Physician
Riverside Hospital INC.
Riverside Hospital INC. was paid $7.74M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoRIVERSIDE HOSPITAL INC.
NEWPORT NEWS, VA 23601
NEWPORT NEWS, VA 23601
33aNPI1043353956assigned 02/14/2007
33bProvider typePediatrics Physician
28Total paid$7.74M
24GClaims241,339
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#12 of 817
Median peer was paid$29K
This provider vs. median264×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 34,872 | $997K | |
| 2019 | 42,104 | $1.26M | |
| 2020 | 37,141 | $1.12M | |
| 2021 | 42,811 | $1.32M | |
| 2022 | 32,300 | $1.13M | |
| 2023 | 28,444 | $1.07M | |
| 2024incomplete | 23,667 | $845K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 62,407 | 58,277 | $3.14M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 22,727 | 21,163 | $1.53M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 7,751 | 7,391 | $567K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 6,993 | 6,886 | $545K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 4,176 | 4,129 | $319K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 1,475 | 1,448 | $120K |
| 99381 | 1.5% | 1,972 | 1,528 | $113K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 3,271 | 3,127 | $110K |
| 90670 | 1.4% | 5,963 | 5,865 | $109K | |
| 90686 | 1.4% | 8,564 | 8,327 | $107K | |
| 0002A | 1.3% | 2,726 | 2,716 | $104K | |
| 0001A | 1.2% | 2,817 | 2,801 | $95K |
88 more codes
| 92551 | <1% | 7,837 | $76K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 946 | $64K |
| 36415 | Collection of venous blood by venipuncture | <1% | 30,655 | $61K |
| 90698 | <1% | 3,995 | $57K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,427 | $53K |
| 90681 | <1% | 2,663 | $42K | |
| 81025 | <1% | 6,471 | $41K | |
| 90633 | <1% | 2,829 | $34K | |
| 90651 | <1% | 1,131 | $31K | |
| 99174 | <1% | 4,959 | $25K | |
| 0004A | <1% | 653 | $24K | |
| 99188 | <1% | 1,029 | $21K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,445 | $19K |
| 90710 | <1% | 827 | $18K | |
| 90648 | <1% | 1,645 | $18K | |
| 90723 | <1% | 1,225 | $18K | |
| 90744 | <1% | 1,513 | $18K | |
| 90677 | <1% | 476 | $16K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,276 | $15K |
| 0054A | <1% | 405 | $13K | |
| 99173 | <1% | 5,376 | $13K | |
| 90734 | <1% | 634 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 151 | $12K |
| 81003 | <1% | 5,423 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 704 | $9K |
| 59025 | Fetal non-stress test | <1% | 348 | $9K |
| 0071A | <1% | 211 | $8K | |
| 85018 | <1% | 3,352 | $8K | |
| 0124A | <1% | 240 | $8K | |
| 0072A | <1% | 167 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,049 | $6K |
| 99442 | <1% | 238 | $6K | |
| 99383 | <1% | 73 | $6K | |
| 0031A | <1% | 152 | $5K | |
| 0501F | <1% | 3,605 | $5K | |
| 76830 | Ultrasound, transvaginal | <1% | 52 | $5K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 62 | $5K |
| 90661 | <1% | 260 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 231 | $5K |
| 0003A | <1% | 129 | $5K | |
| 90716 | <1% | 281 | $5K | |
| 90696 | <1% | 338 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 94 | $4K |
| 90715 | <1% | 221 | $4K | |
| 90707 | <1% | 280 | $4K | |
| 0052A | <1% | 121 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 232 | $4K |
| 0051A | <1% | 114 | $4K | |
| 90671 | <1% | 304 | $3K | |
| 99441 | <1% | 238 | $3K | |
| 96127 | <1% | 657 | $3K | |
| 91320 | <1% | 28 | $3K | |
| 0053A | <1% | 114 | $3K | |
| 99234 | <1% | 27 | $2K | |
| 99384 | <1% | 14 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 99385 | <1% | 13 | $1K | |
| 54150 | <1% | 13 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | $1K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 37 | $848.28 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $547.19 |
| 0082A | <1% | 13 | $526.00 | |
| 99443 | <1% | 14 | $509.17 | |
| 90480 | <1% | 28 | $498.63 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 29 | $480.81 |
| 36416 | <1% | 3,254 | $435.62 | |
| 90700 | <1% | 36 | $427.70 | |
| 99459 | <1% | 42 | $400.76 | |
| 96160 | <1% | 197 | $354.06 | |
| 88720 | <1% | 158 | $285.87 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 117 | $258.21 |
| 86318 | <1% | 40 | $251.54 | |
| 99401 | <1% | 14 | $220.00 | |
| 87210 | <1% | 42 | $141.19 | |
| G0008 | Administration of influenza virus vaccine | <1% | 51 | $31.22 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 27 | $27.63 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 29 | $26.30 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 29 | $3.61 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 12 | $2.32 |
| 91303 | <1% | 151 | $1.38 | |
| 91312 | <1% | 39 | $0.26 | |
| 91305 | <1% | 42 | $0.12 | |
| 3078F | 0% | 21 | $0.00 | |
| 3077F | 0% | 16 | $0.00 | |
| 0503F | 0% | 13 | $0.00 | |
| 0500F | 0% | 18 | $0.00 | |
| 3079F | 0% | 15 | $0.00 | |
| 3074F | 0% | 22 | $0.00 |
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 officialLESNICK, JAMES (VICE PRESIDENT)
Parent organizationRIVERSIDE HEALTHCARE ASSOCIATES INC
| Provider | Location | Paid |
|---|---|---|
| Riverside Physician Services, INC. | Newport News, VA | $44.72M |
| Riverside Physician Services INC | Newport News, VA | $428K |
| Peninsula Cancer Institute, LLC | Chesapeake, VA | $103K |
| Riverside Physician Services INC | Hampton, VA | $64K |
| Riverside Physician Services INC | Newport News, VA | $3K |
| Riverside Physician Services INC | Williamsburg, VA | $540.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.