NPI: 1245668383 · MARCELLUS, MI 49067 · Primary Care Clinic/Center · NPI assigned 10/29/2013
Authorized official COSTELLO, JEFFERY controls 13+ related entities in our dataset. Read more
| Authorized Official | COSTELLO, JEFFERY (CFO) |
| Parent Organization | THREE RIVERS HEALTH SYSTEM, INC |
| NPI Enumeration Date | 10/29/2013 |
Other providers sharing the same authorized official: COSTELLO, JEFFERY
| Provider | City | State | Total 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 947 | $48K |
| 2019 | 826 | $42K |
| 2020 | 461 | $24K |
| 2021 | 799 | $52K |
| 2022 | 767 | $48K |
| 2023 | 476 | $35K |
| Code | Description | Claims | Beneficiaries | Total 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 |