Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Bon Secours-richmond Community Hospital LLC (NPI 1366404428)

Field	Value
Entity Type	Organization
Organization	Bon Secours-richmond Community Hospital LLC
Address	1500 N 28th St
City	Richmond
State	VA
ZIP	23223
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 4, 2006

Payer Source	Total Paid
Medicaid	$57.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available claims data: there is no Medicare billing on file while total Medicaid revenue is $57.1M, indicating that Medicaid is the dominant — and for our records the only — public payer revenue stream reported. The absence of Medicare volume should be treated as a material characteristic of its payer mix for network and reimbursement analyses.

Revenue is highly concentrated: the top three Medicaid codes account for 50.6% of this provider's total Medicaid revenue. Those top drivers are 99283 (26.8%, $13.9M), 99284 (15.0%, $7.8M), and J9271 (8.8%, $4.6M), signifying that a small set of services generate half of Medicaid receipts.

The clinical mix points to a high‑volume emergency department operation supplemented by significant infusion/oncology activity. Emergency visit codes 99283 (85K claims, $13.9M), 99284 (44.7K claims, $7.8M), 99285 (16.7K claims, $3.1M) and 99282 (17.4K claims, $2.4M) together represent large ED throughput, while chemotherapy and infusion codes such as J9271 (1.1K claims, $4.6M), 96365 (14.7K claims, $2M) and 96413 (13.9K claims, $1.8M) support a substantial oncology/infusion service line.

Competitive standing in the state is uneven by service: for emergency triage complexity 99283 the provider ranks #13 of 626 (98th percentile) and is described as an extreme outlier, marking it as a dominant statewide volume source for that specific ED level. By contrast, J9271 (pembrolizumab) ranks #5 of 10 (56th percentile) and most chemotherapy administration codes (96413, 96415, 96361) are described as typical or unremarkable in-state volumes, indicating leadership in certain ED services but only modest standing among oncology providers.

Several ancillary services reinforce the hospital profile and diversify revenue beyond the top three codes: imaging (70450, $1.2M; 74177, $1.1M), physical therapy (97110, $747K; 97112, $522K), and hospital outpatient clinic visits (G0463, $1.3M). These mid‑tier revenue lines suggest the provider sustains a full-spectrum hospital outpatient footprint that complements ED and infusion activity rather than relying solely on one service line.

There are clear statistical flags in the code-level distribution that are useful for competitive and utilization review: 99283 is an extreme outlier in state volume, 96365 and 97112 are notably above typical state volume (95th percentile for 96365; 95th percentile for 97112), and 94640 is also notably above typical (94th percentile). At the same time, many high‑cost drug and chemotherapy codes are rated as typical or unremarkable in-state, underscoring that the provider’s outlier status is concentrated in ED throughput rather than uniformly across oncology.

Operationally, the combination of very high ED claim counts (e.g., 85K claims for 99283) and substantial counts for infusion/chemotherapy sessions (e.g., 14.7K claims for 96365; 13.9K for 96413) implies sizable capacity requirements for both emergency care and outpatient infusion suites. Payers and network planners should expect this facility to require strong ED staffing and infusion scheduling capacity, and to be an important Medicaid ED access point in the Richmond, VA market.

The provider has an established presence with an NPI enumeration date of 2006-04-04 (~20 years ago), which supports interpretation of these patterns as the output of a long‑standing operational model rather than a transient or new entrant phenomenon. That tenure, combined with the concentrated Medicaid footprint, makes the entity a stable, Medicaid‑focused hospital with pronounced emergency department activity.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

275 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	85,010	$160	$13.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	44,750	$170	$7.8M
J9271	Injection, pembrolizumab, 1 mg	1,150	$3,980	$4.6M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	12,320	$320	$4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	16,650	$190	$3.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	17,370	$140	$2.4M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	14,680	$140	$2M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	13,910	$130	$1.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	13,620	$100	$1.3M
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	5,260	$240	$1.2M

Showing 1–10 of 275

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Bon Secours-richmond Community Hospital LLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

275 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	5	10	800	$5,190	$4.6M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	32	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	21	70	3,200	$110	$2.8M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	5	10	800	$1,530	$2.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	25	30	600	$1,370	$1.7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	58	340	160	$130	$1.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	13	630	90	$140	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	19	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	63	80	3,650	$160	$1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	37	620	70	$120	$1M

Showing 1–10 of 275

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bon Secours-richmond Community Hospital LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bon Secours Memorial Regional Medical Center LLC	VA	General Acute Care Hospital	$0	$41.9M
American Anesthesiology Of Virginia PC	VA	Anesthesiology Physician	$0	$8.9M
Robert Levitt	VA	Cardiovascular Disease Physician	$247.7K	$0
Stacey Epps	VA	Neurology Physician	$220.3K	$0
Thomas Smith	VA	Neurology Physician	$177.8K	$0
Salmaan Khawaja	VA	Clinical Psychologist	$147.4K	$0
Scott Vota	VA	Neurology Physician	$137.6K	$0
Eric Floranda	VA	Neuromuscular Medicine (Psychiatry & Neurology) Physician	$114.4K	$0
Ernesto Luciano-perez	VA	Orthopaedic Surgery Physician	$105.7K	$0
Mitchell Shiffman	VA	Gastroenterology Physician	$91.6K	$0

Nearby Providers

Other providers in the same ZIP code as Bon Secours-richmond Community Hospital LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope, Unity, And Freedom Center Inc	VA	Counselor	$0	$35.4M
Five Star Living, LLC	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.4M
Life Services Inc	VA	Mental Health Counselor	$0	$15.2M
Metro Treatment Of Virginia LP	VA	Methadone Clinic	$141.6K	$15M
Guided Paths Inc	VA	Community/Behavioral Health Agency	$0	$14.3M
A Village Youth & Family Services Inc.	VA	Community/Behavioral Health Agency	$0	$12.1M
Capstone Counseling	VA	Mental Health Counselor	$0	$10.5M
Virginia Counseling And Community Development Corporation	VA	Case Management Agency	$0	$7.5M
Sandy Gibson	VA	Nephrology Physician	$174.9K	$0
Mauricio Monrroy Prado	VA	Nephrology Physician	$118K	$1.6K

Bon Secours-richmond Community Hospital LLC — Billing Profile & Reimbursement Data

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Bon Secours-richmond Community Hospital LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References