Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › TUCSON › JAVIER R RIOS MD A MEDICAL PROFESSIONAL CORPORATION

JAVIER R RIOS MD A MEDICAL PROFESSIONAL CORPORATION

NPI: 1497829949 · TUCSON, AZ 85713 · Family Medicine Physician · NPI assigned 11/17/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official RIOS, JAVIER controls 11+ related entities in our dataset. Read more

$6.54M
Total Medicaid Paid
179,515
Total Claims
155,440
Beneficiaries
100
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRIOS, JAVIER (CEO/ MEDICAL DIRECTOR)
Parent OrganizationJAVIER R RIOS MD A PROFESSIONAL CORPORATION
NPI Enumeration Date11/17/2006

Related Entities

Other providers sharing the same authorized official: RIOS, JAVIER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 17,410 $895K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 40,576 35,467 $2.47M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44,737 37,937 $1.95M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 4,387 4,161 $376K
99215 Prolong outpt/office vis 2,731 2,549 $230K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,174 1,949 $179K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,140 1,936 $163K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,763 1,663 $157K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,635 1,495 $124K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,376 6,529 $114K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,018 918 $82K
90472 Immunization administration, each additional vaccine (list separately) 3,199 2,778 $81K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,129 1,025 $80K
93000 5,711 5,207 $63K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,128 948 $62K
71046 Radiologic examination, chest; 2 views 2,759 2,470 $52K
92551 5,232 4,620 $47K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,451 2,959 $46K
99385 408 380 $41K
99397 889 727 $30K
99401 4,096 3,214 $28K
99386 156 143 $17K
90686 1,858 1,508 $14K
0011A 448 410 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 265 228 $12K
85018 7,619 6,544 $12K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 119 103 $9K
99173 5,117 4,224 $7K
99383 91 78 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,784 2,807 $6K
0012A 195 183 $6K
81003 3,599 3,067 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 41 41 $4K
90651 469 368 $4K
99384 63 45 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 114 101 $3K
81025 436 374 $3K
59425 36 29 $2K
90674 127 121 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 288 259 $2K
72110 90 74 $2K
76536 28 27 $2K
0071A 34 31 $2K
71250 47 32 $2K
90694 194 176 $2K
74018 58 55 $1K
0134A 25 24 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 813 696 $1K
90656 57 57 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 89 77 $1K
99381 13 13 $1K
0013A 40 37 $1K
0001A 25 20 $960.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 522 410 $926.05
90734 336 271 $849.33
99382 12 12 $844.55
90653 68 63 $833.41
90474 54 51 $778.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 373 343 $617.69
82948 334 284 $614.00
J1885 Injection, ketorolac tromethamine, per 15 mg 443 372 $558.96
90658 97 88 $539.77
90756 28 27 $495.69
70220 22 17 $430.52
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 35 28 $361.48
G0444 Annual depression screening, 5 to 15 minutes 352 314 $161.95
90633 187 155 $120.14
J1030 Injection, methylprednisolone acetate, 40 mg 12 12 $113.94
G0008 Administration of influenza virus vaccine 108 90 $41.73
90688 162 131 $16.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg 12 12 $6.94
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 31 27 $4.23
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 33 27 $3.05
91301 354 344 $1.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 330 322 $0.40
3078F 2,352 2,166 $0.00
3077F 720 614 $0.00
3725F 4,088 3,307 $0.00
90670 326 289 $0.00
1158F 157 135 $0.00
90685 111 103 $0.00
1160F 151 133 $0.00
1159F 138 123 $0.00
90710 36 28 $0.00
90715 30 24 $0.00
90648 50 40 $0.00
3044F 960 900 $0.00
3074F 1,694 1,581 $0.00
1000F 143 125 $0.00
3079F 631 559 $0.00
3080F 106 91 $0.00
1101F 129 113 $0.00
90647 117 110 $0.00
1126F 45 41 $0.00
90680 101 98 $0.00
3075F 219 197 $0.00
90723 44 42 $0.00
3008F 124 109 $0.00
1170F 156 134 $0.00
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) 15 13 $0.00
1036F 90 81 $0.00