Physician
Riverside Medical Associates, P.C.
Riverside Medical Associates, P.C. was paid $666K by Medicaid between Jan 2018 and Aug 2021, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoRIVERSIDE MEDICAL ASSOCIATES, P.C.
SAULT SAINTE MARIE, MI 49783
SAULT SAINTE MARIE, MI 49783
33aNPI1649547654assigned 11/18/2011
33bProvider typeFamily Medicine Physician
28Total paid$666K
24GClaims52,381
24DCodes billed40
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#179 of 826
Median peer was paid$98K
This provider vs. median6.8×
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 | 15,733 | $231K | |
| 2019 | 13,856 | $181K | |
| 2020 | 12,292 | $137K | |
| 2021 | 10,500 | $117K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 3,689 | 3,415 | $279K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 3,749 | 3,461 | $198K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,219 | 1,151 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 767 | 758 | $55K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 1,068 | 1,059 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 328 | 305 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 1,407 | 1,392 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 41 | 40 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 49 | 49 | $4K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 75 | 72 | $3K |
| 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% | 26 | 26 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 102 | 100 | $1K |
28 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 14 | $697.49 |
| 90674 | <1% | 40 | $669.45 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $659.60 |
| 98928 | <1% | 12 | $489.72 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 22 | $486.29 |
| G0008 | Administration of influenza virus vaccine | <1% | 60 | $406.00 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 16 | $272.64 |
| 90686 | <1% | 27 | $247.39 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $110.40 |
| 3079F | 0% | 1,934 | $0.00 | |
| 3075F | 0% | 1,074 | $0.00 | |
| 90647 | 0% | 377 | $0.00 | |
| 90723 | 0% | 484 | $0.00 | |
| 3008F | 0% | 6,789 | $0.00 | |
| 97802 | 0% | 703 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 645 | $0.00 |
| 3074F | 0% | 4,942 | $0.00 | |
| 3080F | 0% | 195 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 3078F | 0% | 4,221 | $0.00 | |
| 3077F | 0% | 428 | $0.00 | |
| 1160F | 0% | 7,042 | $0.00 | |
| 97803 | 0% | 1,642 | $0.00 | |
| 1159F | 0% | 7,642 | $0.00 | |
| 90670 | 0% | 709 | $0.00 | |
| 99051 | 0% | 743 | $0.00 | |
| 2028F | 0% | 12 | $0.00 | |
| 90707 | 0% | 25 | $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 officialPOPOUR, KELLIE (OFFICE MANAGER)