Clinic
Javier R. Rios M.D. a Medical Professional Corp.
Javier R. Rios M.D. a Medical Professional Corp. was paid $166K by Medicaid between Jan 2018 and Jun 2019, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.
33Billing provider infoJAVIER R. RIOS M.D. A MEDICAL PROFESSIONAL CORP.
TUCSON, AZ 85713
TUCSON, AZ 85713
33aNPI1417909441assigned 05/17/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$166K
24GClaims7,726
24DCodes billed23
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Urgent Care Clinic/Center providers in Arizona
Rank by total paid#49 of 81
Median peer was paid$312K
This provider vs. median0.5×
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 | 4,622 | $98K | |
| 2019 | 3,104 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 62% | 3,451 | 2,376 | $103K |
| 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 | 23% | 867 | 653 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.7% | 391 | 299 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 44 | 36 | $3K |
| 93000 | 1.6% | 347 | 252 | $3K | |
| 92551 | 1.4% | 317 | 253 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 111 | 74 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 172 | 116 | $2K |
| 99401 | <1% | 201 | 140 | $2K | |
| 85018 | <1% | 504 | 394 | $971.40 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | 13 | $947.32 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 19 | 14 | $941.40 |
11 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $711.09 |
| 90674 | <1% | 42 | $670.21 | |
| 99173 | <1% | 337 | $471.16 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 41 | $449.20 |
| 81003 | <1% | 99 | $183.18 | |
| 82948 | <1% | 77 | $144.90 | |
| 90686 | <1% | 103 | $50.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 199 | $0.00 |
| 3077F | 0% | 66 | $0.00 | |
| 3725F | 0% | 249 | $0.00 | |
| 3078F | 0% | 59 | $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 (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Javier R Rios MD a Medical Professional Corporation | Tucson, AZ | $6.54M |
| Javier R Rios MD, a Professional Corporation | Riverside, CA | $2.79M |
| 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 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.