Medicaid Provider Spending

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

JAMES RIVER HOSPITALIST GROUP, LLC

NPI: 1922439314 · RICHMOND, VA 23225 · Hospitalist Physician · NPI assigned 12/10/2013

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

Authorized official DURHAM, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$117K
Total Medicaid Paid
6,029
Total Claims
2,152
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialDURHAM, CHRISTOPHER (PRESIDENT)
NPI Enumeration Date12/10/2013

Related Entities

Other providers sharing the same authorized official: DURHAM, CHRISTOPHER

ProviderCityStateTotal Paid
JAMES RIVER EMERGENCY GROUP, LLC RICHMOND VA $1.49M
VIRGINIA EMERGENCY GROUP LLC PETERSBURG VA $1.04M
TULLAHOMA PHYSICIANS GROUP, PLLC TULLAHOMA TN $833K
NORTH CAROLINA EMERGENCY PARTNERS LLC STATESVILLE NC $493K
BIG SUR ANESTHESIA GROUP, PC INDIO CA $455K
JAMES RIVER EMERGENCY GROUP, LLC HOPEWELL VA $423K
GEORGIA HOSPITALISTS GROUP, LLC GRIFFIN GA $299K
JAMES RIVER EMERGENCY GROUP, LLC PRINCE GEORGE VA $298K
RIVER PHYSICIANS GROUP LLC HATTIESBURG MS $267K
SOUTHERN VIRGINIA PHYSICIANS, LLC FRANKLIN VA $247K
RIVER PHYSICIANS GROUP, LLC VICKSBURG MS $244K
JAMES RIVER EMERGENCY GROUP, LLC NORTH CHESTERFIELD VA $218K
JAMES RIVER EMERGENCY GROUP, LLC RICHMOND VA $201K
JAMES RIVER EMERGENCY GROUP, LLC RICHMOND VA $186K
LEHIGH PHYSICIAN SERVICES, LLC LEHIGH ACRES FL $171K
SOUTHERN VIRGINIA PHYSICIANS, LLC EMPORIA VA $157K
ROANOKE PHYSICIAN SERVICES, LLC SALEM VA $140K
JAMES RIVER EMERGENCY GROUP, LLC RICHMOND VA $114K
MIDDLE GEORGIA EMERGENCY GROUP, LLC RIVERDALE GA $108K
JAMES RIVER EMERGENCY GROUP, LLC CHESTERFIELD VA $105K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,029 $117K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 4,951 1,415 $86K
99223 Prolong inpt eval add15 m 304 226 $15K
99239 Hospital discharge day management, more than 30 minutes 301 247 $9K
99233 Prolong inpt eval add15 m 226 75 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 17 13 $906.55
99221 30 28 $860.77
99407 14 12 $178.85
1123F 63 40 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 123 96 $0.00