Clinic
River Valley Health
River Valley Health was paid $22.28M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoRIVER VALLEY HEALTH
WILLIAMSPORT, PA 17701
WILLIAMSPORT, PA 17701
33aNPI1184998361assigned 03/06/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$22.28M
24GClaims348,936
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#9 of 240
Median peer was paid$909K
This provider vs. median25×
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
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 | 10,567 | $746K | |
| 2019 | 29,346 | $2.71M | |
| 2020 | 52,087 | $4.48M | |
| 2021 | 81,932 | $5.10M | |
| 2022 | 52,713 | $3.36M | |
| 2023 | 52,669 | $2.54M | |
| 2024incomplete | 69,622 | $3.34M |
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 | 99% | 132,183 | 111,980 | $22.14M |
| 0012A | <1% | 765 | 755 | $26K | |
| 0011A | <1% | 767 | 762 | $22K | |
| 0064A | <1% | 291 | 291 | $10K | |
| 3074F | <1% | 20,101 | 18,871 | $8K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,414 | 2,073 | $8K |
| 0001A | <1% | 216 | 215 | $8K | |
| 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% | 22,928 | 20,254 | $7K |
| 3079F | <1% | 8,703 | 8,307 | $7K | |
| 0002A | <1% | 193 | 193 | $7K | |
| 3078F | <1% | 16,419 | 15,502 | $7K | |
| 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% | 21,550 | 19,858 | $5K |
80 more codes
| 3077F | <1% | 3,208 | $5K | |
| 3075F | <1% | 4,147 | $4K | |
| 0071A | <1% | 81 | $3K | |
| 3080F | <1% | 2,100 | $2K | |
| 0031A | <1% | 53 | $2K | |
| 0072A | <1% | 48 | $2K | |
| 0004A | <1% | 33 | $1K | |
| 0134A | <1% | 29 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,764 | $971.69 |
| D0120 | Dental checkup, returning patient | <1% | 9,252 | $583.20 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,142 | $540.00 |
| D1206 | Topical application of fluoride varnish | <1% | 9,620 | $455.74 |
| 3044F | <1% | 524 | $420.00 | |
| D1110 | Prophylaxis - adult | <1% | 6,679 | $384.06 |
| 90688 | <1% | 574 | $280.00 | |
| D0274 | Bitewings - four radiographic images | <1% | 5,928 | $228.17 |
| 99177 | <1% | 2,692 | $200.45 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,426 | $150.00 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 788 | $130.00 |
| D1120 | Dental cleaning, child | <1% | 6,171 | $109.62 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 287 | $99.41 |
| D0330 | Panoramic radiographic image | <1% | 3,223 | $74.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 692 | $65.00 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 234 | $59.68 |
| D0140 | Limited oral evaluation - problem focused | <1% | 347 | $55.22 |
| D2330 | <1% | 491 | $50.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,135 | $46.09 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $38.86 |
| 90686 | <1% | 1,266 | $37.30 | |
| D9110 | <1% | 1,586 | $30.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,808 | $20.00 |
| 92551 | <1% | 1,146 | $14.40 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 4,267 | $13.00 |
| 87210 | <1% | 882 | $5.82 | |
| D0272 | Bitewings - two radiographic images | 0% | 1,767 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 19,006 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,519 | $0.00 |
| D2331 | 0% | 511 | $0.00 | |
| D0603 | 0% | 699 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 1,582 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 7,190 | $0.00 |
| 1111F | 0% | 940 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 63 | $0.00 |
| D9995 | 0% | 148 | $0.00 | |
| D0602 | 0% | 271 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 31 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 44 | $0.00 |
| 90723 | 0% | 24 | $0.00 | |
| 90696 | 0% | 24 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 50 | $0.00 |
| D2335 | 0% | 87 | $0.00 | |
| D0703 | 0% | 13 | $0.00 | |
| 98967 | 0% | 13 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 1,701 | $0.00 |
| 98940 | 0% | 554 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,760 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,439 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 350 | $0.00 |
| 95251 | 0% | 288 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 309 | $0.00 |
| 81025 | 0% | 110 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 874 | $0.00 |
| D1354 | 0% | 861 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 972 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 71 | $0.00 |
| 90710 | 0% | 24 | $0.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 362 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 44 | $0.00 |
| 81002 | 0% | 12 | $0.00 | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 0% | 99 | $0.00 |
| D2332 | 0% | 228 | $0.00 | |
| D0190 | 0% | 924 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 407 | $0.00 |
| 90633 | 0% | 72 | $0.00 | |
| D2394 | 0% | 45 | $0.00 | |
| 90670 | 0% | 138 | $0.00 | |
| 90734 | 0% | 37 | $0.00 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 0% | 49 | $0.00 |
| 99173 | 0% | 33 | $0.00 | |
| 99442 | 0% | 25 | $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 officialHOUSEKNECHT, MAX (PRESENDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| River Valley Health | Williamsport, PA | $5.55M |
| River Valley Health | Jersey Shore, PA | $137K |
| River Valley Health | Lock Haven, PA | $90K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.