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RIVERSIDE PHYSICIAN SERVICES, INC.

Family Medicine·NEWPORT NEWS, VA·NPI: 1710020623Share

Compared to Family Medicine Peers

Total spending distribution among 19 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.7M is at the 75th percentile among 19 Family Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$44.7M

$44,722,436

Total Claims

1.2M

Beneficiaries

1.0M

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+124%
2019
$4.9M
+20%
2020
$5.9M
+23%
2021
$7.2M
+14%
2022
$8.2M
+14%
2023
$9.3M
-24%
2024
$7.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 37% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$16.5M

271K claims · 36.9%

Your Cost: $60.94/claim|Median: $53.41
1.1× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$7.7M

171K claims · 17.3%

Your Cost: $45.27/claim|Median: $37.81
1.2× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$1.9M

21K claims · 4.3%

Your Cost: $93.09/claim|Median: $84.03
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.9M

57K claims · 4.2%

Your Cost: $33.36/claim|Median: $23.99
1.4× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.5M

2,332 claims · 3.2%

Your Cost: $621.79/claim|Median: $470.36
1.3× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$1.4M

19K claims · 3.1%

Your Cost: $75.09/claim|Median: $47.08
1.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$776K

17K claims · 1.7%

Your Cost: $46.74/claim|Median: $54.68
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$775K

8,687 claims · 1.7%

Your Cost: $89.17/claim|Median: $67.32
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$696K

141K claims · 1.6%

Your Cost: $4.92/claim|Median: $5.60
0.9× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$677K

11K claims · 1.5%

Your Cost: $59.35/claim|Median: $57.85
1.0× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$661K

6,256 claims · 1.5%

Your Cost: $105.60/claim|Median: $59.72
1.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$631K

12K claims · 1.4%

Your Cost: $51.55/claim|Median: $43.85
1.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$579K

12K claims · 1.3%

Your Cost: $48.33/claim|Median: $35.30
1.4× median
99222Normal range

Initial hospital care, per day, moderate complexity

$371K

6,153 claims · 0.8%

Your Cost: $60.36/claim|Median: $51.25
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$343K

4,615 claims · 0.8%

Your Cost: $74.32/claim|Median: $75.18
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$314K

3,864 claims · 0.7%

Your Cost: $81.22/claim|Median: $74.09
1.1× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$313K

8,860 claims · 0.7%

Your Cost: $35.38/claim|Median: $29.03
1.2× median
99221Normal range

Initial hospital care, straightforward/low

$310K

6,891 claims · 0.7%

Your Cost: $44.92/claim|Median: $39.96
1.1× median
90960Normal range

End-stage renal disease services, per month, age 20+

$308K

4,197 claims · 0.7%

Your Cost: $73.50/claim|Median: $52.76
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$307K

4,245 claims · 0.7%

Your Cost: $72.36/claim|Median: $69.35
1.0× median
92015Normal range

Determination of refractive state

$287K

20K claims · 0.6%

Your Cost: $14.32/claim|Median: $10.36
1.4× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$220K

1,117 claims · 0.5%

Your Cost: $196.63/claim|Median: $255.17
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$217K

2,983 claims · 0.5%

Your Cost: $72.58/claim|Median: $74.82
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$210K

2,242 claims · 0.5%

Your Cost: $93.78/claim|Median: $151.68
0.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$205K

1,640 claims · 0.5%

Your Cost: $124.78/claim|Median: $108.91
1.1× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$201K

4,571 claims · 0.4%

Your Cost: $43.92/claim|Median: $38.83
1.1× median
36415Normal range

Collection of venous blood by venipuncture

$192K

113K claims · 0.4%

Your Cost: $1.70/claim|Median: $1.57
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$189K

10K claims · 0.4%

Your Cost: $18.34/claim|Median: $16.77
1.1× median
45380Normal range

Colonoscopy with biopsy

$185K

1,619 claims · 0.4%

Your Cost: $114.36/claim|Median: $200.68
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$176K

5,781 claims · 0.4%

Your Cost: $30.45/claim|Median: $25.06
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$167K

12K claims · 0.4%

Your Cost: $13.58/claim|Median: $7.18
1.9× median
99308Normal range

Nursing facility care, subsequent, straightforward

$163K

19K claims · 0.4%

Your Cost: $8.57/claim|Median: $9.79
0.9× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$158K

4,201 claims · 0.4%

Your Cost: $37.64/claim|Median: $36.70
1.0× median
64615Normal range

$157K

1,589 claims · 0.4%

Your Cost: $98.65/claim|Median: $82.82
1.2× median
J0178Normal range

Injection, aflibercept, 1 mg

$155K

163 claims · 0.3%

Your Cost: $951.20/claim|Median: $730.09
1.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$151K

4,676 claims · 0.3%

Your Cost: $32.33/claim|Median: $33.72
1.0× median
20611Top 25%

Aspiration or injection of intermediate joint or bursa

$148K

2,249 claims · 0.3%

Your Cost: $65.62/claim|Median: $42.51
1.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$140K

1,313 claims · 0.3%

Your Cost: $106.66/claim|Median: $85.65
1.2× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$138K

2,425 claims · 0.3%

Your Cost: $56.95/claim|Median: $58.82
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$128K

2,329 claims · 0.3%

Your Cost: $55.10/claim|Median: $57.39
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$120K

1,548 claims · 0.3%

Your Cost: $77.33/claim|Median: $72.71
1.1× median
92134Normal range

$111K

5,558 claims · 0.2%

Your Cost: $20.02/claim|Median: $15.46
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$108K

1,422 claims · 0.2%

Your Cost: $76.02/claim|Median: $80.15
0.9× median
G2211Top 25%

$101K

13K claims · 0.2%

Your Cost: $7.91/claim|Median: $2.40
3.3× median
99220Normal range

$92K

1,055 claims · 0.2%

Your Cost: $87.03/claim|Median: $73.56
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$87K

2,194 claims · 0.2%

Your Cost: $39.86/claim|Median: $41.28
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$83K

7,148 claims · 0.2%

Your Cost: $11.64/claim|Median: $11.48
1.0× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$71K

43 claims · 0.2%

Your Cost: $1,642.45/claim|Median: $1,482.45
1.1× median
97597Normal range

$69K

3,489 claims · 0.2%

Your Cost: $19.84/claim|Median: $21.22
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$67K

1,167 claims · 0.2%

Your Cost: $57.54/claim|Median: $63.65
0.9× median

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