Medicaid Provider Spending

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

BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC

NPI: 1881795557 · GLEN ALLEN, VA 23060 · Adolescent Medicine (Internal Medicine) Physician · NPI assigned 09/26/2006

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

Authorized official GAY, WILBUR controls 20+ related entities in our dataset. Read more

$2.62M
Total Medicaid Paid
61,660
Total Claims
53,705
Beneficiaries
56
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
NPI Enumeration Date09/26/2006

Related Entities

Other providers sharing the same authorized official: GAY, WILBUR

ProviderCityStateTotal Paid
ST FRANCIS PHYSICIAN SERVICES INC MAULDIN SC $3.30M
BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC GREENVILLE SC $2.14M
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $874K
MARYVIEW HOSPITAL LLC CHESAPEAKE VA $690K
BON SECOURS DEPAUL MEDICAL CENTER LLC NORFOLK VA $658K
MARY IMMACULATE HOSPITAL LLC NEWPORT NEWS VA $631K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $532K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $471K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC KING WILLIAM VA $448K
MARYVIEW HOSPITAL LLC SUFFOLK VA $445K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $436K
ST FRANCIS PHYSICIAN SERVICES INC EASLEY SC $363K
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC MECHANICSVILLE VA $320K
ST. FRANCIS PHYSICIAN SERVICES INC GREER SC $315K
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC WARREN OH $302K
MARYVIEW HOSPITAL LLC SUFFOLK VA $264K
BON SECOURS ST MARY'S HOSPITAL OF RICHMOND LLC RICHMOND VA $216K
ST FRANCIS PHYSICIAN SERVICES INC SIMPSONVILLE SC $192K
ST FRANCIS PHYSICIAN SERVICES INC GREENVILLE SC $190K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,515 $295K
2019 11,848 $468K
2020 9,910 $358K
2021 9,635 $390K
2022 9,476 $455K
2023 6,885 $334K
2024 6,391 $319K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,989 15,643 $1.20M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,381 8,387 $449K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,825 3,404 $252K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,082 2,479 $190K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,660 2,433 $171K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,108 1,013 $73K
90686 5,919 5,245 $65K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 328 296 $25K
90670 1,729 1,562 $21K
90633 1,282 1,134 $14K
99384 156 146 $13K
90698 1,187 1,070 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 858 414 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,447 1,260 $11K
99383 133 127 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 191 172 $9K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 107 105 $9K
90744 823 740 $9K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 626 592 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 224 211 $7K
96127 1,502 1,325 $7K
99215 Prolong outpt/office vis 80 73 $6K
90651 420 376 $6K
83655 642 556 $6K
90681 433 385 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 117 115 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 54 53 $2K
90734 217 189 $2K
99173 1,062 924 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 409 342 $2K
99381 34 29 $2K
90696 141 129 $2K
92551 196 169 $2K
85018 747 654 $2K
90716 128 116 $1K
90710 115 104 $1K
96161 504 431 $1K
99382 13 13 $1K
90700 90 83 $1K
99385 15 13 $908.30
90707 84 74 $886.63
90620 40 38 $842.18
90715 56 52 $620.90
81003 308 238 $479.52
90713 34 28 $426.52
90460 Immunization administration through 18 years of age via any route, first or only component 167 89 $386.34
99401 13 12 $286.33
81002 102 96 $282.89
83036 Hemoglobin; glycosylated (A1C) 26 26 $218.48
90691 15 12 $214.04
90647 14 14 $149.63
G8432 Depression screening not documented, reason not given 211 133 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 69 38 $0.00
3017F 36 24 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 38 25 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 473 294 $0.00