RIVERSIDE COUNSELING AND CONSULTING
NPI: 1316565351
· RICHMOND, VA 23219
· Developmentally Disabled Services Day Training Agency
· NPI assigned 07/07/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code H0046 with only 2 total codes billed. Highly concentrated billing profile.
$2.10M
Total Medicaid Paid
Provider Details
| Authorized Official | PLAYER, KIA (CEO) |
| NPI Enumeration Date | 07/07/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,155 |
$518K |
| 2022 |
3,384 |
$756K |
| 2023 |
3,091 |
$617K |
| 2024 |
930 |
$211K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| H0046 |
Mental health services, not otherwise specified |
9,366 |
930 |
$2.04M |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
194 |
15 |
$62K |