County of Riverside
County of Riverside was paid $24.15M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
LAKE ELSINORE, CA 92530
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 | 29,504 | $2.64M | |
| 2019 | 35,123 | $2.41M | |
| 2020 | 38,456 | $2.74M | |
| 2021 | 47,687 | $3.24M | |
| 2022 | 63,529 | $3.91M | |
| 2023 | 65,077 | $4.58M | |
| 2024incomplete | 70,239 | $4.63M |
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 | 97% | 87,146 | 76,097 | $23.51M |
| 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% | 84,633 | 52,955 | $320K |
| J3490 | Unclassified drugs | <1% | 771 | 617 | $64K |
| 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% | 2,665 | 1,880 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 9,346 | 5,542 | $36K |
| 90715 | <1% | 646 | 572 | $23K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,198 | 1,715 | $20K |
| 90732 | <1% | 179 | 163 | $15K | |
| 0012A | <1% | 199 | 199 | $13K | |
| 97802 | <1% | 137 | 133 | $12K | |
| 0011A | <1% | 171 | 171 | $11K | |
| 0002A | <1% | 157 | 157 | $11K |
67 more codes
| 0001A | <1% | 153 | $10K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 18,317 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 623 | $7K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,307 | $6K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 765 | $5K |
| 81025 | <1% | 3,212 | $4K | |
| 99000 | <1% | 12,473 | $3K | |
| 0031A | <1% | 38 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,885 | $2K |
| 90688 | <1% | 185 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 40,890 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 851 | $1K |
| 99401 | <1% | 216 | $986.87 | |
| 0124A | <1% | 13 | $871.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 1,051 | $824.04 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 756 | $738.78 |
| 90686 | <1% | 71 | $661.91 | |
| 90677 | <1% | 179 | $580.38 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 24 | $580.02 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 281 | $335.03 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 229 | $306.64 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 350 | $241.40 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,420 | $152.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,931 | $132.00 |
| 81003 | <1% | 1,728 | $117.30 | |
| 99201 | <1% | 68 | $114.27 | |
| 90656 | <1% | 39 | $86.22 | |
| 85018 | <1% | 1,220 | $61.91 | |
| 87428 | <1% | 194 | $46.41 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | $40.97 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 60 | $34.69 |
| H0049 | Alcohol and/or drug screening | <1% | 19,399 | $17.14 |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | $16.00 |
| 90651 | <1% | 12 | $9.90 | |
| 90710 | <1% | 13 | $9.90 | |
| 99173 | <1% | 662 | $6.82 | |
| 86580 | <1% | 13 | $3.36 | |
| 82962 | <1% | 40 | $1.98 | |
| 3075F | 0% | 3,009 | $0.00 | |
| 3080F | 0% | 2,231 | $0.00 | |
| 3044F | 0% | 592 | $0.00 | |
| 3079F | 0% | 6,192 | $0.00 | |
| 3074F | 0% | 12,080 | $0.00 | |
| 99385 | 0% | 22 | $0.00 | |
| G9012 | Other specified case management service not elsewhere classified | 0% | 2,276 | $0.00 |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 2,834 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 110 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 70 | $0.00 |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 12 | $0.00 |
| 3052F | 0% | 31 | $0.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 14 | $0.00 |
| 3077F | 0% | 3,050 | $0.00 | |
| 3078F | 0% | 9,942 | $0.00 | |
| 3046F | 0% | 298 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 226 | $0.00 |
| 96160 | 0% | 1,135 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 672 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 168 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 329 | $0.00 |
| 3051F | 0% | 142 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 27 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 52 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 66 | $0.00 |
| 90734 | 0% | 17 | $0.00 | |
| 90633 | 0% | 39 | $0.00 | |
| 90672 | 0% | 20 | $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% | 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 | Palm Springs, CA | $19.49M |
| 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.