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

Spotsylvania Hospitalist Group, LLC

Spotsylvania Hospitalist Group, LLC was paid $8K by Medicaid between Jan 2018 and Dec 2018, across 6 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 47% of everything it billed.

33Billing provider infoSPOTSYLVANIA HOSPITALIST GROUP, LLC
FREDERICKSBURG, VA 22408
33aNPI1962822510assigned 04/22/2014
33bProvider typeHospitalist Physician
28Total paid$8K
24GClaims474
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Hospitalist Physician providers in Virginia

Rank by total paid#34 of 56
Median peer was paid$28K
This provider vs. median0.3×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018474$8K
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 47% 234 91 $4K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 22% 129 39 $2K
99239 Hospital discharge day management, more than 30 minutes 10% 31 26 $883.55
99223 Prolong inpt eval add15 m 10% 14 12 $869.12
99222 Initial hospital care, per day, moderate complexity 5.1% 19 12 $436.22
99238 Hospital discharge day management, 30 minutes or less 4.9% 47 27 $413.77

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.