Clinic
River Valley Orthopedics, P.C.
River Valley Orthopedics, P.C. was paid $100K by Medicaid between Jan 2018 and Sep 2019, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoRIVER VALLEY ORTHOPEDICS, P.C.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
33aNPI1346338704assigned 10/11/2006
33bProvider typeClinic/Center
28Total paid$100K
24GClaims3,855
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Clinic/Center providers in Michigan
Rank by total paid#54 of 121
Median peer was paid$71K
This provider vs. median1.4×
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 | 2,199 | $57K | |
| 2019 | 1,656 | $43K |
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 | 31% | 1,019 | 963 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 22% | 498 | 487 | $22K |
| 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 | 20% | 450 | 431 | $20K |
| 20610 | 8.6% | 472 | 443 | $9K | |
| 73610 | 5.3% | 341 | 292 | $5K | |
| 73564 | 3.7% | 216 | 186 | $4K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 3.1% | 455 | 448 | $3K |
| 73502 | 2.6% | 145 | 139 | $3K | |
| 73030 | 1.9% | 147 | 139 | $2K | |
| 73562 | 1.2% | 71 | 60 | $1K | |
| 73630 | <1% | 41 | 38 | $545.00 |
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 officialYOUNG, JOEL (REVENUE CYCLE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Ind School District 630 | Red Lake Falls, MN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.