Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Riverside Physician Services, INC.

Riverside Physician Services, INC. was paid $44.72M by Medicaid between Jan 2018 and Dec 2024, across 272 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.

33Billing provider infoRIVERSIDE PHYSICIAN SERVICES, INC.
NEWPORT NEWS, VA 23601
33aNPI1710020623assigned 02/14/2007
33bProvider typeAnesthesiology Physician
28Total paid$44.72M
24GClaims1,183,081
24DCodes billed272
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in Virginia

Rank by total paid#1 of 61
Median peer was paid$20K
This provider vs. median2,278×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018100,239$2.19M
2019166,076$4.89M
2020153,774$5.87M
2021178,878$7.19M
2022189,185$8.17M
2023217,505$9.30M
2024incomplete177,424$7.11M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 37% 271,011 251,358 $16.51M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 171,028 157,097 $7.74M
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.3% 20,652 20,114 $1.92M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.2% 56,635 21,560 $1.89M
J0585 Injection, onabotulinumtoxina, 1 unit 3.2% 2,332 1,364 $1.45M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3.1% 18,604 17,643 $1.40M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.7% 16,610 15,840 $776K
99223 Prolong inpt eval add15 m 1.7% 8,687 8,057 $775K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.6% 141,417 118,683 $696K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.5% 11,400 10,913 $677K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.5% 6,256 6,041 $661K
99239 Hospital discharge day management, more than 30 minutes 1.4% 12,238 11,373 $631K
260 more codes
99233 Hospital visit by a doctor, follow-up day (complex) 1.3% 11,974 $579K
99222 Initial hospital care, per day, moderate complexity <1% 6,153 $371K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 4,615 $343K
99215 Doctor's office visit, returning patient (complex) <1% 3,864 $314K
20610 <1% 8,860 $313K
99221 <1% 6,891 $310K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 4,197 $308K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 4,245 $307K
92015 Determination of refractive state <1% 20,011 $287K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,117 $220K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,983 $217K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 2,242 $210K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,640 $205K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 4,571 $201K
36415 Collection of venous blood by venipuncture <1% 113,212 $192K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 10,310 $189K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,619 $185K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 5,781 $176K
90686 <1% 12,303 $167K
99308 Subsequent nursing facility care, per day, straightforward <1% 18,968 $163K
0002A <1% 4,201 $158K
64615 <1% 1,589 $157K
J0178 Injection, aflibercept, 1 mg <1% 163 $155K
0001A <1% 4,676 $151K
20611 <1% 2,249 $148K
99285 Emergency room visit (most serious) <1% 1,313 $140K
67028 Intravitreal injection of a pharmacologic agent <1% 2,425 $138K
D7140 Extraction, erupted tooth or exposed root <1% 2,329 $128K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,548 $120K
92134 <1% 5,558 $111K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,422 $108K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 12,748 $101K
99220 <1% 1,055 $92K
90832 Psychotherapy session, about 30 minutes <1% 2,194 $87K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 7,148 $83K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 43 $71K
97597 <1% 3,489 $69K
90834 Psychotherapy session, about 45 minutes <1% 1,167 $67K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,171 $64K
