Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

James River Hospitalist Group, LLC

James River Hospitalist Group, LLC was paid $117K by Medicaid between Jan 2018 and Dec 2018, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 74% of everything it billed.

33Billing provider infoJAMES RIVER HOSPITALIST GROUP, LLC
RICHMOND, VA 23225
33aNPI1922439314assigned 12/10/2013
33bProvider typeHospitalist Physician
28Total paid$117K
24GClaims6,029
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Hospitalist Physician providers in Virginia

Rank by total paid#16 of 56
Median peer was paid$28K
This provider vs. median4.3×

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 DURHAM, CHRISTOPHER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20186,029$117K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 74% 4,951 1,415 $86K
99223 Prolong inpt eval add15 m 12% 304 226 $15K
99239 Hospital discharge day management, more than 30 minutes 7.4% 301 247 $9K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.8% 226 75 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 17 13 $906.55
99221 <1% 30 28 $860.77
99407 <1% 14 12 $178.85
1123F 0% 63 40 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 123 96 $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 officialDURHAM, CHRISTOPHER (PRESIDENT)
Same official

Other billing entities under DURHAM, CHRISTOPHER

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.