Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › WEST BURLINGTON › GREAT RIVER PHYSICIANS AND CLINICS, INC

GREAT RIVER PHYSICIANS AND CLINICS, INC

NPI: 1518912484 · WEST BURLINGTON, IA 52655 · Specialist · NPI assigned 05/22/2006

$4.55M
Total Medicaid Paid
114,185
Total Claims
103,607
Beneficiaries
95
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialHAYES, TONY (VP)
NPI Enumeration Date05/22/2006

Related Entities

Other providers sharing the same authorized official: HAYES, TONY

ProviderCityStateTotal Paid
GREAT RIVER PHYSICIANS AND CLINICS INC WAPELLO IA $422K
GREAT RIVER PHYSICIANS AND CLINICS INC MEDIAPOLIS IA $237K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,108 $1.46M
2019 30,800 $1.23M
2020 27,995 $1.14M
2021 17,282 $717K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 11,104 10,466 $784K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 7,647 7,146 $783K
99283 Emergency department visit for the evaluation and management, moderate severity 15,708 15,225 $779K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,909 22,136 $696K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,162 13,845 $502K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,516 2,371 $150K
99233 Prolong inpt eval add15 m 1,630 530 $85K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 11,009 9,406 $83K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,189 1,149 $61K
76830 Ultrasound, transvaginal 809 783 $61K
99232 Subsequent hospital care, per day, moderate complexity 2,156 762 $57K
99223 Prolong inpt eval add15 m 537 502 $51K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,977 1,925 $48K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 754 727 $47K
99239 Hospital discharge day management, more than 30 minutes 507 480 $30K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 317 308 $26K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 310 300 $25K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 797 740 $23K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 480 458 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 530 519 $21K
20610 337 299 $19K
90834 Psychotherapy, 45 minutes with patient 287 147 $19K
36415 Collection of venous blood by venipuncture 6,413 5,985 $17K
90792 Psychiatric diagnostic evaluation with medical services 115 109 $11K
96127 713 683 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 493 463 $10K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 474 308 $9K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 69 67 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 161 155 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 127 120 $7K
11721 682 660 $7K
59025 Fetal non-stress test 217 186 $6K
88312 211 197 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 296 283 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 74 69 $4K
94060 317 313 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 40 38 $4K
73562 158 145 $4K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 375 344 $3K
92134 172 166 $3K
99215 Prolong outpt/office vis 55 53 $3K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 41 37 $3K
88304 232 220 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 102 94 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 352 314 $3K
90686 127 123 $2K
99222 Initial hospital care, per day, moderate complexity 29 28 $2K
90837 Psychotherapy, 53 minutes with patient 52 38 $2K
88307 24 24 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 57 12 $2K
94726 167 164 $2K
99238 Hospital discharge day management, 30 minutes or less 32 30 $1K
99308 Subsequent nursing facility care, per day, straightforward 107 100 $1K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 26 25 $1K
94729 242 237 $1K
99309 Subsequent nursing facility care, per day, low to moderate complexity 43 36 $1K
93016 72 66 $1K
90836 29 24 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 24 24 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 42 42 $1K
99407 58 55 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 230 216 $1K
90832 Psychotherapy, 30 minutes with patient 36 28 $1K
90961 15 15 $949.91
90682 30 28 $938.81
93018 72 66 $905.99
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $893.58
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 51 12 $824.71
99442 49 45 $823.13
99441 48 46 $682.64
73630 29 25 $665.22
12001 14 13 $645.24
81002 243 223 $550.68
93990 13 12 $514.20
99152 57 51 $477.13
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13 12 $423.90
80053 Comprehensive metabolic panel 44 40 $405.54
73610 17 14 $396.20
73110 17 12 $342.68
80061 Lipid panel 26 26 $342.54
11720 85 81 $321.50
51798 25 25 $309.09
87210 26 26 $284.82
51701 12 12 $283.19
11719 28 26 $200.65
92015 Determination of refractive state 13 12 $165.55
81025 16 16 $139.51
96160 16 16 $123.81
90785 98 85 $96.01
99406 84 80 $89.10
85025 Blood count; complete (CBC), automated, and automated differential WBC count 13 12 $66.18
81001 14 14 $54.90
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $37.94
G0008 Administration of influenza virus vaccine 21 20 $0.00
90662 14 13 $0.00