Medicaid Provider Spending

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

SPOTSYLVANIA HOSPITALIST GROUP, LLC

NPI: 1962822510 · FREDERICKSBURG, VA 22408 · Hospitalist Physician · NPI assigned 04/22/2014

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

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

$8K
Total Medicaid Paid
474
Total Claims
207
Beneficiaries
6
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialDURHAM, CHRISTOPHER (PRESIDENT)
NPI Enumeration Date04/22/2014

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 HOSPITALIST GROUP, LLC RICHMOND VA $117K
JAMES RIVER EMERGENCY GROUP, LLC RICHMOND VA $114K
MIDDLE GEORGIA EMERGENCY GROUP, LLC RIVERDALE GA $108K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 474 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 234 91 $4K
99233 Prolong inpt eval add15 m 129 39 $2K
99239 Hospital discharge day management, more than 30 minutes 31 26 $883.55
99223 Prolong inpt eval add15 m 14 12 $869.12
99222 Initial hospital care, per day, moderate complexity 19 12 $436.22
99238 Hospital discharge day management, 30 minutes or less 47 27 $413.77