Medicaid Provider Spending

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

BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC

NPI: 1942582010 · MECHANICSVILLE, VA 23116 · Cardiovascular Disease Physician · NPI assigned 09/15/2011

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

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

$320K
Total Medicaid Paid
12,507
Total Claims
10,199
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGAY, WILBUR (CFO)
NPI Enumeration Date09/15/2011

Related Entities

Other providers sharing the same authorized official: GAY, WILBUR

ProviderCityStateTotal Paid
ST FRANCIS PHYSICIAN SERVICES INC MAULDIN SC $3.30M
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC GLEN ALLEN VA $2.62M
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
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 1,940 $16K
2019 2,778 $54K
2020 2,440 $65K
2021 3,382 $114K
2022 1,533 $48K
2023 199 $7K
2024 235 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,163 2,635 $129K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,395 2,044 $116K
93000 2,327 1,983 $20K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 371 283 $8K
93296 575 511 $7K
93971 211 198 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 75 68 $6K
93970 82 73 $5K
93295 282 239 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,226 956 $4K
99232 Subsequent hospital care, per day, moderate complexity 234 85 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 13 $3K
93294 248 221 $3K
99233 Prolong inpt eval add15 m 80 38 $2K
99223 Prolong inpt eval add15 m 29 25 $2K
93280 32 25 $465.72
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 632 433 $0.00
1090F 31 24 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 19 13 $0.00
3017F 61 38 $0.00
G8432 Depression screening not documented, reason not given 118 80 $0.00
G8536 No documentation of an elder maltreatment screen, reason not given 159 115 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 55 39 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 73 48 $0.00
1101F 16 12 $0.00