Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Riverside Hospital INC

Psychiatric Hospital·Newport News, VA·NPI: 1366547747Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$136.8M

$136,797,357

Total Claims

3.1M

Beneficiaries

2.1M

1.5 claims/patient

Avg Cost/Claim

$44

#822 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Riverside Hospital INC is a Psychiatric Hospital provider based in Newport News, VA. From the 2018–2024 period, this provider received $136.8M in Medicaid payments across 3.1M claims.

Why This Matters

This provider received $136.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,099 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 291% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$7.2M
+80%
2019
$13.0M
+28%
2020
$16.7M
+15%
2021
$19.3M
+28%
2022
$24.6M
+12%
2023
$27.6M
+2%
2024
$28.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 10% of total spending.

G0463Top 10%

Hospital outpatient clinic visit

$13.1M

142K claims · 9.6%

Your Cost: $92.43/claim|Median: $26.41
3.5× median
96361Top 25%

IV infusion, hydration, each additional hour

$12.1M

46K claims · 8.9%

Your Cost: $264.74/claim|Median: $38.92
6.8× median
99284Top 25%

Emergency dept visit, high complexity

$10.3M

63K claims · 7.6%

Your Cost: $163.55/claim|Median: $69.51
2.4× median
99283Top 10%

Emergency dept visit, moderate complexity

$9.8M

60K claims · 7.2%

Your Cost: $163.34/claim|Median: $42.48
3.8× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$6.1M

1,370 claims · 4.4%

Your Cost: $4,427.69/claim|Median: $5,391.55
0.8× median
97110Top 25%

Therapeutic exercises, each 15 min

$5.5M

112K claims · 4.0%

Your Cost: $48.85/claim|Median: $24.49
2.0× median
99282Top 10%

Emergency dept visit, low complexity

$3.9M

24K claims · 2.8%

Your Cost: $159.38/claim|Median: $37.72
4.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.8M

20K claims · 2.0%

Your Cost: $140.87/claim|Median: $85.65
1.6× median
43239Top 10%

Upper GI endoscopy with biopsy

$2.6M

4,237 claims · 1.9%

Your Cost: $620.93/claim|Median: $151.68
4.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.6M

15K claims · 1.9%

Your Cost: $173.35/claim|Median: $65.76
2.6× median
45380Top 10%

Colonoscopy with biopsy

$2.6M

3,973 claims · 1.9%

Your Cost: $646.07/claim|Median: $200.68
3.2× median
70450Top 25%

CT head/brain without contrast

$2.5M

14K claims · 1.8%

Your Cost: $174.84/claim|Median: $45.53
3.8× median
45385Top 10%

Colonoscopy with polyp removal, snare technique

$2.1M

3,468 claims · 1.5%

Your Cost: $599.42/claim|Median: $255.17
2.3× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$2.0M

13K claims · 1.4%

Your Cost: $155.08/claim|Median: $40.12
3.9× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.9M

6,511 claims · 1.4%

Your Cost: $293.40/claim|Median: $54.68
5.4× median
66984Top 10%

Extracapsular cataract removal with IOL insertion

$1.9M

2,239 claims · 1.4%

Your Cost: $845.91/claim|Median: $268.70
3.1× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$1.8M

22K claims · 1.3%

Your Cost: $82.49/claim|Median: $54.77
1.5× median
G0378Normal range

Hospital observation service, per hour

$1.8M

12K claims · 1.3%

Your Cost: $154.51/claim|Median: $99.39
1.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.8M

16K claims · 1.3%

Your Cost: $111.34/claim|Median: $75.28
1.5× median
59025Top 10%

Fetal non-stress test

$1.7M

10K claims · 1.2%

Your Cost: $164.96/claim|Median: $26.45
6.2× median
99281Top 10%

Emergency dept visit, minimal complexity

$1.5M

8,615 claims · 1.1%

Your Cost: $175.25/claim|Median: $52.03
3.4× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$1.5M

2,609 claims · 1.1%

Your Cost: $572.87/claim|Median: $106.14
5.4× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$1.3M

11K claims · 0.9%

Your Cost: $110.89/claim|Median: $61.57
1.8× median
70553Top 25%

MRI brain without contrast, then with contrast

$1.2M

3,829 claims · 0.9%

Your Cost: $316.80/claim|Median: $133.68
2.4× median
97161Top 10%

Physical therapy evaluation, low complexity

$1.2M

10K claims · 0.9%

Your Cost: $114.70/claim|Median: $47.89
2.4× median
97162Top 10%

PT evaluation, moderate complexity

$1.1M

9,781 claims · 0.8%

Your Cost: $114.21/claim|Median: $46.10
2.5× median
71275Top 25%

CT angiography, chest, with contrast

$1.1M

4,922 claims · 0.8%

Your Cost: $219.00/claim|Median: $92.96
2.4× median
J2505Normal range

$1.1M

670 claims · 0.8%

Your Cost: $1,578.74/claim|Median: $1,842.27
0.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$974K

5,646 claims · 0.7%

Your Cost: $172.59/claim|Median: $60.19
2.9× median
J2506Normal range

$963K

684 claims · 0.7%

Your Cost: $1,408.54/claim|Median: $997.36
1.4× median

Other Top Providers in Virginia

View all →

Virginia Commonwealth University Health System Authority

General Acute Care Hospital

$658.5M

Rector & Visitors of the University of Virginia

General Acute Care Hospital

$500.5M

Wall Residences LLC

Community Based Residential Treatment Facility In

$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

Similar Providers

Other top providers in Psychiatric Hospital

Bowen Health INC

Warsaw, IN

$509.3M

Uofl Health-louisville INC

Louisville, KY

$283.2M

← All providersAll providers in Virginia →How we detect fraud →