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

Riverside County Medical Services a Medical Corporation

Riverside County Medical Services a Medical Corporation was paid $14.93M by Medicaid between Jan 2018 and Feb 2024, across 15 billing codes. Its largest line is 99285, emergency room visit (most serious) — 59% of everything it billed.

33Billing provider infoRIVERSIDE COUNTY MEDICAL SERVICES A MEDICAL CORPORATION
WILDOMAR, CA 92595
33aNPI1790140309assigned 12/24/2015
28Total paid$14.93M
24GClaims209,130
24DCodes billed15
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#25 of 988
Median peer was paid$32K
This provider vs. median470×

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 VAUGHN, KAREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
201834,684$2.90M
201939,467$2.95M
202027,895$1.82M
202132,219$2.11M
202235,619$2.26M
202334,028$2.37M
2024incomplete5,218$514K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 59% 86,471 83,122 $8.88M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 26% 55,665 54,679 $3.89M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 34,609 33,784 $1.61M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.9% 30,561 29,471 $428K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 695 676 $78K
12001 <1% 256 253 $21K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 411 405 $9K
29515 <1% 64 64 $4K
12011 <1% 28 28 $3K
29505 <1% 28 28 $2K
29125 <1% 24 24 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 88 82 $1K
3 more codes
12002 <1% 12 $1K
99406 <1% 33 $310.39
99053 0% 185 $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 officialVAUGHN, KAREN (OFFICER)
Same official

Other billing entities under VAUGHN, KAREN

Full network →

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