Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Loffredo, Riar & Winder, P.C.

Loffredo, Riar & Winder, P.C. was paid $450K by Medicaid between Oct 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoLOFFREDO, RIAR & WINDER, P.C.
RENO, NV 89502
33aNPI1588199061assigned 04/21/2017
33bProvider typePediatrics Physician
28Total paid$450K
24GClaims8,890
24DCodes billed13
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Nevada

Rank by total paid#73 of 267
Median peer was paid$116K
This provider vs. median3.9×

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$5.0K$10K$15K2018201920202021202220232024
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
201859$1K
20192,151$121K
20201,957$86K
20211,670$78K
20221,228$71K
20231,081$53K
2024incomplete744$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 36% 2,645 2,362 $161K
90460 Immunization administration through 18 years of age via any route, first or only component 28% 2,696 2,563 $125K
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 19% 922 854 $85K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.4% 390 372 $38K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.0% 291 220 $23K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.0% 137 134 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 163 152 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 13 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 56 27 $646.38
90686 <1% 1,430 1,321 $194.58
90648 0% 38 36 $0.00
90670 0% 14 12 $0.00
1 more codes
90656 0% 95 $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 officialWINDER, JAMES (PARTNER/SECRETARY)