Riverside Family Health LLC

Riverside Family Health LLC was paid $3.31M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 43% of everything it billed.

33Billing provider infoRIVERSIDE FAMILY HEALTH LLC
DECATUR, AL 35601

33aNPI1851652416assigned 05/30/2012

33bProvider typeFamily Nurse Practitioner

28Total paid$3.31M

24GClaims109,406

24DCodes billed79

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Nurse Practitioner providers in Alabama

Rank by total paid#2 of 130

Median peer was paid$0.00

This provider vs. median0.0×

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	10,920	$360K
2019	12,838	$420K
2020	13,683	$481K
2021	20,318	$647K
2022	20,218	$549K
2023	18,269	$457K
2024incomplete	13,160	$395K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	43%	14,763	12,517	$1.44M
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	12%	4,994	4,426	$383K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	7,093	6,149	$344K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.2%	3,686	3,296	$172K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.8%	3,510	3,121	$158K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	4.1%	5,735	5,071	$135K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.2%	2,211	2,037	$107K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.6%	1,155	1,052	$54K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.5%	1,428	1,215	$50K
90686		1.3%	2,557	2,313	$42K
87430		1.1%	2,923	2,633	$36K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	2,461	2,259	$32K

67 more codes

90647		<1%	1,708	$31K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	636	$27K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	3,152	$26K
90670		<1%	1,408	$25K
90723		<1%	1,038	$19K
87634		<1%	426	$19K
81002		<1%	6,654	$17K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	546	$15K
90680		<1%	786	$14K
90633		<1%	731	$13K
99401		<1%	1,441	$12K
87899		<1%	943	$11K
96127		<1%	5,151	$11K
90707		<1%	583	$11K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,043	$11K
90716		<1%	601	$11K
90671		<1%	491	$9K
81003		<1%	2,868	$7K
99173		<1%	4,209	$7K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	789	$7K
83655		<1%	501	$7K
87503		<1%	531	$5K
90651		<1%	252	$4K
99001		<1%	1,771	$4K
90734		<1%	167	$3K
82948		<1%	1,012	$3K
87807		<1%	282	$3K
85014		<1%	6,150	$3K
94060		<1%	127	$3K
94150		<1%	448	$2K
90648		<1%	104	$2K
90658		<1%	108	$2K
82962		<1%	727	$2K
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	<1%	39	$2K
90620		<1%	57	$1K
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	1,511	$1K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	251	$950.40
90715		<1%	58	$887.95
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	112	$848.00
86308		<1%	105	$581.80
94010		<1%	59	$570.00
90685		<1%	55	$554.12
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	698	$467.69
90696		<1%	29	$435.38
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	26	$351.10
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	13	$300.28
90381		<1%	13	$257.27
90700		<1%	12	$217.69
36416		<1%	466	$140.00
36415	Collection of venous blood by venipuncture	<1%	1,092	$120.00
81025		<1%	27	$66.65
92551		<1%	32	$29.20
97802		0%	557	$0.00
D0140	Limited oral evaluation - problem focused	0%	279	$0.00
96161		0%	509	$0.00
94760		0%	643	$0.00
D1206	Topical application of fluoride varnish	0%	437	$0.00
S8110	Peak expiratory flow rate (physician services)	0%	166	$0.00
D1330		0%	57	$0.00
D1310		0%	48	$0.00
96150		0%	102	$0.00
91307		0%	53	$0.00
94761		0%	29	$0.00
H0049	Alcohol and/or drug screening	0%	86	$0.00
D0145	Oral evaluation for a patient under three years of age	0%	957	$0.00
99188		0%	909	$0.00
0073A		0%	19	$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 officialLANDRUM, CRYSTAL (CEO)