Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Riverside Healthcare System, L.P. (NPI 1154368116)

Field	Value
Entity Type	Organization
Organization	Riverside Healthcare System, L.P.
Address	4445 Magnolia Ave
City	Riverside
State	CA
ZIP	92501
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$65.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

296 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	118,360	$240	$27.9M
0450	N/A	116,020	$230	$26.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10,310	$190	$2M
G0383	Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	6,220	$240	$1.5M
0360	N/A	6,330	$120	$727.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,480	$240	$583.3K
Z7502	N/A	15,150	$40	$560.7K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	91,950	$10	$551.7K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	520	$890	$459.9K
G0382	Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	1,710	$240	$406K

Showing 1–10 of 296

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Riverside Healthcare System, L.P. — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

296 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	44	450	16,140	$90	$3.6M
0681	N/A	2	10	40	$7,220	$2.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	13	1,570	680	$110	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	461	1,300	510	$100	$943K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	491	750	950	$50	$890K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	285	1,400	470	$80	$884.5K
0510	N/A	199	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	208	430	1,140	$90	$769.9K
G0378	Hospital observation service, per hour	41	200	550	$310	$605.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	40	780	1,160	$130	$576.2K

Showing 1–10 of 296

Nearby Providers

Other providers in the same ZIP code as Riverside Healthcare System, L.P., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Healthcare Partners,, Inc	CA	Hospitalist Physician	$0	$27.6M
Celine Nipper	CA	Nurse Practitioner	$639.7K	$0
Georges Abou Rjaili	CA	Cardiovascular Disease Physician	$581K	$0
Mohammad Kharazmi	CA	Internal Medicine Physician	$496.7K	$0
Sorin Eremia	CA	Dermatology Physician	$338K	$0
Jerry Nam	CA	Diagnostic Radiology Physician	$210.7K	$0
Charles Stout	CA	Vascular & Interventional Radiology Physician	$111K	$0
Youhanna Gad	CA	Vascular & Interventional Radiology Physician	$64.5K	$0
Rony Dekermenjian	CA	Neurology Physician	$50.8K	$0

Riverside Healthcare System, L.P. — Billing Profile & Reimbursement Data

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Riverside Healthcare System, L.P. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References