Physician
Riverside Medical Clinic, INC
Riverside Medical Clinic, INC was paid $5.74M by Medicaid between Jan 2018 and Dec 2024, across 139 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoRIVERSIDE MEDICAL CLINIC, INC
RIVERSIDE, CA 92506
RIVERSIDE, CA 92506
33aNPI1730180415assigned 08/03/2005
33bProvider typeAllergy Physician
28Total paid$5.74M
24GClaims314,640
24DCodes billed139
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Allergy Physician providers in California
Rank by total paid#6 of 56
Median peer was paid$150K
This provider vs. median38×
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 | 41,267 | $409K | |
| 2019 | 39,971 | $602K | |
| 2020 | 42,066 | $666K | |
| 2021 | 46,954 | $916K | |
| 2022 | 49,564 | $843K | |
| 2023 | 49,461 | $1.11M | |
| 2024incomplete | 45,357 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 132,675 | 117,413 | $1.73M |
| 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% | 20,444 | 19,880 | $953K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.3% | 9,665 | 2,092 | $476K |
| 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 | 8.3% | 4,158 | 4,137 | $474K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 7.9% | 3,634 | 590 | $451K |
| 99205 | Prolong outpt/office vis | 5.0% | 2,009 | 1,990 | $289K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 9,908 | 8,286 | $206K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.9% | 1,511 | 1,505 | $166K |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 1,556 | 1,503 | $138K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 3,105 | 3,060 | $118K |
| 76818 | 1.7% | 872 | 319 | $98K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 903 | 878 | $95K |
127 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 7,173 | $78K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.3% | 581 | $75K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 574 | $47K |
| 93000 | <1% | 3,495 | $28K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 564 | $24K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 458 | $23K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 454 | $22K |
| 95117 | <1% | 2,576 | $20K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,467 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,102 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13,419 | $15K |
| 92551 | <1% | 4,212 | $14K | |
| 98940 | <1% | 655 | $11K | |
| 92567 | <1% | 868 | $8K | |
| 73630 | <1% | 541 | $8K | |
| 90670 | <1% | 5,920 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 8,458 | $8K |
| 10022 | <1% | 23 | $7K | |
| 59430 | <1% | 24 | $7K | |
| 92587 | <1% | 365 | $6K | |
| 90686 | <1% | 9,177 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 56 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 122 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 377 | $5K |
| 51798 | <1% | 772 | $5K | |
| 76536 | <1% | 58 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,681 | $5K |
| 94010 | <1% | 192 | $5K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 37 | $4K |
| 99460 | <1% | 68 | $3K | |
| 90698 | <1% | 3,171 | $3K | |
| 88172 | <1% | 25 | $3K | |
| 99245 | <1% | 162 | $3K | |
| 95813 | <1% | 13 | $3K | |
| 31231 | <1% | 15 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 615 | $3K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 41 | $2K |
| 74018 | <1% | 129 | $2K | |
| 81002 | <1% | 7,161 | $2K | |
| 72081 | <1% | 128 | $2K | |
| 90744 | <1% | 940 | $2K | |
| 73130 | <1% | 106 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 38 | $2K |
| 90651 | <1% | 1,034 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 14 | $1K |
| 73110 | <1% | 107 | $1K | |
| 94060 | <1% | 37 | $1K | |
| 76942 | <1% | 22 | $1K | |
| 99442 | <1% | 127 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 165 | $1K |
| 76642 | <1% | 29 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,374 | $1K |
| 77072 | <1% | 116 | $1K | |
| 90734 | <1% | 1,200 | $982.42 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 15 | $887.93 |
| 94729 | <1% | 21 | $860.96 | |
| 94727 | <1% | 21 | $775.84 | |
| 82962 | <1% | 422 | $755.56 | |
| 96127 | <1% | 3,580 | $754.00 | |
| 81025 | <1% | 81 | $636.08 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,674 | $632.98 |
| 92002 | <1% | 12 | $574.15 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 20 | $568.50 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 14 | $557.96 |
| 81015 | <1% | 281 | $503.38 | |
| 90716 | <1% | 588 | $484.92 | |
| 73610 | <1% | 47 | $471.86 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 13 | $456.17 |
| 90633 | <1% | 1,810 | $450.31 | |
| 0001A | <1% | 186 | $450.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 14 | $419.62 |
| 73140 | <1% | 30 | $411.55 | |
| 99243 | <1% | 24 | $379.14 | |
| 92504 | <1% | 12 | $370.34 | |
| 90648 | <1% | 1,354 | $356.04 | |
| 90707 | <1% | 615 | $338.67 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 603 | $332.64 |
| 69210 | <1% | 158 | $282.37 | |
| 90710 | <1% | 732 | $274.14 | |
| 0002A | <1% | 135 | $265.47 | |
| 90656 | <1% | 199 | $264.81 | |
| 90723 | <1% | 644 | $247.50 | |
| 93294 | <1% | 19 | $246.26 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 14 | $224.02 |
| 85018 | <1% | 6,671 | $219.26 | |
| 99384 | <1% | 161 | $214.92 | |
| 11721 | <1% | 27 | $190.79 | |
| 92250 | <1% | 12 | $187.02 | |
| 90715 | <1% | 486 | $181.01 | |
| 90677 | <1% | 711 | $179.46 | |
| 90461 | <1% | 1,724 | $173.09 | |
| 92557 | <1% | 13 | $161.29 | |
| 73562 | <1% | 21 | $160.23 | |
| 0071A | <1% | 92 | $148.00 | |
| 95012 | <1% | 52 | $138.22 | |
| 72100 | <1% | 12 | $137.23 | |
| 90696 | <1% | 289 | $110.64 | |
| 90685 | <1% | 433 | $102.69 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 14 | $90.45 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 314 | $90.00 |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | $67.80 |
| 90688 | <1% | 299 | $53.64 | |
| 94664 | <1% | 12 | $49.83 | |
| 90681 | <1% | 69 | $45.80 | |
| 99173 | <1% | 1,793 | $43.11 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 320 | $42.36 |
| 90674 | <1% | 51 | $37.19 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 738 | $26.98 |
| 90700 | <1% | 149 | $18.00 | |
| 90687 | <1% | 54 | $8.91 | |
| 86580 | <1% | 44 | $3.66 | |
| 96160 | <1% | 500 | $2.90 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 14 | $1.43 |
| 3078F | 0% | 228 | $0.00 | |
| 91300 | 0% | 462 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 88 | $0.00 |
| 90713 | 0% | 14 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 12 | $0.00 |
| 99050 | 0% | 659 | $0.00 | |
| 3044F | 0% | 2,262 | $0.00 | |
| 3048F | 0% | 1,027 | $0.00 | |
| 3351F | 0% | 70 | $0.00 | |
| 3074F | 0% | 252 | $0.00 | |
| 91307 | 0% | 356 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 43 | $0.00 |
| 3049F | 0% | 50 | $0.00 | |
| 87807 | 0% | 12 | $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 officialGUPTA, ANUPAM (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Riverside Medical Clinic, INC | Riverside, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.