Physician
River Oaks Ob/Gyn Associates, P.C.
River Oaks Ob/Gyn Associates, P.C. was paid $839K by Medicaid between Jan 2018 and Jan 2023, across 19 billing codes. Its largest line is 59426, — 45% of everything it billed.
33Billing provider infoRIVER OAKS OB/GYN ASSOCIATES, P.C.
ELKHART, IN 46514
ELKHART, IN 46514
33aNPI1265512289assigned 10/16/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$839K
24GClaims34,674
24DCodes billed19
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in Indiana
Rank by total paid#15 of 89
Median peer was paid$64K
This provider vs. median13×
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 | 7,238 | $56K | |
| 2019 | 5,798 | $144K | |
| 2020 | 7,233 | $186K | |
| 2021 | 8,140 | $227K | |
| 2022 | 5,684 | $201K | |
| 2023 | 581 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59426 | 45% | 6,675 | 3,907 | $379K | |
| 59425 | 40% | 6,380 | 4,638 | $335K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 1,793 | 1,515 | $81K |
| 81003 | 2.3% | 12,731 | 8,193 | $19K | |
| 81002 | 1.3% | 5,617 | 3,663 | $11K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.1% | 222 | 162 | $9K |
| 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% | 128 | 101 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 90 | 88 | $2K |
| 85018 | <1% | 365 | 302 | $210.13 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 153 | 128 | $105.00 |
| 59430 | 0% | 70 | 62 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 140 | 101 | $0.00 |
7 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 99 | $0.00 |
| 90715 | 0% | 57 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 41 | $0.00 |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 0% | 32 | $0.00 |
| 90756 | 0% | 39 | $0.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 28 | $0.00 |
| 81025 | 0% | 14 | $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 officialLOVELY, LAURA (OFFICE MANAGER)