Physician
Riverside Primary Care Adult and Geriatric Medicine PLLLP
Riverside Primary Care Adult and Geriatric Medicine PLLLP was paid $3K by Medicaid between Aug 2024 and Nov 2024, across 1 billing code. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 100% of everything it billed.
33Billing provider infoRIVERSIDE PRIMARY CARE ADULT AND GERIATRIC MEDICINE PLLLP
BOISE, ID 83702
BOISE, ID 83702
33aNPI1003693961assigned 09/13/2023
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$3K
24GClaims72
24DCodes billed1
24AFirst – last monthAug 2024 – Nov 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2024incomplete | 72 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 100% | 72 | 31 | $3K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLONG, JESSICA (CO-OWNER)