Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FIVE RIVERS HEALTH CENTERS

NPI: 1053600775 · DAYTON, OH 45406 · Family Medicine Physician · NPI assigned 04/04/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MCFARLANE-EL, GINA controls 14+ related entities in our dataset. Read more

$121K
Total Medicaid Paid
6,311
Total Claims
5,666
Beneficiaries
16
Codes Billed
2018-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialMCFARLANE-EL, GINA (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/04/2011

Related Entities

Other providers sharing the same authorized official: MCFARLANE-EL, GINA

ProviderCityStateTotal Paid
FIVE RIVERS HEALTH CENTERS DAYTON OH $13.10M
FIVE RIVERS HEALTH CENTERS DAYTON OH $7.95M
FIVE RIVERS HEALTH CENTERS XENIA OH $2.54M
FIVE RIVERS HEALTH CENTERS XENIA OH $2.08M
FIVE RIVERS HEALTH CENTERS DAYTON OH $1.76M
FIVE RIVERS HEALTH CENTERS DAYTON OH $755K
FIVE RIVERS HEALTH CENTERS DAYTON OH $208K
FIVE RIVERS HEALTH CENTERS DAYTON OH $115K
FIVE RIVERS HEALTH CENTERS DAYTON OH $102K
FIVE RIVERS HEALTH CENTERS XENIA OH $18K
FIVE RIVERS HEALTH CENTERS DAYTON OH $14K
FIVE RIVERS HEALTH CENTERS DAYTON OH $7K
FIVE RIVERS HEALTH CENTERS DAYTON OH $7K
FIVE RIVERS HEALTH CENTERS XENIA OH $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $318.62
2019 660 $15K
2020 484 $11K
2021 4,422 $81K
2022 699 $12K
2024 34 $984.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 1,577 1,557 $36K
0011A 701 632 $26K
0012A 616 557 $21K
0001A 488 413 $18K
0002A 249 213 $8K
99401 315 296 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37 37 $1K
0051A 30 30 $1K
99188 34 31 $984.60
99402 37 30 $933.70
0064A 18 15 $564.89
H0004 Behavioral health counseling and therapy, per 15 minutes 12 12 $14.28
91301 1,390 1,216 $11.70
91300 755 578 $5.90
91305 34 34 $0.29
91306 18 15 $0.12