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Riverside University Health Systems - Medical Center

General Acute Care Hospital·Moreno Valley, CA·NPI: 1386852416Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $123.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$123.7M

$123,654,514

Total Claims

3.7M

Beneficiaries

3.0M

1.2 claims/patient

Avg Cost/Claim

$34

#963 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Riverside University Health Systems - Medical Center is a General Acute Care Hospital provider based in Moreno Valley, CA. From the 2018–2024 period, this provider received $123.7M in Medicaid payments across 3.7M claims.

Why This Matters

This provider received $123.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,456 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 235% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$8.6M
+35%
2019
$11.6M
-10%
2020
$10.4M
+58%
2021
$16.5M
+25%
2022
$20.5M
+32%
2023
$27.2M
+6%
2024
$28.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J9271 (Injection, pembrolizumab, 1 mg)) accounts for 9% of total spending.

J9271Top 10%

Injection, pembrolizumab, 1 mg

$10.9M

955 claims · 8.8%

Your Cost: $11,455.14/claim|Median: $5,391.55
2.1× median
0450Normal range

Emergency room visit

$6.3M

133K claims · 5.1%

Your Cost: $47.44/claim|Median: $44.95
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$4.9M

102K claims · 3.9%

Your Cost: $47.70/claim|Median: $42.48
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$3.6M

154K claims · 2.9%

Your Cost: $23.31/claim|Median: $26.41
0.9× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$3.2M

19K claims · 2.6%

Your Cost: $168.39/claim|Median: $79.28
2.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.7M

15K claims · 2.2%

Your Cost: $175.95/claim|Median: $65.76
2.7× median
80053Top 25%

Comprehensive metabolic panel

$2.5M

139K claims · 2.0%

Your Cost: $17.91/claim|Median: $7.24
2.5× median
70450Top 25%

CT head/brain without contrast

$2.4M

16K claims · 1.9%

Your Cost: $149.46/claim|Median: $45.53
3.3× median
0510Normal range

Revenue code, clinic services

$2.3M

206K claims · 1.8%

Your Cost: $10.99/claim|Median: $28.38
0.4× median
97110Normal range

Therapeutic exercises, each 15 min

$2.3M

84K claims · 1.8%

Your Cost: $26.94/claim|Median: $24.49
1.1× median
J1568Normal range

Injection, immune globulin (OCTAGAM), intravenous, non-lyophilized

$2.2M

1K claims · 1.7%

Your Cost: $1,989.64/claim|Median: $1,911.51
1.0× median
70553Top 5%

MRI brain without contrast, then with contrast

$2.0M

2K claims · 1.6%

Your Cost: $844.66/claim|Median: $133.68
6.3× median
Z7502Normal range

$2.0M

54K claims · 1.6%

Your Cost: $37.00/claim|Median: $37.17
1.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.9M

34K claims · 1.6%

Your Cost: $57.04/claim|Median: $21.76
2.6× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$1.8M

146K claims · 1.5%

Your Cost: $12.62/claim|Median: $4.71
2.7× median
0360Normal range

$1.8M

19K claims · 1.5%

Your Cost: $95.05/claim|Median: $95.40
1.0× median
78815Top 5%

PET imaging for limited area

$1.7M

1K claims · 1.4%

Your Cost: $1,578.58/claim|Median: $325.10
4.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.6M

59K claims · 1.3%

Your Cost: $27.19/claim|Median: $7.50
3.6× median
J9312Top 25%

$1.4M

275 claims · 1.1%

Your Cost: $4,958.91/claim|Median: $2,705.30
1.8× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.3M

9K claims · 1.1%

Your Cost: $153.82/claim|Median: $54.68
2.8× median
J0490Normal range

$1.3M

685 claims · 1.1%

Your Cost: $1,936.12/claim|Median: $1,422.77
1.4× median
99221Top 5%

Initial hospital care, straightforward/low

$1.3M

9K claims · 1.1%

Your Cost: $144.58/claim|Median: $39.96
3.6× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$1.3M

22K claims · 1.1%

Your Cost: $58.87/claim|Median: $26.72
2.2× median
0121Normal range

Revenue code, all-inclusive room and board

$1.3M

235 claims · 1.0%

Your Cost: $5,459.29/claim|Median: $2,650.78
2.1× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$1.2M

27K claims · 1.0%

Your Cost: $45.92/claim|Median: $3.42
13.4× median
J3490Normal range

Unclassified drugs

$1.2M

159K claims · 1.0%

Your Cost: $7.61/claim|Median: $5.70
1.3× median
72148Top 5%

MRI lumbar spine without contrast

$1.1M

2K claims · 0.9%

Your Cost: $486.23/claim|Median: $101.03
4.8× median
72125Top 10%

CT cervical spine without contrast

$977K

5K claims · 0.8%

Your Cost: $187.60/claim|Median: $32.30
5.8× median
71260Top 10%

CT chest with contrast

$960K

4K claims · 0.8%

Your Cost: $246.27/claim|Median: $48.36
5.1× median
J9035Top 10%

Injection, bevacizumab, 10 mg

$937K

2K claims · 0.8%

Your Cost: $623.93/claim|Median: $43.71
14.3× median

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