Physician
Riverside Medical Clinic
Riverside Medical Clinic was paid $126K by Medicaid between Jan 2018 and Jul 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoRIVERSIDE MEDICAL CLINIC
LAKE CITY, AR 72347
LAKE CITY, AR 72347
33aNPI1811206923assigned 10/07/2010
33bProvider typeFamily Medicine Physician
28Total paid$126K
24GClaims3,690
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Family Medicine Physician providers in Arkansas
Rank by total paid#176 of 437
Median peer was paid$70K
This provider vs. median1.8×
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 | 857 | $32K | |
| 2019 | 813 | $28K | |
| 2020 | 602 | $20K | |
| 2021 | 444 | $17K | |
| 2022 | 415 | $13K | |
| 2023 | 439 | $14K | |
| 2024incomplete | 120 | $3K |
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 | 50% | 2,159 | 1,864 | $63K |
| 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 | 48% | 1,324 | 1,259 | $61K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 35 | 29 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 64 | 60 | $722.26 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 65 | 44 | $474.47 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | 15 | $133.48 |
| G0008 | Administration of influenza virus vaccine | <1% | 14 | 14 | $77.56 |
| 99406 | 0% | 13 | 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 officialWAGNER, TOMMY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| T W Wagner INC | Manila, AR | $347K |
| T W Wagner INC | Manila, AR | $241K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.