Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Great River Physicians and Clinics INC

Great River Physicians and Clinics INC was paid $237K by Medicaid between Jan 2018 and Jun 2021, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.

33Billing provider infoGREAT RIVER PHYSICIANS AND CLINICS INC
MEDIAPOLIS, IA 52637
33aNPI1053452391assigned 02/09/2007
28Total paid$237K
24GClaims4,338
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers

Next to other Family Medicine Physician providers in Iowa

Rank by total paid#91 of 275
Median peer was paid$69K
This provider vs. median3.4×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018912$54K
20191,506$78K
20201,141$63K
2021779$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 100% 2,407 2,005 $236K
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 <1% 1,327 1,150 $429.78
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 467 413 $391.42
36415 Collection of venous blood by venipuncture 0% 111 106 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 26 26 $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 officialHAYES, TONY (EXECUTIVE VICE PRESIDENT)
Same official

Other billing entities under HAYES, TONY

Full network →
ProviderLocationPaid
Great River Physicians and Clinics, INCWest Burlington, IA$4.55M
Great River Physicians and Clinics INCWapello, IA$422K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.