Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Riverside Physician Services Inc (NPI 1639418429)

Field	Value
Entity Type	Organization
Organization	Riverside Physician Services Inc
Address	1500 Commonwealth Ave
City	Williamsburg
State	VA
ZIP	23185
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 14, 2013

Payer Source	Total Paid
Medicaid	$17.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	97,580	$90	$8.7M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	103,200	$60	$6.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	52,290	$40	$1.8M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	4,080	$120	$481.3K
99217	N/A	380	$50	$17.8K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	180	$40	$6.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$90	$4.1K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	30	$130	$3.7K
99220	N/A	30	$110	$3.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	100	$30	$2.6K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Riverside Physician Services Inc — 3 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	4	340	160	$130	$1.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	31	630	90	$140	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	110	140	3,240	$160	$1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	8	620	70	$120	$1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,181	3,520	370	$70	$280.7K
99281	The provider sees a patient for the lowest level emergency department visit.	88	100	610	$160	$242.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	15	130	440	$120	$197K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	28	30	70	$330	$194.5K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	136	140	960	$70	$149.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	191	280	140	$80	$105K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Riverside Physician Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Hospital Inc	VA	General Acute Care Hospital	$0	$136.7M
Riverside Physician Services, Inc.	VA	Family Medicine Physician	$0	$44.7M
Shore Health Services Inc.	VA	Rural Acute Care Hospital	$0	$24.7M
Vcu Health Tappahannock Hospital	VA	General Acute Care Hospital	$0	$20.6M
Riverside Middle Peninsula Hospital Inc	VA	General Acute Care Hospital	$0	$19M
Michumi PLLC	VA	Emergency Medicine Physician	$0	$12.4M
Doctors' Hospital Of Williamsburg	VA	General Acute Care Hospital	$0	$12M
American Anesthesiology Of Virginia PC	VA	Anesthesiology Physician	$0	$8.9M
Riverside Hospital Inc.	VA	Family Medicine Physician	$0	$7.7M
Matthew Reed	VA	Ophthalmology Physician	$4.6M	$0

Nearby Providers

Other providers in the same ZIP code as Riverside Physician Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colonial Behavioral Health	VA	Community/Behavioral Health Agency	$0	$21.6M
Connect Youth And Family Services	VA	Community/Behavioral Health Agency	$0	$6M
Elena Flagg	VA	Rheumatology Physician	$3.8M	$0
Laila Rahbar	VA	Rheumatology Physician	$3.2M	$0
James City County Board Of Supervisors	VA	Ambulance	$1.2M	$822.4K
Misty White	VA	Family Nurse Practitioner	$1.2M	$0
Zantha Marcuson	VA	MOHS-Micrographic Surgery Physician	$886K	$0
Anthony Farah	VA	Ophthalmology Physician	$653.9K	$0
Eric Karlin	VA	Allergy & Immunology Physician	$564.6K	$1.6K
Emily Himes	VA	Dermatology Physician	$463.4K	$0

Riverside Physician Services Inc — Billing Profile & Reimbursement Data

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Riverside Physician Services Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References