Medicaid Provider Spending

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

LEWIS GALE PHYSICIANS LLC

NPI: 1902977705 · SALEM, VA 24153 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/13/2006

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

Authorized official BERGAMO, SUZANNE controls 19+ related entities in our dataset. Read more

$20.58M
Total Medicaid Paid
571,152
Total Claims
470,994
Beneficiaries
177
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERGAMO, SUZANNE (VP)
NPI Enumeration Date11/13/2006

Related Entities

Other providers sharing the same authorized official: BERGAMO, SUZANNE

ProviderCityStateTotal Paid
COMMONWEALTH PERINATAL SERVICES, LLC FREDERICKSBURG VA $3.35M
JOHN RANDOLPH OB/GYN, LLC RICHMOND VA $1.97M
PRIMARY HEALTH GROUP INC MIDLOTHIAN VA $1.76M
SPOTSYLVANIA MULTI-SPECIALTY GROUP, LLC FREDERICKSBURG VA $1.73M
REGIONAL HOSPITAL HEALTHCARE PARTNERS LLC TERRE HAUTE IN $1.55M
APPLEDORE MEDICAL GROUP, INC PORTSMOUTH NH $1.41M
COLUMBIA HEALTHCARE OF CENTRAL VIRGINIA INC RICHMOND VA $705K
APPOMATTOX RIVER PRIMARY CARE, LLC HOPEWELL VA $604K
HENRICO DOCTORS OB GYN SPECIALISTS LLC RICHMOND VA $504K
RETREAT CARDIOLOGY LLC RICHMOND VA $476K
PRIMARY CARE OF WEST END LLC RICHMOND VA $428K
HENRICO DOCTORS NEUROLOGY ASSOCIATES LLC RICHMOND VA $403K
HENRICO SURGICAL SPECIALISTS, LLC RICHMOND VA $386K
RETREAT INTERNAL MEDICINE LLC RICHMOND VA $317K
JAMES RIVER INTERNISTS LLC MIDLOTHIAN VA $193K
PARKLAND PHYSICIAN SERVICES, INC. DERRY NH $73K
SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC DULLES VA $49K
CHIPPENHAM AND JOHNSTON-WILLIS SPORTS MEDICINE, LLC NORTH CHESTERFIELD VA $30K
VIRGINIA GYNECOLOGIC ONCOLOGY LLC RICHMOND VA $29K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,767 $525K
2019 63,806 $2.23M
2020 64,908 $2.84M
2021 75,224 $3.19M
2022 89,413 $3.83M
2023 145,031 $4.51M
2024 112,003 $3.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 123,463 108,164 $5.87M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 85,593 76,919 $5.58M
99232 Subsequent hospital care, per day, moderate complexity 56,896 18,535 $2.01M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,053 10,606 $834K
99223 Prolong inpt eval add15 m 6,331 5,749 $639K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6,915 5,605 $542K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,814 6,566 $520K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,512 4,168 $424K
99239 Hospital discharge day management, more than 30 minutes 7,504 6,541 $409K
99233 Prolong inpt eval add15 m 6,560 2,690 $370K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,402 4,891 $331K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,004 3,878 $307K
99222 Initial hospital care, per day, moderate complexity 4,654 4,115 $263K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 6,149 5,691 $230K
99215 Prolong outpt/office vis 1,897 1,648 $135K
90670 5,830 5,606 $129K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 23,111 18,955 $111K
1159F 33,588 29,811 $98K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,149 1,106 $96K
3074F 17,487 15,575 $93K
90792 Psychiatric diagnostic evaluation with medical services 657 531 $87K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 855 769 $86K
3078F 15,917 14,199 $83K
90677 1,014 904 $73K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,636 1,349 $71K
90648 6,715 6,430 $70K
90723 4,468 4,251 $65K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,981 4,680 $62K
1160F 21,570 19,039 $58K
90686 4,577 4,387 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,931 1,634 $47K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 643 593 $47K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,872 2,010 $35K
93971 2,685 2,493 $35K
59510 18 13 $35K
59025 Fetal non-stress test 1,269 923 $30K
99238 Hospital discharge day management, 30 minutes or less 616 583 $29K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 17 15 $29K
3079F 5,343 4,801 $28K
90681 1,677 1,596 $28K
90710 791 742 $24K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 453 402 $24K
90633 1,824 1,748 $22K
20610 591 477 $20K
76801 224 191 $20K
93970 1,045 957 $19K
93000 2,265 2,102 $19K
0502F 7,247 5,121 $19K
76830 Ultrasound, transvaginal 189 181 $18K
3077F 3,029 2,746 $15K
99460 228 217 $15K
99254 273 265 $14K
73610 574 493 $14K
