Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DR. JAVIER RIOS, A MEDICAL CORPORATION

NPI: 1033418785 · LAKE ELSINORE, CA 92530 · Internal Medicine Physician · NPI assigned 03/21/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RIOS, JAVIER controls 11+ related entities in our dataset. Read more

$222K
Total Medicaid Paid
93,267
Total Claims
89,553
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRIOS, JAVIER (CEO)
NPI Enumeration Date03/21/2011

Related Entities

Other providers sharing the same authorized official: RIOS, JAVIER

ProviderCityStateTotal Paid
JAVIER R RIOS MD A MEDICAL PROFESSIONAL CORPORATION TUCSON AZ $6.54M
JAVIER R RIOS MD, A PROFESSIONAL CORPORATION RIVERSIDE CA $2.79M
ALESSANDRO MEDICAL PROFESSIONAL CORPORATION MORENO VALLEY CA $275K
DR. JAVIER RIOS A MEDICAL CORPORATION PERRIS CA $169K
JAVIER R. RIOS M.D. A MEDICAL PROFESSIONAL CORP. TUCSON AZ $166K
JAVIER R RIOS MD, A PROFESSIONAL CORPORATION RIVERSIDE CA $165K
MONTCLAIR MEDICAL PROFESSIONAL CORPORATION MONTCLAIR CA $89K
DR. JAVIER RIOS, A MEDICAL CORPORATION LAKE ELSINORE CA $74K
ALESSANDRO MEDICAL PROFESSIONAL CORPORATION CORONA CA $26K
DR. JAVIER RIOS A MEDICAL CORPORATION INDIO CA $1K
DR. JAVIER RIOS, A MEDICAL CORPORATION TEMECULA CA $234.76

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,117 $105K
2019 19,436 $63K
2020 4,964 $12K
2021 6,905 $13K
2022 8,719 $10K
2023 15,413 $10K
2024 14,713 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,276 16,877 $73K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,665 3,495 $36K
59425 425 324 $23K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 308 292 $15K
Z1034 264 198 $14K
90651 235 230 $6K
H1001 Prenatal care, at-risk enhanced service; antepartum management 96 71 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 173 170 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 990 977 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,012 1,002 $4K
92551 4,445 4,398 $4K
99384 48 35 $4K
99383 119 110 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 4,505 4,486 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 472 470 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 623 609 $2K
G9920 Screening performed and negative 2,002 2,000 $2K
99000 571 549 $2K
90674 112 110 $2K
81025 782 734 $1K
H1003 Prenatal care, at-risk enhanced service; education 81 64 $987.24
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 67 67 $975.33
85018 5,522 5,406 $864.28
90670 272 269 $715.50
81003 4,654 4,465 $715.25
90648 278 276 $697.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,123 3,083 $653.90
99382 12 12 $633.30
93000 735 721 $328.03
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 368 338 $266.08
90734 141 140 $249.75
90686 516 515 $224.75
90633 68 68 $180.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 8,322 7,868 $177.40
90680 39 39 $144.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 462 458 $129.90
90710 41 41 $112.50
90714 33 33 $99.00
90715 47 47 $72.00
90700 26 26 $45.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 187 185 $45.00
90658 32 28 $27.06
82947 62 62 $10.70
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 387 366 $2.89
0502F 593 444 $1.00
90620 12 12 $0.00
36415 Collection of venous blood by venipuncture 3,190 3,103 $0.00
H0049 Alcohol and/or drug screening 1,054 1,054 $0.00
3075F 633 614 $0.00
3074F 3,989 3,795 $0.00
3079F 1,421 1,357 $0.00
3044F 546 534 $0.00
3014F 69 69 $0.00
90656 18 18 $0.00
3080F 64 59 $0.00
99386 25 25 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 14 12 $0.00
99385 93 93 $0.00
3017F 39 39 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 13 $0.00
99499 45 45 $0.00
99173 3,966 3,914 $0.00
90472 Immunization administration, each additional vaccine (list separately) 1,311 1,304 $0.00
99401 4,133 4,120 $0.00
3725F 2,416 2,413 $0.00
3078F 3,705 3,521 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 836 830 $0.00
3077F 484 451 $0.00