Raincross Medical Group INC

Raincross Medical Group INC was paid $856K by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is S9083, Global fee urgent care centers — 49% of everything it billed.

33Billing provider infoRAINCROSS MEDICAL GROUP INC
RIVERSIDE, CA 92506

33aNPI1194712315assigned 10/03/2005

33bProvider typeOtolaryngology Physician

28Total paid$856K

24GClaims38,911

24DCodes billed27

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Otolaryngology Physician providers in California

Rank by total paid#20 of 168

Median peer was paid$67K

This provider vs. median13×

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	10,125	$319K
2019	13,010	$259K
2020	7,318	$136K
2021	6,846	$127K
2023	666	$2K
2024incomplete	946	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S9083	Global fee urgent care centers	49%	6,410	6,001	$418K
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	29%	10,106	9,563	$246K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	4,161	4,047	$89K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.9%	1,308	1,304	$76K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.3%	396	395	$20K
0011A		<1%	61	60	$2K
0012A		<1%	41	41	$1K
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	315	296	$1K
99487	Ccm add 20min	<1%	105	101	$751.85
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	129	125	$413.40
94760		<1%	11,838	11,204	$408.86
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	18	16	$127.48

15 more codes

94200		<1%	184	$32.48
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	75	$31.29
99000		<1%	1,395	$10.77
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	0%	26	$0.00
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	0%	55	$0.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	0%	633	$0.00
85018		0%	12	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	138	$0.00
81002		0%	1,298	$0.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	0%	44	$0.00
1160F		0%	104	$0.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	14	$0.00
96160		0%	15	$0.00
A6203	Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	0%	16	$0.00
99408		0%	14	$0.00

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 officialNOVELLINO, DEBORAH (EXECUTIVE DIRECTOR)