76830 Ultrasound, transvaginal <1% 639 $63K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 945 $57K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 4,744 $55K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,772 $54K
D1110 Prophylaxis - adult <1% 1,590 $51K
D0150 Comprehensive oral evaluation - new or established patient <1% 2,166 $49K
99217 <1% 1,340 $47K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 548 $47K
92133 <1% 1,862 $45K
90670 <1% 2,938 $43K
93971 <1% 2,466 $42K
81025 <1% 6,830 $42K
95886 <1% 607 $41K
59025 Fetal non-stress test <1% 1,172 $40K
11056 <1% 4,016 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,448 $37K
93295 <1% 1,890 $36K
76882 <1% 699 $34K
D0274 Bitewings - four radiographic images <1% 1,643 $33K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 341 $33K
95806 <1% 1,033 $32K
95816 <1% 935 $31K
99205 Prolong outpt/office vis <1% 256 $30K
10060 <1% 1,160 $30K
D0230 Intraoral - periapical each additional radiographic image <1% 3,317 $28K
D0210 Intraoral - complete series of radiographic images <1% 1,226 $28K
95251 <1% 1,398 $28K
62323 <1% 298 $27K
99238 Hospital discharge day management, 30 minutes or less <1% 835 $26K
90961 <1% 428 $26K
99385 <1% 296 $25K
77427 <1% 209 $24K
0004A <1% 646 $24K
92557 <1% 1,006 $24K
93970 <1% 1,078 $23K
99284 Emergency room visit (serious) <1% 352 $22K
94726 <1% 2,706 $22K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 123 $20K
93298 <1% 1,402 $20K
95885 <1% 411 $19K
64616 <1% 170 $19K
94729 <1% 2,941 $18K
90723 <1% 1,316 $17K
D0220 Intraoral - periapical first radiographic image <1% 1,965 $16K
90633 <1% 1,429 $16K
99283 Emergency room visit (moderate) <1% 443 $16K
J9035 Injection, bevacizumab, 10 mg <1% 228 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,819 $16K
99307 <1% 2,751 $16K
92083 <1% 433 $15K
93296 <1% 949 $15K
91320 <1% 194 $14K
99459 <1% 1,301 $14K
93297 <1% 1,136 $14K
95874 <1% 409 $14K
92567 <1% 1,286 $14K
90651 <1% 790 $13K
97598 <1% 181 $13K
94060 <1% 1,615 $13K
0124A <1% 376 $12K
93016 <1% 1,033 $12K
85018 <1% 5,587 $12K
87807 <1% 1,069 $12K
90647 <1% 1,019 $11K
0054A <1% 400 $11K
92551 <1% 1,165 $11K
92250 <1% 580 $11K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,963 $11K
80061 Lipid panel <1% 1,850 $10K
99386 <1% 116 $10K
99188 <1% 532 $10K
90791 Psychiatric diagnostic evaluation <1% 80 $9K
90661 <1% 515 $9K
S0612 Annual gynecological examination, established patient <1% 253 $9K
90672 <1% 846 $9K
11721 <1% 1,563 $9K
90677 <1% 198 $8K
93018 <1% 1,026 $8K
81002 <1% 3,192 $8K
64483 <1% 84 $8K
77014 <1% 269 $8K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 494 $8K
0012A <1% 226 $7K
90715 <1% 307 $7K
90935 Hemodialysis procedure with single evaluation by a physician <1% 381 $7K
31575 <1% 102 $7K
0011A <1% 263 $7K
0071A <1% 168 $7K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 386 $6K
90681 <1% 453 $6K
90734 <1% 435 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 520 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 415 $6K
20552 <1% 239 $5K
99174 <1% 1,004 $5K
0072A <1% 126 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,488 $5K
52000 <1% 39 $5K
90648 <1% 453 $5K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 41 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 67 $5K
80053 Comprehensive metabolic panel <1% 1,537 $4K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 15 $4K
43235 <1% 63 $4K
Q3014 Telehealth originating site facility fee <1% 208 $4K
D0120 Dental checkup, returning patient <1% 378 $4K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 44 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 855 $4K
93294 <1% 396 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 108 $4K
