Providers

RICHARD HILL, MD

NPI 1295823672, individual, Chesapeake, VA, Psychiatry & Neurology, Psychiatry

1
Evidence tier
documented action, then payment
  • Listed on the Medicare revocation list since December 30, 2022.
  • Medicaid still paid claims in 24 later months, $407,424 in total.
score 96 of 100, rank 88, $407K at stake

Public list actions

Medicare revocation effective December 30, 2022, barred from re-enrolling until December 29, 2027
424.535(a)(13) prescribing authority, Practitioner - Psychiatry, VA

Paid after the action

Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.

listidentity checkaction datewindow closedmonths paid afterfirstlastpaid after12 months before
Medicare revocation list
424.535(a)(13) prescribing authority
Exact NPI, name verifiedDec 30, 2022Dec 29, 202724Jan 2023Dec 2024$407K$507K

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameRICHARD HILL, MD
TypeIndividual
StatusActive
NPI issuedOctober 10, 2006, last updated June 27, 2019
Practice location2117 SMITH AVE STE B, Chesapeake, VA 23320-2519, 757-547-9007
Specialties
Psychiatry & Neurology, Child & Adolescent Psychiatry (2084P0804X, license 0101058825 VA)
Psychiatry & Neurology, Psychiatry (2084P0800X, primary, license 0101058825 VA)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
90837Psychotherapy, 1 hourhistory of abuse$853K37%$193$191 (top 5% from $442)51st percentile
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$852K37%$52$44 (top 5% from $110)62nd percentile
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$156K7%$60$60 (top 5% from $133)50th percentile
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$144K6%$183$96 (top 5% from $249)87th percentile
90792Psychiatric diagnostic evaluation with medical services$96K4%$119$112 (top 5% from $313)54th percentile
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$67K3%$104$81 (top 5% from $170)69th percentile
90791Psychiatric diagnostic evaluation$54K2%$126$105 (top 5% from $228)71st percentile
96131Evaluation of psychological test, each additional hour$38K2%$88$170 (top 5% from $515)21st percentile

In this area

10 providers in Chesapeake city County, VA carry an indicator in the public record, with $603K at stake between them. The most common is paid after a public list action, on 4 of them, followed by named in an enforcement record on 3. 4 are tier 1: documented action, then payment.

tierproviderat stakewhy
1SYNERGY HEALTH SYSTEMS
Chesapeake, VA, ranked 80
$510K
  • Listed on a Department of Justice release since August 26, 2024.
  • Medicaid still paid claims in 4 later months, $510,040 in total.
  • and 1 more
1LOPITO BUGARIN
Chesapeake, VA, ranked 277
$12K
  • Listed on the Medicare revocation list since August 11, 2020.
  • Medicaid still paid claims in 7 later months, $11,758 in total.
1WELL CLINIC PEDIATRICS & FAMILY MEDICINE PC
Chesapeake, VA, ranked 279
$12K
  • Listed on the Medicare revocation list since August 11, 2020.
  • Medicaid still paid claims in 7 later months, $11,529 in total.
1SYNERGY HEALTH SYSTEMS
Chesapeake, VA, ranked 623
$0
  • Adjudicated (pleaded guilty) per a Department of Justice release dated August 26, 2024.
  • No Medicaid payments in the last 12 observed months.
3NORFOLK AREA SENIOR CARE LLC
Chesapeake, VA, ranked 2652
$0
  • Part of provider network D1-00080, ranked 80 nationally.
3JAVAID PERWAIZ
Chesapeake, VA, ranked 3193
$0
  • Charged (indicted) per a Department of Justice release dated January 8, 2025, not adjudicated.
3AMERICAN HOME HEALTHCARE
Chesapeake, VA, ranked 3548
$0
  • Part of provider network D1-00053, ranked 53 nationally.
3TRINITY HOSPICE 1, LLC
Chesapeake, VA, ranked 6886
$0
  • Part of provider network D1-00053, ranked 53 nationally.
All 10 in VA

Recent enforcement in VA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJChargedJun 23, 2026
U.S. Attorney’s Office announces charges against three defendants in the Eastern District of Virginia as part of national health care fraud takedown
Three defendants were charged with fraudulently billing Medicaid for mental health services that were not provided and with submitting false claims to Medicare through a straw-owned durable medical equipment company.
DOJSentencedJun 5, 2026
Medicaid service providers sentenced for false statements resulting in overbilling
Wright and Winfield instructed CCR employees to falsely claim in progress notes that children received therapeutic day treatment services from 2:00pm to 7:00pm, including providing prefilled progress note templates, resulting in overbilling to Medicaid.
DOJCivil settlementApr 27, 2026
Tri-Area Community Health Agrees to Pay $513,000 to Resolve Medicare Billing Allegations
Tri-Area Community Health billed Medicare for Annual Wellness Visits provided by pharmacists without appropriate physician supervision that were billed under the names of physicians not involved with the visits.
DOJSentencedMar 17, 2026
Six Sentenced in Healthcare Fraud Conspiracy that Stole $10 Million from Medicaid Over Six-Year Period
Six defendants conspired to submit false claims to Virginia Medicaid on behalf of 1st Adult N Pediatric Healthcare Services for nursing and personal care services that were not provided, including falsifying records and paying parents or guardians of patients for blank, signed nursing notes.
DOJIndictedMar 11, 2026
Victim Advisory- Divine Youth Case Updates
Divine Youth Counseling submitted more than $11 million in fraudulent Medicaid claims for Crisis Stabilization and Mobile Crisis services by falsely claiming two mental health professionals provided Team Treatment services and paid more than $470,000 in kickbacks in the form of hotel rooms for Medicaid recipients.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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