Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Dalla Riva, James

Dalla Riva, James was paid $211K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 0502F, — 55% of everything it billed.

33Billing provider infoDALLA RIVA, JAMES
MARYVILLE, IL 62062
33aNPI1215040415assigned 08/15/2006
28Total paid$211K
24GClaims5,254
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Illinois

Rank by total paid#156 of 911
Median peer was paid$41K
This provider vs. median5.2×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018315$11K
2019582$18K
2020686$16K
2021497$13K
2022736$19K
20231,421$70K
2024incomplete1,017$63K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0502F 55% 2,165 1,245 $116K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 848 679 $44K
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 19% 352 229 $41K
81002 2.0% 1,643 1,399 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.4% 41 37 $3K
88142 <1% 193 182 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 12 12 $1K

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.