Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › GLOUCESTER › RIVERSIDE MIDDLE PENINSULA HOSPITAL INC

RIVERSIDE MIDDLE PENINSULA HOSPITAL INC

NPI: 1528162534 · GLOUCESTER, VA 23061 · General Acute Care Hospital · NPI assigned 09/11/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official AUSTIN, WALTER controls 12+ related entities in our dataset. Read more

$19.02M
Total Medicaid Paid
511,320
Total Claims
378,884
Beneficiaries
203
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAUSTIN, WALTER (SENIOR VICE PRESIDENT/CFO)
NPI Enumeration Date09/11/2006

Related Entities

Other providers sharing the same authorized official: AUSTIN, WALTER

ProviderCityStateTotal Paid
RIVERSIDE HOSPITAL INC NEWPORT NEWS VA $136.80M
SHORE HEALTH SERVICES INC. ONANCOCK VA $24.72M
DOCTORS' HOSPITAL OF WILLIAMSBURG WILLIAMSBURG VA $11.99M
RIVERSIDE HOSPITAL INC NEWPORT NEWS VA $4.48M
PATRICK HENRY HOSPITAL, INC. NEWPORT NEWS VA $1.52M
SHORE HEALTH SERVICES, INC ACCOMAC VA $1.31M
RIVERSIDE HOSPICE AND HOMECARE SERVICES LLC WARSAW VA $438K
RIVERSIDE HOSPITAL INC NEWPORT NEWS VA $412K
RIVERSIDE MIDDLE PENINSULA HOSPITAL INC GLOUCESTER VA $37K
RIVERSIDE HOSPITAL, INC NEWPORT NEWS VA $6K
PATRICK HENRY HOSPITAL, INC. WEST POINT VA $4K
SHORE HEALTH SERVICES INC ACCOMAC VA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,552 $1.10M
2019 66,942 $2.24M
2020 71,329 $2.55M
2021 84,854 $2.98M
2022 74,179 $2.48M
2023 91,030 $3.79M
2024 74,434 $3.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 29,477 25,063 $4.76M
99284 Emergency department visit for the evaluation and management, high severity 18,439 15,099 $2.72M
96361 Intravenous infusion, hydration; each additional hour 10,142 7,674 $2.69M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,423 4,741 $1.02M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 17,847 5,251 $884K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 11,049 8,532 $811K
70450 Computed tomography, head or brain; without contrast material 4,479 3,802 $728K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,998 4,552 $712K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,579 2,989 $441K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,674 3,070 $420K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,097 1,846 $351K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,622 2,025 $267K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,037 4,086 $189K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,216 2,064 $186K
20610 1,340 1,066 $181K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 621 556 $176K
97161 1,916 1,787 $167K
71275 Computed tomographic angiography, chest, with contrast material 693 616 $139K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 1,017 713 $125K
G0378 Hospital observation service, per hour 1,016 814 $118K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,685 2,084 $105K
80053 Comprehensive metabolic panel 27,096 21,152 $102K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,340 1,208 $95K
76705 Ultrasound, abdominal, real time with image documentation; limited 989 930 $92K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 4,342 3,913 $90K
71046 Radiologic examination, chest; 2 views 5,811 5,113 $90K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,149 1,611 $89K
77067 Screening mammography, bilateral, including computer-aided detection 2,402 2,311 $89K
99281 Emergency department visit for the evaluation and management, self-limited or minor 454 427 $77K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 227 220 $74K
76642 519 500 $61K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 264 248 $51K
45380 Colonoscopy, flexible; with biopsy, single or multiple 69 65 $51K
93971 422 374 $45K
73030 2,267 1,922 $42K
77063 Screening digital breast tomosynthesis, bilateral 685 671 $38K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14,985 12,112 $35K
97162 210 199 $32K
72125 Computed tomography, cervical spine; without contrast material 1,372 1,184 $32K
73630 1,793 1,538 $29K
72100 1,197 1,115 $29K
73610 1,706 1,443 $29K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 30,352 23,081 $28K
71271 210 206 $23K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 42 38 $23K
73130 1,189 1,029 $22K
71045 Radiologic examination, chest; single view 10,662 8,743 $21K
73560 1,218 1,032 $20K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,426 9,190 $20K
81025 3,394 3,011 $19K
73564 576 521 $19K
73562 1,306 1,157 $19K
93017 107 97 $18K
73110 885 707 $17K
72040 551 520 $17K
71250 309 269 $16K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 80 76 $16K
80048 Basic metabolic panel (calcium, ionized) 3,902 3,063 $16K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 27 24 $16K
87040 2,851 1,295 $15K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 803 768 $14K
36415 Collection of venous blood by venipuncture 12,250 10,255 $11K
83880 1,817 1,460 $11K
84484 11,255 7,194 $10K
73502 497 412 $8K
J3490 Unclassified drugs 9,817 4,796 $7K
90715 341 321 $7K
74018 426 379 $7K
97750 341 314 $7K
70551 Magnetic resonance imaging, brain; without contrast material 26 25 $6K
84443 Thyroid stimulating hormone (TSH) 2,008 1,812 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 7,534 6,066 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 2,836 2,472 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 61 52 $5K
