Clinic
Riverbank Primary Care Medical Clinic INC.
Riverbank Primary Care Medical Clinic INC. was paid $706K by Medicaid between Jan 2018 and Oct 2023, across 15 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 65% of everything it billed.
33Billing provider infoRIVERBANK PRIMARY CARE MEDICAL CLINIC INC.
RIVERBANK, CA 95367
RIVERBANK, CA 95367
33aNPI1043372618assigned 12/13/2006
33bProvider typeRural Health Clinic/Center
28Total paid$706K
24GClaims22,448
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#176 of 215
Median peer was paid$3.62M
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2018 | 5,280 | $169K | |
| 2019 | 4,703 | $144K | |
| 2020 | 3,798 | $115K | |
| 2021 | 3,180 | $97K | |
| 2022 | 2,754 | $85K | |
| 2023 | 2,733 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 65% | 10,367 | 8,741 | $459K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 3,813 | 3,476 | $99K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13% | 4,653 | 4,384 | $90K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 4.0% | 1,316 | 1,159 | $29K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.4% | 833 | 777 | $17K |
| 96127 | <1% | 640 | 627 | $3K | |
| 90654 | <1% | 102 | 101 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 47 | 46 | $2K |
| 99000 | <1% | 432 | 421 | $2K | |
| G9920 | Screening performed and negative | <1% | 38 | 38 | $1K |
| 92551 | <1% | 78 | 78 | $887.64 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 20 | 20 | $580.00 |
3 more codes
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 officialREYNOLDS, NAOMI (OWNER)