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

Javier R Rios MD, a Professional Corporation

Javier R Rios MD, a Professional Corporation was paid $165K by Medicaid between May 2021 and Jul 2024, across 11 billing codes. Its largest line is Z1034, — 37% of everything it billed.

33Billing provider infoJAVIER R RIOS MD, A PROFESSIONAL CORPORATION
RIVERSIDE, CA 92506
33aNPI1710590971assigned 08/27/2020
28Total paid$165K
24GClaims5,874
24DCodes billed11
24AFirst – last monthMay 2021 – Jul 2024
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#506 of 2,679
Median peer was paid$13K
This provider vs. median13×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official RIOS, JAVIER controls 11+ related entities in our dataset. Read more
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
2021914$24K
20222,887$77K
20231,841$52K
2024incomplete232$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Z1034 37% 1,002 699 $61K
59425 34% 1,198 876 $57K
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 17% 505 439 $27K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.8% 79 75 $6K
Z1032 2.6% 28 28 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.0% 124 115 $3K
81025 1.6% 566 541 $3K
81003 1.5% 1,559 1,196 $2K
99000 <1% 330 323 $698.62
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 15 15 $13.59
0502F 0% 468 353 $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 officialRIOS, JAVIER (OWNER / MEDICAL DIRECTOR)
Same official

Other billing entities under RIOS, JAVIER

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.