Clinic
Five Rivers Health Centers
Five Rivers Health Centers was paid $2.54M by Medicaid between Jan 2019 and Dec 2024, across 49 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 56% of everything it billed.
33Billing provider infoFIVE RIVERS HEALTH CENTERS
XENIA, OH 45385
XENIA, OH 45385
33aNPI1396212510assigned 10/25/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.54M
24GClaims112,906
24DCodes billed49
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#131 of 348
Median peer was paid$1.33M
This provider vs. median1.9×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MCFARLANE-EL, GINA controls 14+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 15,059 | $333K | |
| 2020 | 21,126 | $441K | |
| 2021 | 20,189 | $452K | |
| 2022 | 20,546 | $518K | |
| 2023 | 22,524 | $517K | |
| 2024incomplete | 13,462 | $282K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 56% | 20,673 | 16,656 | $1.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 21,514 | 10,718 | $463K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.5% | 29,302 | 8,014 | $242K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 4,811 | 2,593 | $148K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 4,315 | 2,313 | $116K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 1,999 | 1,089 | $58K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 868 | 487 | $28K |
| 92551 | <1% | 4,765 | 2,689 | $16K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 411 | 389 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 920 | 471 | $5K |
| 90474 | <1% | 870 | 509 | $4K | |
| 99382 | <1% | 92 | 90 | $4K |
37 more codes
| 99383 | <1% | 76 | $3K | |
| 99173 | <1% | 2,283 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 122 | $3K |
| 90670 | <1% | 3,098 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 68 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 142 | $2K |
| 99381 | <1% | 89 | $2K | |
| 85018 | <1% | 1,223 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 62 | $1K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $1K |
| 90698 | <1% | 3,159 | $904.70 | |
| 99384 | <1% | 19 | $884.16 | |
| 90677 | <1% | 518 | $865.98 | |
| 36416 | <1% | 426 | $740.80 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 293 | $624.88 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 75 | $428.48 |
| 90633 | <1% | 1,482 | $284.86 | |
| 90651 | <1% | 211 | $270.55 | |
| 3008F | <1% | 2,171 | $210.00 | |
| 90686 | <1% | 2,738 | $147.60 | |
| 90734 | <1% | 283 | $115.88 | |
| 90680 | <1% | 1,278 | $40.00 | |
| 90688 | <1% | 365 | $20.48 | |
| 90744 | <1% | 911 | $20.00 | |
| 90681 | <1% | 110 | $10.00 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 34 | $9.69 |
| 90710 | 0% | 93 | $0.00 | |
| 90685 | 0% | 57 | $0.00 | |
| 90672 | 0% | 160 | $0.00 | |
| 90658 | 0% | 48 | $0.00 | |
| 90715 | 0% | 52 | $0.00 | |
| 90697 | 0% | 418 | $0.00 | |
| 90656 | 0% | 72 | $0.00 | |
| 94760 | 0% | 81 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 40 | $0.00 |
| 90696 | 0% | 69 | $0.00 | |
| 90619 | 0% | 25 | $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 officialMCFARLANE-EL, GINA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Five Rivers Health Centers | Dayton, OH | $13.10M |
| Five Rivers Health Centers | Dayton, OH | $7.95M |
| Five Rivers Health Centers | Xenia, OH | $2.08M |
| Five Rivers Health Centers | Dayton, OH | $1.76M |
| Five Rivers Health Centers | Dayton, OH | $755K |
| Five Rivers Health Centers | Dayton, OH | $208K |
| Five Rivers Health Centers | Dayton, OH | $121K |
| Five Rivers Health Centers | Dayton, OH | $115K |
| Five Rivers Health Centers | Dayton, OH | $102K |
| Five Rivers Health Centers | Xenia, OH | $18K |
| Five Rivers Health Centers | Dayton, OH | $14K |
| Five Rivers Health Centers | Dayton, OH | $7K |
| Five Rivers Health Centers | Dayton, OH | $7K |
| Five Rivers Health Centers | Xenia, OH | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.