Medicaid Provider Spending

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

BON SECOURS MEDICAL GROUP RICHMOND PRIMARY CARE LLC

NPI: 1861050635 · RICHMOND, VA 23227 · Specialist · NPI assigned 06/05/2019

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

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

$15.11M
Total Medicaid Paid
379,749
Total Claims
310,116
Beneficiaries
137
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRALSTON, KIMBERLY (SYSTEM DIRECTOR)
NPI Enumeration Date06/05/2019

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
2020 86,246 $2.77M
2021 83,624 $2.96M
2022 68,733 $3.25M
2023 74,659 $3.22M
2024 66,487 $2.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 121,118 105,760 $7.97M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 64,728 56,247 $3.26M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11,995 9,548 $759K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 10,548 9,446 $732K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,154 4,468 $340K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,809 3,431 $331K
99309 Subsequent nursing facility care, per day, low to moderate complexity 22,986 11,108 $312K
99215 Prolong outpt/office vis 1,714 1,503 $130K
90686 10,042 8,573 $103K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,242 1,168 $94K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,502 1,369 $94K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,297 1,061 $84K
90670 6,066 5,324 $73K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,245 1,169 $52K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,580 1,490 $50K
90460 Immunization administration through 18 years of age via any route, first or only component 17,544 7,943 $47K
90698 4,245 3,680 $42K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,413 1,567 $40K
92551 4,489 3,706 $36K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,761 2,489 $31K
83036 Hemoglobin; glycosylated (A1C) 4,647 3,997 $28K
99232 Subsequent hospital care, per day, moderate complexity 904 335 $27K
90633 2,719 2,420 $25K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 315 294 $25K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 350 320 $24K
83655 2,572 2,132 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,769 2,569 $22K
90744 1,882 1,624 $18K
85018 9,527 7,791 $17K
99442 665 533 $16K
0002A 586 545 $16K
96127 3,712 3,241 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 613 570 $15K
90656 1,087 948 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 544 492 $15K
0001A 621 581 $14K
99223 Prolong inpt eval add15 m 180 166 $14K
90674 1,826 1,708 $13K
90681 1,352 1,214 $13K
80061 Lipid panel 1,670 1,375 $11K
99306 Prolong nursin fac eval 15m 330 270 $11K
99173 4,946 4,281 $10K
90791 Psychiatric diagnostic evaluation 127 102 $9K
99177 2,309 2,084 $8K
90651 547 469 $8K
99381 138 113 $8K
99385 95 88 $7K
90677 985 884 $7K
99383 93 75 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,395 1,211 $6K
99000 3,540 2,798 $6K
99443 152 125 $5K
99308 Subsequent nursing facility care, per day, straightforward 449 289 $5K
82962 2,677 2,264 $5K
81003 3,847 2,903 $5K
90847 Family psychotherapy with the patient present, 50 minutes 62 37 $4K
90834 Psychotherapy, 45 minutes with patient 72 54 $4K
90734 387 338 $4K
87807 349 319 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 105 93 $4K
96161 1,937 1,615 $3K
90837 Psychotherapy, 53 minutes with patient 34 24 $3K
90697 512 443 $3K
90716 229 218 $2K
36415 Collection of venous blood by venipuncture 1,526 1,311 $2K
90707 230 215 $2K
99386 20 17 $2K
90661 106 81 $2K
99233 Prolong inpt eval add15 m 49 26 $1K
99384 28 14 $1K
99441 98 84 $1K
90756 97 66 $1K
90715 63 58 $1K
96160 937 733 $1K
90710 145 136 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 47 14 $1K
90700 181 168 $939.48
1123F 1,032 849 $902.85
99406 112 100 $754.95
90696 136 120 $751.53
3078F 279 253 $750.00
3017F 936 797 $629.70
99310 Prolong nursin fac eval 15m 33 30 $620.12
99460 16 12 $619.11
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 131 109 $614.66
3074F 242 219 $550.00
0012A 45 41 $540.83
80053 Comprehensive metabolic panel 110 100 $536.51
20610 13 12 $531.75
99238 Hospital discharge day management, 30 minutes or less 17 13 $528.12
0071A 13 13 $528.00
87634 16 15 $497.73
36416 2,581 1,821 $464.32
84443 Thyroid stimulating hormone (TSH) 77 68 $445.66
85027 77 72 $388.40
90648 124 116 $314.54
99447 13 12 $294.22
93000 34 26 $286.06
0011A 45 42 $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) 98 91 $234.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 54 49 $221.18
3044F 90 79 $200.00
G0444 Annual depression screening, 5 to 15 minutes 22 17 $142.99
90620 12 12 $122.65
96380 16 12 $119.55
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29 25 $111.51
87430 19 12 $99.66
90381 15 13 $87.29
82044 30 26 $81.97
81001 30 25 $78.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 21 14 $76.23
90472 Immunization administration, each additional vaccine (list separately) 121 94 $74.57
82947 25 24 $55.56
90473 91 87 $54.28
90461 133 103 $50.80
1036F 43 40 $50.00
81002 14 12 $36.96
G0008 Administration of influenza virus vaccine 47 42 $35.37
2022F 15 14 $25.00
1101F 231 198 $25.00
91300 1,057 874 $7.10
91301 76 74 $0.33
91307 20 13 $0.19
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 3,649 3,104 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 166 134 $0.00
1090F 28 24 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 599 534 $0.00
G8484 Influenza immunization was not administered, reason not given 248 152 $0.00
G9899 Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed 78 67 $0.00
3046F 12 12 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 22 16 $0.00
G8432 Depression screening not documented, reason not given 574 447 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 445 365 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 135 118 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 304 241 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 185 158 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 50 29 $0.00