90651 316 309 $13K
83655 1,162 1,093 $13K
76813 126 116 $11K
93307 440 420 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 222 210 $11K
73630 397 353 $10K
J0585 Injection, onabotulinumtoxina, 1 unit 13 12 $10K
73110 377 309 $9K
90837 Psychotherapy, 53 minutes with patient 92 49 $9K
95251 441 410 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,027 986 $9K
96127 2,077 1,939 $9K
99205 Prolong outpt/office vis 82 79 $9K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 142 104 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity 410 209 $7K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 123 89 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,453 1,331 $6K
90734 213 211 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,070 947 $5K
95886 74 65 $5K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 45 36 $5K
3075F 1,165 1,061 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 103 96 $4K
99381 70 49 $4K
90791 Psychiatric diagnostic evaluation 26 25 $4K
99173 1,649 1,591 $4K
93016 258 246 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 60 49 $4K
90696 221 210 $3K
42820 Tonsillectomy and adenoidectomy; younger than age 12 13 13 $3K
90656 218 210 $3K
85018 1,389 1,312 $3K
1034F 482 440 $3K
3080F 575 519 $3K
92015 Determination of refractive state 271 210 $3K
1170F 2,270 1,999 $3K
93018 277 260 $3K
99462 81 69 $3K
99442 72 70 $2K
90700 195 191 $2K
1036F 756 645 $2K
20553 57 51 $2K
90715 104 99 $2K
3044F 489 425 $2K
31575 27 24 $2K
36415 Collection of venous blood by venipuncture 1,111 1,033 $2K
81025 304 242 $2K
95806 25 25 $2K
87807 132 128 $2K
93308 139 136 $2K
99188 95 83 $1K
92250 91 68 $1K
81003 813 707 $1K
99221 29 28 $1K
92551 140 135 $1K
98927 67 40 $1K
98926 41 33 $1K
73130 58 49 $1K
93458 15 13 $1K
99283 Emergency department visit for the evaluation and management, moderate severity 31 26 $1K
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) 241 192 $1K
3017F 455 378 $875.00
97803 19 15 $861.52
1125F 336 283 $850.00
17110 15 13 $826.29
3014F 189 171 $825.00
93880 41 39 $823.72
94060 102 94 $781.05
1126F 476 430 $750.00
71046 Radiologic examination, chest; 2 views 42 39 $747.97
3046F 148 139 $720.00
92134 62 43 $657.16
73562 27 25 $654.27
51798 91 88 $619.15
11102 15 14 $587.72
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 48 43 $567.69
94729 83 78 $546.48
94726 57 52 $516.91
99441 36 28 $512.88
93040 56 49 $481.94
90472 Immunization administration, each additional vaccine (list separately) 562 513 $420.23
90716 24 24 $403.91
H0001 Alcohol and/or drug assessment 17 14 $376.20
99282 Emergency department visit for the evaluation and management, low to moderate severity 14 13 $328.65
95816 15 12 $303.39
73140 15 12 $299.53
95117 33 12 $261.75
88720 79 60 $258.24
93321 77 76 $254.81
90707 12 12 $208.93
J1030 Injection, methylprednisolone acetate, 40 mg 44 38 $207.43
99406 38 26 $191.35
90672 12 12 $175.23
90785 12 12 $163.40
82947 88 66 $158.22
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 12 $139.52
99308 Subsequent nursing facility care, per day, straightforward 55 38 $139.40
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 18 13 $124.68
3051F 26 25 $100.00
93325 63 62 $88.72
1220F 76 67 $50.00
90474 14 13 $3.40
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12,079 10,525 $0.00
G9920 Screening performed and negative 4,260 3,856 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,657 2,408 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 332 265 $0.00
G9919 Screening performed and positive and provision of recommendations 45 42 $0.00
3725F 27 27 $0.00
99499 232 194 $0.00
3288F 113 97 $0.00
1124F 46 39 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 52 37 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 12 12 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 133 118 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 1,268 1,149 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 2,865 2,580 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 287 265 $0.00
1101F 128 110 $0.00
G8432 Depression screening not documented, reason not given 166 151 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 180 146 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 55 44 $0.00
3008F 12 12 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 13 12 $0.00
0503F 14 12 $0.00