Riverhills Healthcare INC

Riverhills Healthcare INC was paid $250K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 33% of everything it billed.

33Billing provider infoRIVERHILLS HEALTHCARE INC
CINCINNATI, OH 45212

33aNPI1205943651assigned 08/23/2006

33bProvider typeRheumatology Physician

28Total paid$250K

24GClaims7,804

24DCodes billed19

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Rheumatology Physician providers in Ohio

Rank by total paid#3 of 21

Median peer was paid$25K

This provider vs. median10×

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	2,269	$97K
2019	646	$20K
2020	922	$25K
2021	879	$22K
2022	1,293	$36K
2023	1,233	$24K
2024incomplete	562	$25K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	33%	1,633	1,520	$83K
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	18%	1,487	1,378	$45K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	2,091	1,910	$39K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.2%	450	400	$23K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	9.2%	1,460	884	$23K
J0585	Injection, onabotulinumtoxina, 1 unit	4.4%	30	13	$11K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	3.0%	27	24	$8K
99244	Office or other outpatient consultation, moderate to high complexity	1.8%	54	53	$4K
95819		1.4%	141	121	$4K
99442		1.2%	152	147	$3K
95816		1.1%	113	101	$3K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	16	15	$2K

7 more codes

95886		<1%	31	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	12	$412.72
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	$245.78
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	35	$224.65
99204	Doctor's office visit, new patient (more involved)	<1%	12	$88.07
99070		<1%	32	$13.50
A9579	Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	<1%	15	$7.74

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 officialHAGLE, PATRICIA (CFO)