Bon Secours Medical Group Richmond Primary Care LLC
Bon Secours Medical Group Richmond Primary Care LLC was paid $15.11M by Medicaid between Jan 2020 and Dec 2024, across 137 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoBON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC
RICHMOND, VA 23227
RICHMOND, VA 23227
33aNPI1861050635assigned 06/05/2019
33bProvider typeSpecialist
28Total paid$15.11M
24GClaims379,749
24DCodes billed137
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#1 of 231
Median peer was paid$47K
This provider vs. median321×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RALSTON, KIMBERLY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 86,246 | $2.77M | |
| 2021 | 83,624 | $2.96M | |
| 2022 | 68,733 | $3.25M | |
| 2023 | 74,659 | $3.22M | |
| 2024incomplete | 66,487 | $2.91M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 53% | 121,118 | 105,760 | $7.97M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 64,728 | 56,247 | $3.26M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 11,995 | 9,548 | $759K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 10,548 | 9,446 | $732K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 5,154 | 4,468 | $340K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 3,809 | 3,431 | $331K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.1% | 22,986 | 11,108 | $312K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,714 | 1,503 | $130K |
| 90686 | <1% | 10,042 | 8,573 | $103K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,242 | 1,168 | $94K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,502 | 1,369 | $94K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,297 | 1,061 | $84K |
125 more codes
| 90670 | <1% | 6,066 | $73K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,245 | $52K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,580 | $50K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 17,544 | $47K |
| 90698 | <1% | 4,245 | $42K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,413 | $40K |
| 92551 | <1% | 4,489 | $36K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,761 | $31K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,647 | $28K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 904 | $27K |
| 90633 | <1% | 2,719 | $25K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 315 | $25K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 350 | $24K |
| 83655 | <1% | 2,572 | $23K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,769 | $22K |
| 90744 | <1% | 1,882 | $18K | |
| 85018 | <1% | 9,527 | $17K | |
| 99442 | <1% | 665 | $16K | |
| 0002A | <1% | 586 | $16K | |
| 96127 | <1% | 3,712 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 613 | $15K |
| 90656 | <1% | 1,087 | $15K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 544 | $15K |
| 0001A | <1% | 621 | $14K | |
| 99223 | Prolong inpt eval add15 m | <1% | 180 | $14K |
| 90674 | <1% | 1,826 | $13K | |
| 90681 | <1% | 1,352 | $13K | |
| 80061 | Lipid panel | <1% | 1,670 | $11K |
| 99306 | Prolong nursin fac eval 15m | <1% | 330 | $11K |
| 99173 | <1% | 4,946 | $10K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 127 | $9K |
| 99177 | <1% | 2,309 | $8K | |
| 90651 | <1% | 547 | $8K | |
| 99381 | <1% | 138 | $8K | |
| 99385 | <1% | 95 | $7K | |
| 90677 | <1% | 985 | $7K | |
| 99383 | <1% | 93 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,395 | $6K |
| 99000 | <1% | 3,540 | $6K | |
| 99443 | <1% | 152 | $5K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 449 | $5K |
| 82962 | <1% | 2,677 | $5K | |
| 81003 | <1% | 3,847 | $5K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 62 | $4K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 72 | $4K |
| 90734 | <1% | 387 | $4K | |
| 87807 | <1% | 349 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 105 | $4K |
| 96161 | <1% | 1,937 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 34 | $3K |
| 90697 | <1% | 512 | $3K | |
| 90716 | <1% | 229 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,526 | $2K |
| 90707 | <1% | 230 | $2K | |
| 99386 | <1% | 20 | $2K | |
| 90661 | <1% | 106 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 49 | $1K |
| 99384 | <1% | 28 | $1K | |
| 99441 | <1% | 98 | $1K | |
| 90756 | <1% | 97 | $1K | |
| 90715 | <1% | 63 | $1K | |
| 96160 | <1% | 937 | $1K | |
| 90710 | <1% | 145 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 47 | $1K |
| 90700 | <1% | 181 | $939.48 | |
| 1123F | <1% | 1,032 | $902.85 | |
| 99406 | <1% | 112 | $754.95 | |
| 90696 | <1% | 136 | $751.53 | |
| 3078F | <1% | 279 | $750.00 | |
| 3017F | <1% | 936 | $629.70 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 33 | $620.12 |
| 99460 | <1% | 16 | $619.11 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 131 | $614.66 |
| 3074F | <1% | 242 | $550.00 | |
| 0012A | <1% | 45 | $540.83 | |
| 80053 | Comprehensive metabolic panel | <1% | 110 | $536.51 |
| 20610 | <1% | 13 | $531.75 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $528.12 |
| 0071A | <1% | 13 | $528.00 | |
| 87634 | <1% | 16 | $497.73 | |
| 36416 | <1% | 2,581 | $464.32 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 77 | $445.66 |
| 85027 | <1% | 77 | $388.40 | |
| 90648 | <1% | 124 | $314.54 | |
| 99447 | <1% | 13 | $294.22 | |
| 93000 | <1% | 34 | $286.06 | |
| 0011A | <1% | 45 | $253.15 | |
| 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) | <1% | 98 | $234.93 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 54 | $221.18 |
| 3044F | <1% | 90 | $200.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 22 | $142.99 |
| 90620 | <1% | 12 | $122.65 | |
| 96380 | <1% | 16 | $119.55 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 29 | $111.51 |
| 87430 | <1% | 19 | $99.66 | |
| 90381 | <1% | 15 | $87.29 | |
| 82044 | <1% | 30 | $81.97 | |
| 81001 | <1% | 30 | $78.12 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 21 | $76.23 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 121 | $74.57 |
| 82947 | <1% | 25 | $55.56 | |
| 90473 | <1% | 91 | $54.28 | |
| 90461 | <1% | 133 | $50.80 | |
| 1036F | <1% | 43 | $50.00 | |
| 81002 | <1% | 14 | $36.96 | |
| G0008 | Administration of influenza virus vaccine | <1% | 47 | $35.37 |
| 2022F | <1% | 15 | $25.00 | |
| 1101F | <1% | 231 | $25.00 | |
| 91300 | <1% | 1,057 | $7.10 | |
| 91301 | <1% | 76 | $0.33 | |
| 91307 | <1% | 20 | $0.19 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,649 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 166 | $0.00 |
| 1090F | 0% | 28 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 599 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 248 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 78 | $0.00 |
| 3046F | 0% | 12 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 22 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 574 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 445 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 135 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 304 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 185 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 50 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.