $0.00
G8432 Depression screening not documented, reason not given 3,090 1,874 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 370 231 $0.00
G0008 Administration of influenza virus vaccine 14 14 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 127 87 $0.00