Clinic
Riverside Medical Center
Riverside Medical Center was paid $72K by Medicaid between Jan 2018 and Jan 2022, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoRIVERSIDE MEDICAL CENTER
FRANKLINTON, LA 70438
FRANKLINTON, LA 70438
33aNPI1093189797assigned 11/18/2015
33bProvider typePrimary Care Clinic/Center
28Total paid$72K
24GClaims2,345
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Primary Care Clinic/Center providers in Louisiana
Rank by total paid#61 of 92
Median peer was paid$157K
This provider vs. median0.5×
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 | 1,125 | $28K | |
| 2019 | 964 | $28K | |
| 2020 | 137 | $9K | |
| 2021 | 101 | $6K | |
| 2022 | 18 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 63% | 883 | 830 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 510 | 462 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.8% | 440 | 211 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.9% | 380 | 346 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 89 | 67 | $2K |
| 87807 | <1% | 43 | 38 | $413.79 |
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 officialMCGRAW, STACEY (BUSINESS OFFICE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Riverside Medical Center | Franklinton, LA | $9.32M |
| Riverside Medical Center | Franklinton, LA | $5.55M |
| Riverside Medical Center | Franklinton, LA | $894K |
| Riverside Medical Center | Franklinton, LA | $512K |
| Riverside Medical Center | Franklinton, LA | $102K |
| Riverside Medical Center | Franklinton, LA | $7K |
| Riverside Medical Center | Franklinton, LA | $695.52 |
| Riverside Medical Center | Franklinton, LA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.