93000 <1% 385 $4K
64493 <1% 38 $4K
96158 <1% 125 $4K
G0127 Trimming of dystrophic nails, any number <1% 1,833 $4K
90480 <1% 204 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 41 $3K
99225 <1% 98 $3K
81003 <1% 2,038 $3K
95908 <1% 45 $3K
54150 <1% 69 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 29 $3K
92020 <1% 170 $3K
96127 <1% 574 $3K
81001 <1% 959 $3K
99350 Prolong home eval add 15m <1% 45 $2K
J1040 Injection, methylprednisolone acetate, 80 mg <1% 182 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 76 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 309 $2K
90710 <1% 196 $2K
99406 <1% 490 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 277 $2K
90732 <1% 29 $2K
77334 <1% 21 $2K
51798 <1% 303 $2K
99173 <1% 872 $2K
0003A <1% 53 $2K
90685 <1% 173 $2K
D4341 <1% 20 $2K
90698 <1% 157 $2K
99442 <1% 51 $2K
90697 <1% 147 $2K
90696 <1% 125 $2K
11057 <1% 201 $2K
95911 <1% 12 $2K
0064A <1% 49 $1K
0052A <1% 41 $1K
0513F <1% 174 $1K
76506 <1% 56 $1K
99152 <1% 111 $1K
90716 <1% 103 $1K
90671 <1% 112 $1K
69210 <1% 41 $1K
90966 <1% 12 $1K
90707 <1% 100 $1K
31231 <1% 13 $1K
99384 <1% 13 $1K
94010 <1% 211 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 30 $1K
65855 <1% 16 $1K
99460 <1% 25 $1K
99443 <1% 15 $1K
99381 <1% 12 $979.68
99383 <1% 12 $978.22
64494 <1% 24 $970.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care <1% 38 $920.14
3046F <1% 121 $860.01
20550 <1% 29 $859.17
92060 <1% 15 $841.89
77300 <1% 15 $836.87
20526 <1% 12 $819.71
90660 <1% 62 $809.87
84443 Thyroid stimulating hormone (TSH) <1% 181 $780.59
84439 <1% 178 $772.14
99243 <1% 14 $757.08
G0508 Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth <1% 13 $733.17
99201 <1% 31 $616.29
99421 <1% 61 $590.36
93880 <1% 46 $536.84
77002 <1% 56 $499.00
64405 <1% 25 $448.05
90662 <1% 58 $409.16
99358 Prolong nursin fac eval 15m <1% 13 $388.84
0051A <1% 13 $383.36
93922 <1% 37 $350.62
96160 <1% 190 $338.11
36416 <1% 3,123 $324.64
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 328 $322.18
82607 <1% 57 $308.72
99417 Prolong home eval add 15m <1% 13 $307.04
90620 <1% 26 $306.90
D0140 Limited oral evaluation - problem focused <1% 12 $297.96
87210 <1% 80 $289.22
85027 <1% 63 $260.31
80048 Basic metabolic panel (calcium, ionized) <1% 137 $235.59
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 15 $225.82
99082 <1% 13 $169.08
93325 <1% 92 $162.41
90472 Immunization administration, each additional vaccine (list separately) <1% 54 $153.60
93308 <1% 14 $111.92
82728 <1% 27 $111.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 52 $108.05
84481 <1% 13 $99.36
94727 <1% 12 $95.48
76937 <1% 15 $89.20
83550 <1% 27 $79.72
99441 <1% 18 $65.80
90460 Immunization administration through 18 years of age via any route, first or only component <1% 20 $61.20
99497 <1% 32 $60.00
80076 <1% 39 $58.05
G0008 Administration of influenza virus vaccine <1% 309 $57.06
83540 <1% 27 $55.13
93244 <1% 12 $49.82
85610 <1% 17 $39.74
93321 <1% 14 $36.94
96161 <1% 15 $23.45
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 202 $17.34
J7614 Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg <1% 40 $3.76
91305 <1% 66 $0.20
1111F 0% 3,278 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 0% 82 $0.00
3074F 0% 44 $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
Same official

Other billing entities under LESNICK, JAMES

Full network →
ProviderLocationPaid
Riverside Hospital INC.Newport News, VA$7.74M
Riverside Physician Services INCNewport News, VA$428K
Peninsula Cancer Institute, LLCChesapeake, VA$103K
Riverside Physician Services INCHampton, VA$64K
Riverside Physician Services INCNewport News, VA$3K
Riverside Physician Services INCWilliamsburg, VA$540.00

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