RIVER VALLEY PRIMARY CARE SERVICES
NPI: 1184256679
· BONANZA, AR 72916
· Federally Qualified Health Center (FQHC)
· NPI assigned 02/12/2020
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WHITE, JEROME controls 13+ related entities in our dataset. Read more
$476K
Total Medicaid Paid
Provider Details
| Authorized Official | WHITE, JEROME (CEO) |
| NPI Enumeration Date | 02/12/2020 |
Related Entities
Other providers sharing the same authorized official: WHITE, JEROME
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
301 |
$52K |
| 2022 |
865 |
$153K |
| 2023 |
892 |
$148K |
| 2024 |
780 |
$124K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,838 |
2,454 |
$476K |