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

Rios, Javier

Rios, Javier was paid $959K by Medicaid between May 2018 and Oct 2024, across 28 billing codes. Its largest line is 59425, — 49% of everything it billed.

33Billing provider infoRIOS, JAVIER
RIVERSIDE, CA 92503
33aNPI1639246176assigned 11/29/2006
28Total paid$959K
24GClaims29,546
24DCodes billed28
24AFirst – last monthMay 2018 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#172 of 2,511
Median peer was paid$13K
This provider vs. median75×

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$20K$40K2018201920202021202220232024
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
2018366$18K
20192,643$112K
20204,958$204K
20219,180$282K
20229,108$284K
20232,966$50K
2024incomplete325$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59425 49% 7,919 5,769 $474K
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 13% 2,725 2,493 $127K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 8.5% 795 774 $81K
0500F 7.9% 987 984 $76K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4.7% 603 601 $45K
59430 4.1% 569 543 $39K
3351F 3.3% 416 414 $31K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.3% 715 665 $22K
88141 1.8% 336 192 $17K
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% 117 117 $9K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 115 115 $8K
3353F <1% 103 103 $8K
16 more codes
99000 <1% 1,783 $6K
81025 <1% 1,769 $5K
81003 <1% 1,834 $4K
90686 <1% 160 $3K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 27 $2K
90715 <1% 13 $953.20
90674 <1% 31 $852.81
0502F 0% 6,219 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 43 $0.00
3078F 0% 617 $0.00
3077F 0% 20 $0.00
3074F 0% 620 $0.00
3079F 0% 52 $0.00
3075F 0% 64 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 880 $0.00
0503F 0% 14 $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.