Physician
Javier R Rios MD a Medical Professional Corporation
Javier R Rios MD a Medical Professional Corporation was paid $6.54M by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoJAVIER R RIOS MD A MEDICAL PROFESSIONAL CORPORATION
TUCSON, AZ 85713
TUCSON, AZ 85713
33aNPI1497829949assigned 11/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$6.54M
24GClaims179,515
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Arizona
Rank by total paid#17 of 442
Median peer was paid$77K
This provider vs. median85×
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 | 20,869 | $549K | |
| 2019 | 32,580 | $656K | |
| 2020 | 30,434 | $985K | |
| 2021 | 28,703 | $1.24M | |
| 2022 | 27,796 | $1.20M | |
| 2023 | 21,723 | $1.01M | |
| 2024incomplete | 17,410 | $895K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 40,576 | 35,467 | $2.47M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 44,737 | 37,937 | $1.95M |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.7% | 4,387 | 4,161 | $376K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 2,731 | 2,549 | $230K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 2,174 | 1,949 | $179K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 2,140 | 1,936 | $163K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.4% | 1,763 | 1,663 | $157K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 1,635 | 1,495 | $124K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 7,376 | 6,529 | $114K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.3% | 1,018 | 918 | $82K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 3,199 | 2,778 | $81K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 1,129 | 1,025 | $80K |
88 more codes
| 93000 | <1% | 5,711 | $63K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,128 | $62K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,759 | $52K |
| 92551 | <1% | 5,232 | $47K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,451 | $46K |
| 99385 | <1% | 408 | $41K | |
| 99397 | <1% | 889 | $30K | |
| 99401 | <1% | 4,096 | $28K | |
| 99386 | <1% | 156 | $17K | |
| 90686 | <1% | 1,858 | $14K | |
| 0011A | <1% | 448 | $13K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 265 | $12K |
| 85018 | <1% | 7,619 | $12K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 119 | $9K |
| 99173 | <1% | 5,117 | $7K | |
| 99383 | <1% | 91 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,784 | $6K |
| 0012A | <1% | 195 | $6K | |
| 81003 | <1% | 3,599 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 41 | $4K |
| 90651 | <1% | 469 | $4K | |
| 99384 | <1% | 63 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 114 | $3K |
| 81025 | <1% | 436 | $3K | |
| 59425 | <1% | 36 | $2K | |
| 90674 | <1% | 127 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 288 | $2K |
| 72110 | <1% | 90 | $2K | |
| 76536 | <1% | 28 | $2K | |
| 0071A | <1% | 34 | $2K | |
| 71250 | <1% | 47 | $2K | |
| 90694 | <1% | 194 | $2K | |
| 74018 | <1% | 58 | $1K | |
| 0134A | <1% | 25 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 813 | $1K |
| 90656 | <1% | 57 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 89 | $1K |
| 99381 | <1% | 13 | $1K | |
| 0013A | <1% | 40 | $1K | |
| 0001A | <1% | 25 | $960.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 522 | $926.05 |
| 90734 | <1% | 336 | $849.33 | |
| 99382 | <1% | 12 | $844.55 | |
| 90653 | <1% | 68 | $833.41 | |
| 90474 | <1% | 54 | $778.51 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 373 | $617.69 |
| 82948 | <1% | 334 | $614.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 443 | $558.96 |
| 90658 | <1% | 97 | $539.77 | |
| 90756 | <1% | 28 | $495.69 | |
| 70220 | <1% | 22 | $430.52 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 35 | $361.48 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 352 | $161.95 |
| 90633 | <1% | 187 | $120.14 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 12 | $113.94 |
| G0008 | Administration of influenza virus vaccine | <1% | 108 | $41.73 |
| 90688 | <1% | 162 | $16.77 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $6.94 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | <1% | 31 | $4.23 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 33 | $3.05 |
| 91301 | <1% | 354 | $1.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 330 | $0.40 |
| 3078F | 0% | 2,352 | $0.00 | |
| 3077F | 0% | 720 | $0.00 | |
| 3725F | 0% | 4,088 | $0.00 | |
| 90670 | 0% | 326 | $0.00 | |
| 1158F | 0% | 157 | $0.00 | |
| 90685 | 0% | 111 | $0.00 | |
| 1160F | 0% | 151 | $0.00 | |
| 1159F | 0% | 138 | $0.00 | |
| 90710 | 0% | 36 | $0.00 | |
| 90715 | 0% | 30 | $0.00 | |
| 90648 | 0% | 50 | $0.00 | |
| 3044F | 0% | 960 | $0.00 | |
| 3074F | 0% | 1,694 | $0.00 | |
| 1000F | 0% | 143 | $0.00 | |
| 3079F | 0% | 631 | $0.00 | |
| 3080F | 0% | 106 | $0.00 | |
| 1101F | 0% | 129 | $0.00 | |
| 90647 | 0% | 117 | $0.00 | |
| 1126F | 0% | 45 | $0.00 | |
| 90680 | 0% | 101 | $0.00 | |
| 3075F | 0% | 219 | $0.00 | |
| 90723 | 0% | 44 | $0.00 | |
| 3008F | 0% | 124 | $0.00 | |
| 1170F | 0% | 156 | $0.00 | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 0% | 15 | $0.00 |
| 1036F | 0% | 90 | $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 (CEO/ MEDICAL DIRECTOR)
Parent organizationJAVIER R RIOS MD A PROFESSIONAL CORPORATION
| Provider | Location | Paid |
|---|---|---|
| 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 M.D. a Medical Professional Corp. | Tucson, AZ | $166K |
| 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.