Physician
Riviera Pediatrics LLC
Riviera Pediatrics LLC was paid $395K by Medicaid between Jan 2018 and Jul 2019, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoRIVIERA PEDIATRICS LLC
INDIANAPOLIS, IN 46254
INDIANAPOLIS, IN 46254
33aNPI1912029257assigned 04/06/2007
33bProvider typePediatrics Physician
28Total paid$395K
24GClaims12,604
24DCodes billed33
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#60 of 119
Median peer was paid$395K
This provider vs. median1.0×
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 | 8,551 | $271K | |
| 2019 | 4,053 | $124K |
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 | 47% | 4,054 | 3,706 | $187K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 880 | 756 | $62K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 617 | 605 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 302 | 298 | $25K |
| 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 | 4.4% | 250 | 233 | $17K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 1,128 | 1,087 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 2,153 | 2,014 | $16K |
| 86403 | <1% | 277 | 271 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | 28 | $2K |
| 83655 | <1% | 141 | 137 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 152 | 148 | $2K |
| 90670 | <1% | 481 | 464 | $2K |
21 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 168 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | $1K |
| 99460 | <1% | 17 | $818.46 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 14 | $569.99 |
| 90680 | <1% | 197 | $525.62 | |
| 36416 | <1% | 167 | $477.04 | |
| 90744 | <1% | 200 | $460.81 | |
| 85018 | <1% | 165 | $446.55 | |
| 90651 | <1% | 14 | $214.32 | |
| 90633 | <1% | 230 | $205.68 | |
| 90700 | <1% | 156 | $183.70 | |
| 81002 | <1% | 44 | $142.68 | |
| 90698 | <1% | 295 | $135.01 | |
| 90716 | <1% | 18 | $117.80 | |
| 90713 | <1% | 46 | $99.02 | |
| 90707 | <1% | 16 | $72.10 | |
| 90648 | <1% | 70 | $32.57 | |
| 90686 | <1% | 180 | $13.00 | |
| 90685 | <1% | 78 | $3.00 | |
| 90473 | 0% | 15 | $0.00 | |
| 90710 | 0% | 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 officialLEEDY, DONALD (DR OWNER)