Riverside Medical Group PC

Riverside Medical Group PC was paid $642K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoRIVERSIDE MEDICAL GROUP PC
LOWELL, MA 01854

33aNPI1508821646assigned 04/20/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$642K

24GClaims18,460

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Massachusetts

Rank by total paid#5 of 321

Median peer was paid$2K

This provider vs. median391×

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

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	2,627	$76K
2019	2,517	$74K
2020	2,796	$84K
2021	2,642	$96K
2022	3,158	$131K
2023	2,626	$98K
2024incomplete	2,094	$82K

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	61%	12,088	10,901	$393K
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	37%	5,693	5,290	$237K
99442		<1%	217	187	$3K
99310	Prolong nursin fac eval 15m	<1%	25	22	$2K
99306	Prolong nursin fac eval 15m	<1%	25	24	$1K
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	<1%	16	16	$991.16
90756		<1%	96	91	$861.85
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	27	27	$838.30
99497		<1%	26	25	$602.60
99443		<1%	28	26	$564.83
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	44	44	$364.25
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	16	13	$293.45

5 more codes

G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	37	$280.59
90686		<1%	59	$191.27
99397		<1%	13	$186.79
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	36	$126.74
G0008	Administration of influenza virus vaccine	<1%	14	$33.82

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 officialPINSKY, LINCOLN (PRESIDENT)