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 Primary Care LLC (NPI 1861050635)

Bon Secours Medical Group Richmond Primary Care LLC is a family medicine physician provider located in Richmond, Virginia. This profile covers 0 Medicare and 137 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 Primary Care LLC
Address	8580 Magellan Pkwy
City	Richmond
State	VA
ZIP	23227
Taxonomy	Family Medicine Physician
NPI Enumerated	June 5, 2019

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

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

137 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…	121,120	$70	$8M
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…	64,730	$50	$3.2M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,000	$60	$755.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	10,550	$70	$727.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,150	$70	$340.2K
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…	3,810	$90	$331.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	22,990	$10	$321.8K
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…	1,710	$80	$130.3K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	10,040	$10	$100.4K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	1,240	$80	$94.4K

Showing 1–10 of 137

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 Primary Care LLC — 11 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

137 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	19	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…	1,244	1,340	710	$90	$245K
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…	30	4,010	290	$50	$199.8K
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…	150	400	370	$30	$162.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	228	290	360	$50	$160.1K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	16	270	720	$20	$120.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	88	90	290	$90	$118.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	16	650	150	$80	$115.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	501	660	310	$60	$110.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	13	580	150	$70	$109K

Showing 1–10 of 137

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Physicians Cincinnati, LLC	OH	Family Medicine Physician	$0	$27.9M
Bon Secours Medical Group Richmond Specialty Care LLC	VA	Cardiovascular Disease Physician	$0	$12.9M
Bon Secours Medical Group Hampton Roads Specialty Care LLC	VA	Cardiovascular Disease Physician	$0	$9.8M
Tara Adhikari	OH	Rheumatology Physician	$1.6M	$0
Saquib Samee	VA	Cardiovascular Disease Physician	$1.1M	$0
Soha Mousa	OH	Rheumatology Physician	$979.7K	$0
Mitesh Amin	VA	Cardiovascular Disease Physician	$921.2K	$2K
Nelson Watts	OH	Endocrinology, Diabetes & Metabolism Physician	$878.7K	$0
Jed Vanichkachorn	VA	Orthopaedic Surgery of the Spine Physician	$557.2K	$0
Jaspreet Singh	VA	Cardiovascular Disease Physician	$521.5K	$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 Primary Care LLC — Billing Profile & Reimbursement Data

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

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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