Clinic
Three Rivers Health System, INC
Three Rivers Health System, INC was paid $3.13M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoTHREE RIVERS HEALTH SYSTEM, INC
THREE RIVERS, MI 49093
THREE RIVERS, MI 49093
33aNPI1013289297assigned 02/02/2012
33bProvider typeRural Health Clinic/Center
28Total paid$3.13M
24GClaims153,208
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Michigan
Rank by total paid#14 of 193
Median peer was paid$426K
This provider vs. median7.4×
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 COSTELLO, JEFFERY controls 13+ 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 | 25,922 | $518K | |
| 2019 | 25,674 | $534K | |
| 2020 | 19,746 | $384K | |
| 2021 | 19,918 | $401K | |
| 2022 | 22,322 | $454K | |
| 2023 | 23,600 | $500K | |
| 2024incomplete | 16,026 | $344K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 89% | 52,227 | 44,876 | $2.79M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 19,911 | 18,186 | $87K |
| 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 | 2.2% | 10,632 | 10,117 | $69K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 4,088 | 4,066 | $41K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 4,663 | 4,367 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,086 | 3,071 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,110 | 2,085 | $17K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,355 | 6,296 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 10,305 | 10,185 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,175 | 2,087 | $5K |
| 90651 | <1% | 947 | 935 | $5K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 630 | 456 | $5K |
66 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,369 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 430 | $4K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 136 | $3K |
| 90674 | <1% | 485 | $3K | |
| 90677 | <1% | 332 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,822 | $2K |
| 92551 | <1% | 2,982 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 786 | $2K |
| 90715 | <1% | 519 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 314 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 64 | $1K |
| 81002 | <1% | 4,491 | $1K | |
| 90670 | <1% | 2,867 | $977.98 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 81 | $781.10 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 56 | $555.24 |
| 96127 | <1% | 1,349 | $425.81 | |
| 90686 | <1% | 2,184 | $419.76 | |
| 90716 | <1% | 388 | $390.26 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 183 | $312.68 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 41 | $297.40 |
| 90621 | <1% | 267 | $243.80 | |
| 90707 | <1% | 392 | $231.45 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 59 | $218.70 |
| 81025 | <1% | 271 | $209.12 | |
| 87070 | <1% | 379 | $199.92 | |
| 99442 | <1% | 18 | $196.14 | |
| 87634 | <1% | 18 | $116.26 | |
| 99383 | <1% | 13 | $101.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 314 | $88.41 |
| 90682 | <1% | 17 | $70.00 | |
| 90473 | <1% | 27 | $44.28 | |
| 90474 | <1% | 105 | $36.75 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $29.82 |
| 90648 | <1% | 2,424 | $27.00 | |
| 90656 | <1% | 13 | $22.35 | |
| 87807 | <1% | 13 | $21.88 | |
| 99406 | <1% | 12 | $20.91 | |
| 99441 | <1% | 13 | $15.84 | |
| 90700 | <1% | 314 | $14.75 | |
| 90633 | <1% | 1,697 | $11.50 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $8.04 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 26 | $6.82 |
| 90710 | 0% | 367 | $0.00 | |
| 90681 | 0% | 1,575 | $0.00 | |
| 90734 | 0% | 608 | $0.00 | |
| 90658 | 0% | 101 | $0.00 | |
| 99173 | 0% | 1,304 | $0.00 | |
| 90685 | 0% | 175 | $0.00 | |
| 99382 | 0% | 17 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 28 | $0.00 |
| 3078F | 0% | 64 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 12 | $0.00 |
| 90672 | 0% | 16 | $0.00 | |
| 36416 | 0% | 1,047 | $0.00 | |
| 90723 | 0% | 2,507 | $0.00 | |
| 3008F | 0% | 76 | $0.00 | |
| 91301 | 0% | 29 | $0.00 | |
| 99381 | 0% | 15 | $0.00 | |
| 90696 | 0% | 343 | $0.00 | |
| 90688 | 0% | 84 | $0.00 | |
| 90619 | 0% | 263 | $0.00 | |
| 90680 | 0% | 33 | $0.00 | |
| 99000 | 0% | 22 | $0.00 | |
| 90698 | 0% | 17 | $0.00 | |
| 90697 | 0% | 13 | $0.00 | |
| 3074F | 0% | 65 | $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 officialCOSTELLO, JEFFERY (CFO)
Parent organizationTHREE RIVERS HEALTH SYSTEM, INC
| Provider | Location | Paid |
|---|---|---|
| Three Rivers Health System, INC | Three Rivers, MI | $13.42M |
| Three Rivers Health System, INC | Three Rivers, MI | $1.20M |
| Three Rivers Health System, INC | White Pigeon, MI | $1.07M |
| Three Rivers Health System, INC | Three Rivers, MI | $503K |
| Three Rivers Health System, INC | Three Rivers, MI | $359K |
| Three Rivers Health System, INC | Portage, MI | $262K |
| Three Rivers Health System, INC | Marcellus, MI | $248K |
| Three Rivers Health System, INC | Three Rivers, MI | $244K |
| Three Rivers Health System, INC | Portage, MI | $62K |
| Three Rivers Health System, INC | Three Rivers, MI | $24K |
| Three Rivers Health System, INC | Three Rivers, MI | $13K |
| Three Rivers Health System, INC | Three Rivers, MI | $6K |
| Three Rivers Health System, INC | Three Rivers, MI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.