Medicaid Provider Spending

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

THREE RIVERS HEALTH SYSTEM, INC

NPI: 1245668383 · MARCELLUS, MI 49067 · Primary Care Clinic/Center · NPI assigned 10/29/2013

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

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

$248K
Total Medicaid Paid
4,276
Total Claims
3,995
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCOSTELLO, JEFFERY (CFO)
Parent OrganizationTHREE RIVERS HEALTH SYSTEM, INC
NPI Enumeration Date10/29/2013

Related Entities

Other providers sharing the same authorized official: COSTELLO, JEFFERY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 947 $48K
2019 826 $42K
2020 461 $24K
2021 799 $52K
2022 767 $48K
2023 476 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,294 2,103 $124K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,532 1,449 $120K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 162 161 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 18 $587.51
90686 54 54 $535.88
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 41 41 $521.92
90674 26 26 $416.32
36415 Collection of venous blood by venipuncture 103 98 $249.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 33 33 $241.03
81002 13 12 $26.10