Clinic
Riverside Pediatrics, INC
Riverside Pediatrics, INC was paid $3.97M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoRIVERSIDE PEDIATRICS, INC
SEDALIA, MO 65301
SEDALIA, MO 65301
33aNPI1790742971assigned 04/30/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$3.97M
24GClaims77,981
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Missouri
Rank by total paid#3 of 47
Median peer was paid$114K
This provider vs. median35×
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 | 134 | $4K | |
| 2019 | 190 | $6K | |
| 2020 | 9,999 | $375K | |
| 2021 | 18,163 | $709K | |
| 2022 | 18,652 | $949K | |
| 2023 | 17,267 | $1.09M | |
| 2024incomplete | 13,576 | $838K |
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 | 46% | 27,963 | 23,181 | $1.83M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 4,745 | 4,727 | $447K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 4,137 | 4,120 | $392K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 3,341 | 3,142 | $304K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 2,667 | 2,649 | $253K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 4,723 | 4,646 | $192K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.0% | 3,237 | 3,141 | $121K |
| 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 | 2.6% | 1,121 | 1,089 | $104K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 6,040 | 5,790 | $89K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 3,563 | 1,703 | $53K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 325 | 319 | $30K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,716 | 3,473 | $26K |
26 more codes
| 90697 | <1% | 559 | $19K | |
| 90686 | <1% | 2,539 | $17K | |
| 90723 | <1% | 432 | $12K | |
| 87807 | <1% | 1,020 | $12K | |
| 90670 | <1% | 1,347 | $8K | |
| 83655 | <1% | 550 | $6K | |
| 92081 | <1% | 268 | $6K | |
| 90680 | <1% | 776 | $5K | |
| 90633 | <1% | 755 | $5K | |
| 90648 | <1% | 772 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,036 | $4K |
| 90671 | <1% | 496 | $4K | |
| 90710 | <1% | 114 | $3K | |
| 90696 | <1% | 101 | $3K | |
| 90734 | <1% | 392 | $3K | |
| 90651 | <1% | 351 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 81000 | <1% | 403 | $1K | |
| 94644 | <1% | 30 | $1K | |
| 90700 | <1% | 68 | $1K | |
| 90707 | <1% | 54 | $1K | |
| 90715 | <1% | 39 | $1K | |
| 90677 | <1% | 101 | $827.85 | |
| 0071A | <1% | 21 | $738.00 | |
| 90672 | <1% | 108 | $662.64 | |
| 90716 | <1% | 58 | $364.36 |
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 officialEBRAHIMI, ALI (PRESIDENT)