Clinic
Riverside Medical Center
Riverside Medical Center was paid $5.55M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoRIVERSIDE MEDICAL CENTER
FRANKLINTON, LA 70438
FRANKLINTON, LA 70438
33aNPI1518955541assigned 10/13/2005
33bProvider typeRural Health Clinic/Center
28Total paid$5.55M
24GClaims83,933
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Louisiana
Rank by total paid#28 of 160
Median peer was paid$2.26M
This provider vs. median2.5×
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
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 | 11,093 | $772K | |
| 2019 | 12,695 | $873K | |
| 2020 | 10,507 | $618K | |
| 2021 | 12,797 | $1.01M | |
| 2022 | 14,674 | $1.02M | |
| 2023 | 12,708 | $803K | |
| 2024incomplete | 9,459 | $457K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 30,913 | 22,758 | $5.55M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 11,712 | 9,195 | $41.53 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 6,643 | 2,556 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 3,371 | 2,538 | $0.00 |
| 81025 | 0% | 4,479 | 2,880 | $0.00 | |
| 81003 | 0% | 960 | 765 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 142 | 111 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 64 | 58 | $0.00 |
| 81002 | 0% | 1,352 | 772 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 3,845 | 2,735 | $0.00 |
| 1159F | 0% | 1,308 | 1,069 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 40 | 25 | $0.00 |
26 more codes
| 99307 | 0% | 159 | $0.00 | |
| 3077F | 0% | 75 | $0.00 | |
| 1160F | 0% | 351 | $0.00 | |
| 3078F | 0% | 17 | $0.00 | |
| J1380 | Injection, estradiol valerate, up to 10 mg | 0% | 14 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 29 | $0.00 |
| J1000 | Injection, depo-estradiol cypionate, up to 5 mg | 0% | 22 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 19 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 40 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 11,246 | $0.00 |
| 1220F | 0% | 956 | $0.00 | |
| 87807 | 0% | 377 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 228 | $0.00 |
| 1126F | 0% | 596 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 2,913 | $0.00 |
| 96127 | 0% | 854 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 418 | $0.00 |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 115 | $0.00 |
| 1125F | 0% | 220 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 33 | $0.00 |
| 3074F | 0% | 17 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 191 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 131 | $0.00 |
| 3079F | 0% | 33 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 13 | $0.00 |
| 00000 | 0% | 37 | $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 officialMCGRAW, STACEY (BUSINESS OFFICE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Riverside Medical Center | Franklinton, LA | $9.32M |
| Riverside Medical Center | Franklinton, LA | $894K |
| Riverside Medical Center | Franklinton, LA | $512K |
| Riverside Medical Center | Franklinton, LA | $102K |
| Riverside Medical Center | Franklinton, LA | $72K |
| Riverside Medical Center | Franklinton, LA | $7K |
| Riverside Medical Center | Franklinton, LA | $695.52 |
| Riverside Medical Center | Franklinton, LA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.