Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Burbank › NPI 1497352876
Physician

Riverside Optimal Healthcare, INC

Riverside Optimal Healthcare, INC was paid $175K by Medicaid between Jan 2021 and Nov 2024, across 26 billing codes. Its largest line is J0585, Injection, onabotulinumtoxina, 1 unit — 33% of everything it billed.

33Billing provider infoRIVERSIDE OPTIMAL HEALTHCARE, INC
BURBANK, CA 91506
33aNPI1497352876assigned 10/08/2020
33bProvider typeNeurology Physician
28Total paid$175K
24GClaims6,872
24DCodes billed26
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers

Next to other Neurology Physician providers in California

Rank by total paid#99 of 296
Median peer was paid$50K
This provider vs. median3.5×

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.

Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2021894$23K
20221,233$38K
20232,735$41K
2024incomplete2,010$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
J0585 Injection, onabotulinumtoxina, 1 unit 33% 402 392 $58K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 21% 1,004 1,000 $37K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14% 424 422 $24K
93970 5.4% 719 712 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.0% 381 376 $9K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.2% 87 85 $6K
93880 3.1% 382 380 $5K
11721 3.0% 1,425 1,415 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.6% 135 135 $5K
93925 1.4% 238 234 $2K
93930 1.1% 256 255 $2K
64615 1.1% 402 393 $2K
14 more codes
95923 <1% 38 $1K
99203 Doctor's office visit, new patient (routine) <1% 90 $1K
93886 <1% 42 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 95 $1K
76881 <1% 51 $1K
76882 <1% 213 $996.16
76770 <1% 94 $917.74
93978 <1% 81 $858.71
95924 <1% 52 $532.92
93923 <1% 51 $469.41
95957 <1% 66 $232.70
96132 <1% 67 $226.74
96138 <1% 37 $61.25
95930 <1% 40 $34.44

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 officialMANHAS, SHEILA (MEDICAL DIRECTOR)