Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Riverside Middle Peninsula Hospital INC

Riverside Middle Peninsula Hospital INC was paid $37K by Medicaid between Apr 2018 and Sep 2022, across 7 billing codes. Its largest line is Q5001, Hospice or home health care provided in patient's home/residence — 60% of everything it billed.

33Billing provider infoRIVERSIDE MIDDLE PENINSULA HOSPITAL INC
GLOUCESTER, VA 23061
33aNPI1598760498assigned 06/16/2005
28Total paid$37K
24GClaims7,479
24DCodes billed7
24AFirst – last monthApr 2018 – Sep 2022
Compared with peers

Next to other Community Based Hospice Care Agency providers in Virginia

Rank by total paid#34 of 61
Median peer was paid$43K
This provider vs. median0.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official AUSTIN, WALTER controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,639$0.00
20194,501$24K
2020849$7K
2022490$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Q5001 Hospice or home health care provided in patient's home/residence 60% 257 35 $23K
Q5003 Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf) 29% 91 47 $11K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 8.9% 2,442 420 $3K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes <1% 234 85 $196.87
G0155 Services of clinical social worker in home health or hospice settings, each 15 minutes <1% 144 81 $144.47
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes <1% 4,266 349 $139.50
Q5004 Hospice care provided in skilled nursing facility (snf) 0% 45 38 $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 officialAUSTIN, WALTER (SR VP/CFO)
Same official

Other billing entities under AUSTIN, WALTER

Full network →
ProviderLocationPaid
Riverside Hospital INCNewport News, VA$136.80M
Shore Health Services INC.Onancock, VA$24.72M
Riverside Middle Peninsula Hospital INCGloucester, VA$19.02M
Doctors' Hospital of WilliamsburgWilliamsburg, VA$11.99M
Riverside Hospital INCNewport News, VA$4.48M
Patrick Henry Hospital, INC.Newport News, VA$1.52M
Shore Health Services, INCAccomac, VA$1.31M
Riverside Hospice and Homecare Services LLCWarsaw, VA$438K
Riverside Hospital INCNewport News, VA$412K
Riverside Hospital, INCNewport News, VA$6K
Patrick Henry Hospital, INC.West Point, VA$4K
Shore Health Services INCAccomac, VA$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.