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 1710020623)

Field	Value
Entity Type	Organization
Organization	Riverside Physician Services, Inc.
Address	856 J Clyde Morris Blvd
City	Newport News
State	VA
ZIP	23601
Taxonomy	Family Medicine Physician
NPI Enumerated	February 14, 2007

Payer Source	Total Paid
Medicaid	$44.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

272 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	271,010	$60	$16.5M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	171,030	$50	$7.7M
99204	The provider sees a new 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 provider…	20,650	$90	$1.9M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	56,640	$30	$1.9M
J0585	Injection, onabotulinumtoxina, 1 unit	2,330	$620	$1.5M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	18,600	$80	$1.4M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	16,610	$50	$780.7K
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…	8,690	$90	$773.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	141,420	$10	$707.1K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	11,400	$60	$672.6K

Showing 1–10 of 272

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. — 16 of 25 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

272 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	11	20	650	$1,010	$1.3M
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.	133	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.	162	630	90	$140	$1.1M
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.	165	620	70	$120	$1M
J0585	Injection, onabotulinumtoxina, 1 unit	6	20	750	$540	$871.7K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	43	80	650	$210	$752.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	16	150	300	$420	$381.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	6	210	920	$140	$367.6K
97598	After debriding the initial 20 cm2 at the same encounter, the provider excises devitalized (dead) tissue from an open wound. He may use a variety of techniques that include sharp debridement with…	4	10	700	$460	$336.9K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	14	40	1,920	$70	$317.6K

Showing 1–10 of 272

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
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
Riverside Physician Services Inc	VA	Emergency Medicine Physician	$0	$17.3M
Michumi PLLC	VA	Emergency Medicine Physician	$0	$12.4M
Doctors' Hospital Of Williamsburg	VA	General Acute Care Hospital	$0	$12M
Riverside Hospital Inc.	VA	Family Medicine Physician	$0	$7.7M
Matthew Reed	VA	Ophthalmology Physician	$4.6M	$0
Brian Keel	VA	Ophthalmology Physician	$2.7M	$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
Hope In Home Care LLC	VA	Respite Care	$0	$63.4M
New Life, LLC	VA	Community/Behavioral Health Agency	$0	$10.6M
All Ways There Home Care	VA	Home Health Agency	$0	$9.4M
Universal Mental Health Services, LLC	VA	Adolescent and Children Mental Health Clinic/Center	$0	$7.1M
Peninsula Radiological Associates Limited	VA	Diagnostic Radiology Physician	$0	$6.5M
Charles Kersh	VA	Radiation Oncology Physician	$408.8K	$0
Michael Hooker	VA	Orthopaedic Surgery Physician	$382.5K	$0
Brian Holloway	VA	Student in an Organized Health Care Education/Training Program	$377.4K	$0
Huy Tran	VA	Internal Medicine Physician	$374.4K	$0
Dean Kostov	VA	Neurological Surgery Physician	$304.4K	$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