12001 26 24 $5K
85379 1,124 985 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,807 3,506 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 7,028 5,665 $4K
76830 Ultrasound, transvaginal 29 28 $4K
97530 Therapeutic activities, direct patient contact, each 15 minutes 140 100 $4K
87086 Culture, bacterial; quantitative colony count, urine 6,902 5,706 $3K
76775 41 38 $3K
20550 15 12 $3K
J3010 Injection, fentanyl citrate, 0.1 mg 3,828 3,050 $3K
70491 16 14 $3K
86756 538 522 $3K
72141 14 13 $3K
96375 Therapeutic injection; each additional sequential IV push 7,634 6,083 $3K
73080 96 82 $2K
83735 5,250 4,065 $2K
70486 25 24 $2K
83036 Hemoglobin; glycosylated (A1C) 855 774 $2K
00811 159 145 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,158 1,443 $2K
97116 79 36 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 528 443 $2K
83605 3,474 2,479 $2K
81001 14,314 11,758 $2K
77080 39 36 $2K
80047 576 504 $2K
86885 757 656 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 11,312 7,215 $1K
76536 12 12 $1K
85610 3,696 2,885 $1K
51798 448 395 $1K
80061 Lipid panel 541 514 $1K
80143 166 148 $1K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 13 13 $1K
87081 2,546 2,331 $1K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,904 1,456 $1K
72110 102 92 $1K
86900 998 846 $1K
73590 83 66 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,659 1,391 $1K
J2270 Injection, morphine sulfate, up to 10 mg 1,906 1,403 $995.99
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 10,634 4,770 $967.71
82947 4,162 2,476 $893.31
J3480 Injection, potassium chloride, per 2 meq 53 41 $666.80
96367 38 26 $666.54
J2704 Injection, propofol, 10 mg 7,045 3,817 $651.51
86901 998 846 $646.29
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 98 97 $642.52
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 26 12 $616.53
J3475 Injection, magnesium sulfate, per 500 mg 594 460 $586.33
J2360 Injection, orphenadrine citrate, up to 60 mg 672 592 $573.33
94060 17 12 $565.96
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 107 75 $552.62
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 62 51 $531.60
86140 134 111 $520.92
36430 22 12 $517.90
84703 2,495 2,253 $498.51
84145 239 182 $468.70
82077 2,584 2,139 $454.76
80179 110 105 $453.39
82565 741 688 $448.11
87077 2,820 2,097 $407.00
83690 6,221 5,112 $404.26
73140 40 36 $368.50
85652 238 176 $332.96
85730 1,299 1,143 $309.89
73552 51 49 $283.88
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,908 2,441 $251.28
85014 1,293 1,024 $251.15
73501 15 12 $251.02
80069 111 88 $239.80
87430 2,741 2,517 $228.51
87186 2,552 1,883 $217.87
94727 17 12 $213.36
94729 17 12 $213.36
J0690 Injection, cefazolin sodium, 500 mg 1,442 1,087 $194.67
73090 14 12 $168.75
J2060 Injection, lorazepam, 2 mg 819 656 $151.95
81002 941 792 $140.35
J2250 Injection, midazolam hydrochloride, per 1 mg 2,060 1,758 $139.27
A9585 Injection, gadobutrol, 0.1 ml 1,705 1,208 $125.40
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,095 920 $103.34
81003 1,323 1,178 $80.07
84439 46 46 $76.85
84702 30 25 $63.47
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 766 673 $60.67
A9150 Non-prescription drugs 24,616 10,799 $60.04
71101 13 12 $59.27
36592 300 231 $59.08
J1170 Injection, hydromorphone, up to 4 mg 822 590 $53.11
J2765 Injection, metoclopramide hcl, up to 10 mg 613 540 $49.74
82607 17 12 $48.42
85018 77 38 $33.33
00731 145 141 $25.16
87205 93 76 $17.20
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 357 229 $16.75
P9612 Catheterization for collection of specimen, single patient, all places of service 235 170 $12.87
J1815 Injection, insulin, per 5 units 136 59 $12.21
82803 126 100 $12.02
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 539 434 $11.27
82550 80 65 $10.66
96376 1,988 1,497 $8.97
87070 14 13 $8.60
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 281 230 $8.37
J0780 Injection, prochlorperazine, up to 10 mg 109 102 $6.80
J1650 Injection, enoxaparin sodium, 10 mg 77 39 $5.80
J0330 Injection, succinylcholine chloride, up to 20 mg 38 15 $4.56
J2370 Injection, phenylephrine hcl, up to 1 ml 46 43 $2.40
J1940 Injection, furosemide, up to 20 mg 71 53 $2.20
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 15 15 $1.88
A9270 Non-covered item or service 5,141 1,304 $0.06
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 28 24 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 30 28 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 97 50 $0.00
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 379 274 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 106 99 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 45 40 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 62 51 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 133 121 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,427 2,749 $0.00
87210 23 13 $0.00
00812 150 143 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 739 622 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 36 24 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 16 13 $0.00
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 47 36 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 18 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 23 14 $0.00
84100 14 12 $0.00