Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

River Valley Gastroenterology, PLLC

River Valley Gastroenterology, PLLC was paid $14K by Medicaid between Feb 2024 and Oct 2024, across 5 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 52% of everything it billed.

33Billing provider infoRIVER VALLEY GASTROENTEROLOGY, PLLC
FORT SMITH, AR 72908
33aNPI1346016185assigned 12/04/2023
28Total paid$14K
24GClaims247
24DCodes billed5
24AFirst – last monthFeb 2024 – Oct 2024
Compared with peers

Next to other Gastroenterology Physician providers in Arkansas

Rank by total paid#14 of 25
Median peer was paid$26K
This provider vs. median0.6×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete247$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 52% 74 60 $7K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 29% 93 81 $4K
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 12% 54 51 $2K
43249 3.5% 12 12 $499.70
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.3% 14 13 $476.17

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 officialSIMONIAN, HRAIR (PHYSICIAN)