Physician
Javier R Rios MD, a Professional Corporation
Javier R Rios MD, a Professional Corporation was paid $2.79M by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is Z1034, — 18% of everything it billed.
33Billing provider infoJAVIER R RIOS MD, A PROFESSIONAL CORPORATION
RIVERSIDE, CA 92503
RIVERSIDE, CA 92503
33aNPI1235138363assigned 07/20/2005
33bProvider typeInternal Medicine Physician
28Total paid$2.79M
24GClaims224,441
24DCodes billed99
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#51 of 2,679
Median peer was paid$13K
This provider vs. median222×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RIOS, JAVIER controls 11+ related entities in our dataset. Read more
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 | 30,008 | $645K | |
| 2019 | 25,179 | $389K | |
| 2020 | 25,609 | $421K | |
| 2021 | 30,645 | $449K | |
| 2022 | 29,871 | $235K | |
| 2023 | 43,930 | $328K | |
| 2024incomplete | 39,199 | $327K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Z1034 | 18% | 8,497 | 6,697 | $510K | |
| 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% | 27,232 | 25,217 | $384K |
| 59425 | 11% | 7,059 | 5,289 | $303K | |
| Z1032 | 8.9% | 1,555 | 1,555 | $249K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 4,316 | 4,217 | $226K |
| 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 | 7.5% | 11,949 | 11,229 | $210K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 6.7% | 424 | 421 | $188K |
| 99381 | 4.5% | 1,283 | 1,261 | $125K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.8% | 12,970 | 12,857 | $107K |
| 90697 | 2.7% | 1,246 | 1,232 | $74K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.4% | 984 | 903 | $68K |
| G9920 | Screening performed and negative | 1.3% | 7,967 | 7,873 | $35K |
87 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 248 | $30K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.0% | 351 | $29K |
| 81025 | <1% | 6,721 | $24K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,460 | $23K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 352 | $21K |
| 90680 | <1% | 2,440 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,737 | $13K |
| 90670 | <1% | 2,849 | $13K | |
| 90651 | <1% | 494 | $12K | |
| 92551 | <1% | 6,858 | $11K | |
| 90648 | <1% | 2,383 | $11K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,300 | $10K |
| J3490 | Unclassified drugs | <1% | 96 | $10K |
| 90723 | <1% | 1,685 | $9K | |
| 99383 | <1% | 115 | $7K | |
| Z6410 | <1% | 415 | $7K | |
| 99000 | <1% | 2,676 | $7K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 409 | $6K |
| 81003 | <1% | 8,703 | $4K | |
| Z6500 | <1% | 33 | $4K | |
| 99460 | <1% | 113 | $4K | |
| 99384 | <1% | 42 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,439 | $3K |
| 90677 | <1% | 698 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 80 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 80 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 896 | $2K |
| 85018 | <1% | 9,940 | $2K | |
| 90633 | <1% | 1,289 | $2K | |
| 0011A | <1% | 109 | $2K | |
| 90686 | <1% | 1,711 | $2K | |
| 0012A | <1% | 105 | $2K | |
| 90674 | <1% | 92 | $1K | |
| 59430 | <1% | 26 | $1K | |
| 90658 | <1% | 163 | $1K | |
| 93000 | <1% | 1,499 | $995.22 | |
| 90671 | <1% | 227 | $900.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,412 | $848.33 |
| 90744 | <1% | 146 | $837.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 589 | $777.24 |
| 90716 | <1% | 354 | $747.00 | |
| Z6304 | <1% | 48 | $732.76 | |
| Z6204 | <1% | 48 | $732.76 | |
| Z6406 | <1% | 48 | $732.76 | |
| 99462 | <1% | 28 | $670.40 | |
| 90734 | <1% | 365 | $650.25 | |
| Z6400 | <1% | 75 | $642.71 | |
| 90700 | <1% | 434 | $569.25 | |
| 99401 | <1% | 7,679 | $445.75 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 7,526 | $435.70 |
| 97803 | <1% | 31 | $432.90 | |
| 96151 | <1% | 32 | $432.90 | |
| 90710 | <1% | 254 | $420.75 | |
| 90707 | <1% | 313 | $405.00 | |
| 90714 | <1% | 94 | $297.00 | |
| 90715 | <1% | 89 | $252.00 | |
| 90696 | <1% | 114 | $144.00 | |
| 90656 | <1% | 102 | $135.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 4,500 | $100.87 |
| 90620 | <1% | 70 | $99.00 | |
| 90713 | <1% | 23 | $81.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 68 | $27.05 |
| 82947 | <1% | 65 | $23.76 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 96 | $21.22 |
| 90621 | <1% | 15 | $9.00 | |
| 3078F | 0% | 8,986 | $0.00 | |
| 0502F | 0% | 6,267 | $0.00 | |
| 3725F | 0% | 2,337 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,485 | $0.00 |
| 99173 | 0% | 5,764 | $0.00 | |
| 3077F | 0% | 1,466 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 187 | $0.00 |
| 90473 | 0% | 152 | $0.00 | |
| 99499 | 0% | 128 | $0.00 | |
| 3074F | 0% | 7,261 | $0.00 | |
| 3044F | 0% | 790 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 5,366 | $0.00 |
| 3079F | 0% | 586 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 3,498 | $0.00 |
| 3075F | 0% | 998 | $0.00 | |
| 90474 | 0% | 395 | $0.00 | |
| 91301 | 0% | 191 | $0.00 | |
| 3080F | 0% | 479 | $0.00 | |
| 99385 | 0% | 59 | $0.00 | |
| 0500F | 0% | 40 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 14 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 58 | $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 officialRIOS, JAVIER (OWNER / MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Javier R Rios MD a Medical Professional Corporation | Tucson, AZ | $6.54M |
| Alessandro Medical Professional Corporation | Moreno Valley, CA | $275K |
| DR. Javier Rios, a Medical Corporation | Lake Elsinore, CA | $222K |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.