County of Riverside
County of Riverside was paid $19.49M by Medicaid between Jan 2018 and Dec 2024, across 123 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
PALM SPRINGS, CA 92262
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 | 20,157 | $989K | |
| 2019 | 22,441 | $874K | |
| 2020 | 36,542 | $1.35M | |
| 2021 | 50,515 | $2.89M | |
| 2022 | 70,220 | $3.36M | |
| 2023 | 76,220 | $4.43M | |
| 2024incomplete | 109,066 | $5.60M |
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 | 88% | 88,751 | 75,276 | $17.23M |
| 00003 | Internal/system code - not a standard HCPCS code | 9.5% | 4,455 | 3,739 | $1.85M |
| 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% | 58,441 | 37,447 | $119K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 52,885 | 31,855 | $66K |
| 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% | 3,652 | 2,798 | $57K |
| J3490 | Unclassified drugs | <1% | 1,237 | 900 | $26K |
| 0011A | <1% | 386 | 386 | $26K | |
| 0012A | <1% | 302 | 302 | $20K | |
| 90732 | <1% | 186 | 174 | $16K | |
| 90715 | <1% | 496 | 472 | $14K | |
| 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% | 13,885 | 9,519 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,859 | 1,303 | $10K |
111 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 4,030 | $10K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 473 | $5K |
| 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% | 170 | $4K |
| 0013A | <1% | 55 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,003 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 367 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 730 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 540 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 44,343 | $1K |
| 97802 | <1% | 13 | $1K | |
| 97804 | <1% | 33 | $1K | |
| 99000 | <1% | 6,085 | $1K | |
| 90688 | <1% | 123 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,055 | $1K |
| 81025 | <1% | 594 | $865.02 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 2,084 | $835.20 |
| 90651 | <1% | 54 | $585.68 | |
| 90686 | <1% | 198 | $430.00 | |
| 90656 | <1% | 85 | $304.99 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 398 | $286.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,604 | $262.87 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 296 | $204.54 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,642 | $194.71 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 111 | $175.40 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 770 | $133.26 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 64 | $119.20 |
| 90837 | Psychotherapy session, about an hour | <1% | 675 | $98.02 |
| G9920 | Screening performed and negative | <1% | 102 | $86.42 |
| 99234 | <1% | 3,254 | $68.20 | |
| 81003 | <1% | 987 | $67.59 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 38 | $62.07 |
| 85018 | <1% | 533 | $58.95 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 378 | $48.24 |
| 87428 | <1% | 27 | $46.41 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 149 | $40.97 |
| 90716 | <1% | 27 | $30.00 | |
| 90707 | <1% | 20 | $29.00 | |
| 82962 | <1% | 1,620 | $23.86 | |
| H0049 | Alcohol and/or drug screening | <1% | 22,225 | $17.14 |
| 99173 | <1% | 486 | $11.97 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 530 | $11.81 |
| 90696 | <1% | 12 | $10.00 | |
| 90734 | <1% | 31 | $9.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 1,327 | $7.42 |
| 85027 | <1% | 494 | $4.57 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 373 | $4.46 |
| 96160 | <1% | 2,096 | $2.56 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 305 | $0.00 |
| 3077F | 0% | 2,920 | $0.00 | |
| 90750 | 0% | 109 | $0.00 | |
| 3051F | 0% | 68 | $0.00 | |
| 3078F | 0% | 11,405 | $0.00 | |
| 90713 | 0% | 42 | $0.00 | |
| 99442 | 0% | 132 | $0.00 | |
| 80061 | Lipid panel | 0% | 884 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 152 | $0.00 |
| A4306 | Disposable drug delivery system, flow rate of less than 50 ml per hour | 0% | 37 | $0.00 |
| 93975 | 0% | 13 | $0.00 | |
| 82948 | 0% | 13 | $0.00 | |
| 3046F | 0% | 172 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 42 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 64 | $0.00 |
| 3045F | 0% | 93 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 176 | $0.00 |
| 0510 | 0% | 496 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 51 | $0.00 |
| 82947 | 0% | 76 | $0.00 | |
| 90633 | 0% | 25 | $0.00 | |
| 90710 | 0% | 32 | $0.00 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | 0% | 15 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 62 | $0.00 |
| 85610 | 0% | 12 | $0.00 | |
| 3079F | 0% | 7,796 | $0.00 | |
| 3044F | 0% | 322 | $0.00 | |
| 3075F | 0% | 4,124 | $0.00 | |
| 3080F | 0% | 1,467 | $0.00 | |
| G9012 | Other specified case management service not elsewhere classified | 0% | 1,019 | $0.00 |
| 3074F | 0% | 13,513 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 828 | $0.00 |
| 71045 | Radiologic examination, chest; single view | 0% | 49 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 2,619 | $0.00 |
| 86803 | 0% | 628 | $0.00 | |
| 90677 | 0% | 248 | $0.00 | |
| 83690 | 0% | 50 | $0.00 | |
| 99443 | 0% | 192 | $0.00 | |
| 99441 | 0% | 132 | $0.00 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | 0% | 32 | $0.00 |
| 99283 | Emergency room visit (moderate) | 0% | 516 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 338 | $0.00 |
| 97139 | 0% | 35 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 94 | $0.00 |
| 99241 | 0% | 55 | $0.00 | |
| 3008F | 0% | 18 | $0.00 | |
| 3052F | 0% | 24 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 22 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 86 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 90 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 249 | $0.00 |
| 1036F | 0% | 14 | $0.00 | |
| J7050 | Infusion, normal saline solution, 250 cc | 0% | 34 | $0.00 |
| A4616 | Tubing (oxygen), per foot | 0% | 28 | $0.00 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 31 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 62 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 51 | $0.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 53 | $0.00 |
| 90723 | 0% | 26 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 13 | $0.00 |
| 82044 | 0% | 12 | $0.00 | |
| 86592 | 0% | 26 | $0.00 | |
| 85651 | 0% | 15 | $0.00 | |
| 96375 | Therapeutic injection; each additional sequential IV push | 0% | 15 | $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 | Hemet, CA | $16.15M |
| County of Riverside | Banning, CA | $12.43M |
| 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.