Three Rivers Health System, INC

Three Rivers Health System, INC was paid $248K by Medicaid between Jan 2018 and Oct 2023, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.

33Billing provider infoTHREE RIVERS HEALTH SYSTEM, INC
MARCELLUS, MI 49067

33aNPI1245668383assigned 10/29/2013

33bProvider typePrimary Care Clinic/Center

28Total paid$248K

24GClaims4,276

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Primary Care Clinic/Center providers in Michigan

Rank by total paid#47 of 113

Median peer was paid$164K

This provider vs. median1.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official COSTELLO, JEFFERY controls 13+ related entities in our dataset. Read more

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	947	$48K
2019	826	$42K
2020	461	$24K
2021	799	$52K
2022	767	$48K
2023	476	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	50%	2,294	2,103	$124K
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	48%	1,532	1,449	$120K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	162	161	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	18	18	$587.51
90686		<1%	54	54	$535.88
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	41	41	$521.92
90674		<1%	26	26	$416.32
36415	Collection of venous blood by venipuncture	<1%	103	98	$249.08
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	33	33	$241.03
81002		<1%	13	12	$26.10

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 officialCOSTELLO, JEFFERY (CFO)

Parent organizationTHREE RIVERS HEALTH SYSTEM, INC

Same official

Other billing entities under COSTELLO, JEFFERY

Full network →

Provider	Location	Paid
Three Rivers Health System, INC	Three Rivers, MI	$13.42M
Three Rivers Health System, INC	Three Rivers, MI	$3.13M
Three Rivers Health System, INC	Three Rivers, MI	$1.20M
Three Rivers Health System, INC	White Pigeon, MI	$1.07M
Three Rivers Health System, INC	Three Rivers, MI	$503K
Three Rivers Health System, INC	Three Rivers, MI	$359K
Three Rivers Health System, INC	Portage, MI	$262K
Three Rivers Health System, INC	Three Rivers, MI	$244K
Three Rivers Health System, INC	Portage, MI	$62K
Three Rivers Health System, INC	Three Rivers, MI	$24K
Three Rivers Health System, INC	Three Rivers, MI	$13K
Three Rivers Health System, INC	Three Rivers, MI	$6K
Three Rivers Health System, INC	Three Rivers, MI	$3K

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