Physician
Providence Healthcare Partners,, INC
Providence Healthcare Partners,, INC was paid $27.56M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 35% of everything it billed.
33Billing provider infoPROVIDENCE HEALTHCARE PARTNERS,, INC
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
33aNPI1699157701assigned 06/25/2015
33bProvider typeHospitalist Physician
28Total paid$27.56M
24GClaims278,904
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Hospitalist Physician providers in California
Rank by total paid#1 of 208
Median peer was paid$20K
This provider vs. median1,398×
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 | 21,469 | $2.35M | |
| 2019 | 30,312 | $3.04M | |
| 2020 | 30,410 | $3.20M | |
| 2021 | 37,854 | $3.63M | |
| 2022 | 44,248 | $3.89M | |
| 2023 | 58,469 | $5.49M | |
| 2024incomplete | 56,142 | $5.97M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 35% | 122,187 | 46,471 | $9.78M |
| 99223 | Prolong inpt eval add15 m | 17% | 31,544 | 31,087 | $4.74M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 14% | 24,476 | 9,632 | $3.97M |
| 99310 | Prolong nursin fac eval 15m | 9.4% | 27,429 | 4,971 | $2.59M |
| 99239 | Hospital discharge day management, more than 30 minutes | 9.0% | 30,369 | 29,914 | $2.49M |
| 99350 | Prolong home eval add 15m | 4.3% | 8,385 | 1,658 | $1.18M |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.7% | 15,484 | 4,537 | $1.02M |
| 99337 | 3.5% | 6,903 | 1,307 | $978K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.0% | 5,146 | 2,410 | $281K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 1,977 | 1,953 | $274K |
| 99306 | Prolong nursin fac eval 15m | <1% | 1,284 | 1,247 | $152K |
| 99497 | <1% | 425 | 416 | $23K |
12 more codes
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 167 | $20K |
| 99349 | <1% | 1,066 | $16K | |
| 99348 | <1% | 1,110 | $10K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 625 | $10K |
| 99236 | Prolong inpt eval add15 m | <1% | 45 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 141 | $8K |
| 99292 | <1% | 39 | $4K | |
| 99328 | <1% | 12 | $2K | |
| 99406 | <1% | 13 | $137.85 | |
| 0450 | Emergency room services | 0% | 50 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 14 | $0.00 |
| 0250 | 0% | 13 | $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 officialPATEL, CALVIN (PRESIDENT)