RIVERSIDE PEDIATRICS, INC
NPI: 1790742971
· SEDALIA, MO 65301
· Primary Care Clinic/Center
· NPI assigned 04/30/2006
$3.97M
Total Medicaid Paid
Provider Details
| Authorized Official | EBRAHIMI, ALI (PRESIDENT) |
| NPI Enumeration Date | 04/30/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
134 |
$4K |
| 2019 |
190 |
$6K |
| 2020 |
9,999 |
$375K |
| 2021 |
18,163 |
$709K |
| 2022 |
18,652 |
$949K |
| 2023 |
17,267 |
$1.09M |
| 2024 |
13,576 |
$838K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
27,963 |
23,181 |
$1.83M |
| 99392 |
|
4,745 |
4,727 |
$447K |
| 99393 |
|
4,137 |
4,120 |
$392K |
| 99391 |
|
3,341 |
3,142 |
$304K |
| 99394 |
|
2,667 |
2,649 |
$253K |
| 99212 |
|
4,723 |
4,646 |
$192K |
| 87426 |
|
3,237 |
3,141 |
$121K |
| 99214 |
|
1,121 |
1,089 |
$104K |
| 87880 |
|
6,040 |
5,790 |
$89K |
| 87804 |
|
3,563 |
1,703 |
$53K |
| 99203 |
|
325 |
319 |
$30K |
| 85025 |
|
3,716 |
3,473 |
$26K |
| 90697 |
|
559 |
551 |
$19K |
| 90686 |
|
2,539 |
2,527 |
$17K |
| 90723 |
|
432 |
431 |
$12K |
| 87807 |
|
1,020 |
973 |
$12K |
| 90670 |
|
1,347 |
1,339 |
$8K |
| 83655 |
|
550 |
550 |
$6K |
| 92081 |
|
268 |
254 |
$6K |
| 90680 |
|
776 |
772 |
$5K |
| 90633 |
|
755 |
755 |
$5K |
| 90648 |
|
772 |
770 |
$4K |
| 36415 |
|
1,036 |
959 |
$4K |
| 90671 |
|
496 |
488 |
$4K |
| 90710 |
|
114 |
114 |
$3K |
| 90696 |
|
101 |
101 |
$3K |
| 90734 |
|
392 |
391 |
$3K |
| 90651 |
|
351 |
350 |
$3K |
| 99395 |
|
13 |
13 |
$1K |
| 81000 |
|
403 |
384 |
$1K |
| 94644 |
|
30 |
27 |
$1K |
| 90700 |
|
68 |
68 |
$1K |
| 90707 |
|
54 |
54 |
$1K |
| 90715 |
|
39 |
38 |
$1K |
| 90677 |
|
101 |
100 |
$827.85 |
| 0071A |
|
21 |
20 |
$738.00 |
| 90672 |
|
108 |
107 |
$662.64 |
| 90716 |
|
58 |
58 |
$364.36 |