Physician
Montclair Medical Professional Corporation
Montclair Medical Professional Corporation was paid $89K by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoMONTCLAIR MEDICAL PROFESSIONAL CORPORATION
MONTCLAIR, CA 91763
MONTCLAIR, CA 91763
33aNPI1972955730assigned 07/05/2016
33bProvider typeInternal Medicine Physician
28Total paid$89K
24GClaims41,564
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#691 of 2,679
Median peer was paid$13K
This provider vs. median7.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RIOS, JAVIER controls 11+ related entities in our dataset. Read more
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 | 2,641 | $11K | |
| 2019 | 3,364 | $9K | |
| 2020 | 4,473 | $13K | |
| 2021 | 4,668 | $12K | |
| 2022 | 6,531 | $11K | |
| 2023 | 10,906 | $15K | |
| 2024incomplete | 8,981 | $16K |
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 | 52% | 9,699 | 8,526 | $46K |
| 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 | 19% | 3,362 | 3,055 | $17K |
| 90686 | 6.1% | 566 | 561 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 160 | 157 | $4K |
| 92551 | 3.8% | 1,607 | 1,602 | $3K | |
| G9920 | Screening performed and negative | 2.7% | 1,242 | 1,241 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 851 | 827 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 1,143 | 1,135 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 100 | 99 | $1K |
| 81003 | 1.4% | 2,146 | 2,090 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 472 | 472 | $975.85 |
| 85018 | <1% | 1,997 | 1,959 | $752.87 |
33 more codes
| 0012A | <1% | 36 | $520.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 65 | $461.64 |
| 0011A | <1% | 30 | $350.00 | |
| 0002A | <1% | 38 | $340.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 374 | $308.80 |
| 0001A | <1% | 44 | $269.65 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 662 | $247.64 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 70 | $138.53 |
| 90674 | <1% | 12 | $133.68 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,677 | $124.25 |
| 90651 | <1% | 25 | $99.00 | |
| 90734 | <1% | 12 | $63.00 | |
| 90656 | <1% | 13 | $44.70 | |
| 93000 | <1% | 12 | $28.41 | |
| H0049 | Alcohol and/or drug screening | <1% | 1,265 | $0.30 |
| 36415 | Collection of venous blood by venipuncture | 0% | 2,430 | $0.00 |
| 3079F | 0% | 220 | $0.00 | |
| 3075F | 0% | 521 | $0.00 | |
| 3080F | 0% | 567 | $0.00 | |
| 3044F | 0% | 355 | $0.00 | |
| 3074F | 0% | 2,783 | $0.00 | |
| 91301 | 0% | 36 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| 99401 | 0% | 949 | $0.00 | |
| 99173 | 0% | 1,152 | $0.00 | |
| 3725F | 0% | 328 | $0.00 | |
| 3077F | 0% | 823 | $0.00 | |
| 3078F | 0% | 3,337 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 137 | $0.00 |
| 99499 | 0% | 141 | $0.00 | |
| 91300 | 0% | 64 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 13 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 16 | $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 officialRIOS, JAVIER (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Javier R Rios MD a Medical Professional Corporation | Tucson, AZ | $6.54M |
| Javier R Rios MD, a Professional Corporation | Riverside, CA | $2.79M |
| Alessandro Medical Professional Corporation | Moreno Valley, CA | $275K |
| DR. Javier Rios, a Medical Corporation | Lake Elsinore, CA | $222K |
| DR. Javier Rios a Medical Corporation | Perris, CA | $169K |
| Javier R. Rios M.D. a Medical Professional Corp. | Tucson, AZ | $166K |
| Javier R Rios MD, a Professional Corporation | Riverside, CA | $165K |
| DR. Javier Rios, a Medical Corporation | Lake Elsinore, CA | $74K |
| Alessandro Medical Professional Corporation | Corona, CA | $26K |
| DR. Javier Rios a Medical Corporation | Indio, CA | $1K |
| DR. Javier Rios, a Medical Corporation | Temecula, CA | $234.76 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.