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 Medical Group Richmond Specialty Care LLC (NPI 1477112225)

Bon Secours Medical Group Richmond Specialty Care LLC is a cardiovascular disease physician provider located in Richmond, Virginia. This profile covers 0 Medicare and 144 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Bon Secours Medical Group Richmond Specialty Care LLC
Address	8580 Magellan Pkwy
City	Richmond
State	VA
ZIP	23227
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 6, 2019

Payer Source	Total Paid
Medicaid	$12.9M
Medicare	$0

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

144 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	59,260	$70	$4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	32,560	$50	$1.5M
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	15,640	$100	$1.5M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	11,700	$100	$1.2M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	26,040	$30	$833.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	10,040	$70	$662.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,770	$90	$339.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,750	$130	$222K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,490	$80	$188.9K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	2,260	$80	$180.8K

Showing 1–10 of 144

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 Medical Group Richmond Specialty Care LLC — 8 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

144 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	18	20	750	$540	$871.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	169	400	1,910	$50	$412.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	38	150	300	$420	$381.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	200	210	920	$140	$367.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	61	90	150	$520	$281.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	33	3,520	370	$70	$280.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,182	1,340	710	$90	$245K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	8	60	110	$530	$242.3K
95812	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring is a routine…	6	10	30	$540	$224.5K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	12	10	550	$270	$224.5K

Showing 1–10 of 144

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bon Secours St. Mary's Hospital Of Richmond LLC	VA	General Acute Care Hospital	$0	$83.1M
Bon Secours Memorial Regional Medical Center LLC	VA	General Acute Care Hospital	$0	$41.9M
Bon Secours Medical Group Richmond Primary Care LLC	VA	Family Medicine Physician	$0	$15.1M
Bon Secours Medical Group Hampton Roads Specialty Care LLC	VA	Cardiovascular Disease Physician	$0	$9.8M
American Anesthesiology Of Virginia PC	VA	Anesthesiology Physician	$0	$8.9M
Saquib Samee	VA	Cardiovascular Disease Physician	$1.1M	$0
William Gillen	VA	MOHS-Micrographic Surgery Physician	$1.1M	$0
Mitesh Amin	VA	Cardiovascular Disease Physician	$921.2K	$2K
Christine Browning	VA	Cardiovascular Disease Physician	$816.3K	$0
Shaival Kapadia	VA	Cardiovascular Disease Physician	$781.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dominion Waiver Services	VA	Community/Behavioral Health Agency	$0	$49.2M
Dominion Day Treatment LLC.	VA	Community/Behavioral Health Agency	$0	$26M
Soar 365	VA	Developmentally Disabled Services Day Training Agency	$0	$16.9M
St. Joseph's Villa	VA	Mental Health Counselor	$0	$15.2M
Harryco	VA	Mental Health Counselor	$0	$8.8M
Dominion Aba	VA	Community/Behavioral Health Agency	$0	$7.4M
Family And Adolescent Services, LLC	VA	Community/Behavioral Health Agency	$0	$6.1M

Bon Secours Medical Group Richmond Specialty Care LLC — Billing Profile & Reimbursement Data

Sign up for Bon Secours Medical Group Richmond Specialty Care LLC — Billing Profile & Reimbursement Data policy alerts

Bon Secours Medical Group Richmond Specialty Care LLC — Billing Profile & Reimbursement Data

Sign up for Bon Secours Medical Group Richmond Specialty Care LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References