County of Riverside
County of Riverside was paid $12.43M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.
BANNING, CA 92220
Next to other Federally Qualified Health Center (FQHC) providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,395 | $629K | |
| 2019 | 12,782 | $726K | |
| 2020 | 19,055 | $969K | |
| 2021 | 32,102 | $2.65M | |
| 2022 | 35,331 | $1.96M | |
| 2023 | 46,101 | $2.43M | |
| 2024incomplete | 56,193 | $3.06M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 98% | 50,439 | 43,265 | $12.16M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 52,709 | 31,687 | $156K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,037 | 802 | $28K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,504 | 1,938 | $19K |
| 0012A | <1% | 192 | 192 | $13K | |
| 0011A | <1% | 164 | 164 | $11K | |
| J3490 | Unclassified drugs | <1% | 103 | 95 | $9K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 705 | 345 | $8K |
| 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 | <1% | 8,360 | 5,482 | $5K |
| 0001A | <1% | 57 | 55 | $4K | |
| 0064A | <1% | 49 | 49 | $3K | |
| 90677 | <1% | 214 | 213 | $3K |
73 more codes
| 90715 | <1% | 106 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 530 | $2K |
| 0134A | <1% | 25 | $2K | |
| 81025 | <1% | 1,589 | $2K | |
| 99000 | <1% | 3,141 | $2K | |
| 0002A | <1% | 15 | $1K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 127 | $811.75 |
| 0013A | <1% | 13 | $806.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 1,348 | $776.62 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,004 | $657.20 |
| 99385 | <1% | 619 | $568.22 | |
| 97804 | <1% | 12 | $495.72 | |
| 90688 | <1% | 32 | $325.56 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 131 | $311.16 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 12 | $297.12 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 198 | $280.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 20,794 | $274.91 |
| 99386 | <1% | 364 | $263.08 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,176 | $261.05 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 294 | $203.70 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,266 | $181.01 |
| 90656 | <1% | 83 | $158.41 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 116 | $149.19 |
| G9920 | Screening performed and negative | <1% | 134 | $144.13 |
| 85018 | <1% | 1,479 | $119.89 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 86 | $119.20 |
| 81002 | <1% | 1,338 | $95.21 | |
| 81003 | <1% | 800 | $88.79 | |
| 90723 | <1% | 41 | $63.90 | |
| 82962 | <1% | 2,980 | $61.11 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 274 | $52.34 |
| 90648 | <1% | 44 | $43.63 | |
| 99188 | <1% | 44 | $35.64 | |
| 90686 | <1% | 18 | $26.54 | |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,675 | $20.00 |
| 99173 | <1% | 1,104 | $15.46 | |
| 80305 | <1% | 14 | $11.85 | |
| 90633 | <1% | 27 | $9.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 100 | $4.46 |
| 82948 | <1% | 229 | $2.68 | |
| 96160 | <1% | 1,416 | $2.54 | |
| 3077F | 0% | 1,783 | $0.00 | |
| 3051F | 0% | 184 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 187 | $0.00 |
| 3078F | 0% | 7,272 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 19 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 61 | $0.00 |
| 99397 | 0% | 28 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 159 | $0.00 |
| 3046F | 0% | 27 | $0.00 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 0% | 16 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 29 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 29 | $0.00 |
| 90734 | 0% | 15 | $0.00 | |
| 3079F | 0% | 4,968 | $0.00 | |
| 3044F | 0% | 832 | $0.00 | |
| 3074F | 0% | 9,268 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 1,365 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 14,650 | $0.00 |
| 3075F | 0% | 2,324 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 2,689 | $0.00 |
| 3080F | 0% | 1,091 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 279 | $0.00 |
| 2000F | 0% | 65 | $0.00 | |
| 3008F | 0% | 88 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 16 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 23 | $0.00 |
| 90716 | 0% | 12 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 29 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 35 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 56 | $0.00 |
| 3052F | 0% | 15 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Riverside University Health Systems - Medical Center | Moreno Valley, CA | $123.65M |
| County of Riverside | Indio, CA | $35.89M |
| County of Riverside | Riverside, CA | $30.17M |
| County of Riverside | Lake Elsinore, CA | $24.15M |
| County of Riverside | Palm Springs, CA | $19.49M |
| County of Riverside | Hemet, CA | $16.15M |
| County of Riverside | Moreno Valley, CA | $11.80M |
| County of Riverside | Perris, CA | $10.41M |
| County of Riverside | Jurupa Valley, CA | $9.91M |
| County of Riverside | Riverside, CA | $7.67M |
| County of Riverside | Perris, CA | $5.95M |
| County of Riverside | Moreno Valley, CA | $3.12M |
| County of Riverside | Moreno Valley, CA | $745K |
| Riverside University Health Systems - Medical Center | Moreno Valley, CA | $44K |
| County of Riverside | Moreno Valley, CA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.