Physician
Riverside Family Medicine PC
Riverside Family Medicine PC was paid $595K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoRIVERSIDE FAMILY MEDICINE PC
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1255610150assigned 08/09/2011
33bProvider typeFamily Medicine Physician
28Total paid$595K
24GClaims31,465
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Missouri
Rank by total paid#43 of 911
Median peer was paid$16K
This provider vs. median38×
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 | 2,944 | $61K | |
| 2019 | 3,880 | $58K | |
| 2020 | 2,860 | $51K | |
| 2021 | 4,715 | $93K | |
| 2022 | 5,570 | $99K | |
| 2023 | 5,692 | $118K | |
| 2024incomplete | 5,804 | $114K |
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 | 33% | 6,945 | 5,075 | $195K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 33% | 11,246 | 9,689 | $194K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 21% | 5,987 | 4,245 | $122K |
| 99490 | Ccm add 20min | 6.3% | 4,814 | 4,321 | $38K |
| 99310 | Prolong nursin fac eval 15m | 5.4% | 1,106 | 895 | $32K |
| 99306 | Prolong nursin fac eval 15m | 1.1% | 163 | 128 | $7K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 111 | 39 | $3K |
| 99318 | <1% | 74 | 70 | $2K | |
| 99442 | <1% | 239 | 139 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 689 | 491 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 36 | 28 | $613.18 |
| 99441 | <1% | 39 | 34 | $116.00 |
1 more codes
| 99443 | <1% | 16 | $52.30 |
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 officialPALEN, JAMES (PHYSICIAN)