Five Rivers Health Centers
Five Rivers Health Centers was paid $115K by Medicaid between Jun 2020 and Apr 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
DAYTON, OH 45426
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,002 | $25K | |
| 2021 | 1,510 | $37K | |
| 2022 | 1,016 | $30K | |
| 2023 | 745 | $22K | |
| 2024incomplete | 123 | $2K |
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 | 77% | 1,588 | 1,311 | $88K |
| D0330 | Panoramic radiographic image | 4.6% | 323 | 188 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.8% | 290 | 228 | $4K |
| 92015 | Determination of refractive state | 3.8% | 715 | 567 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 289 | 159 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.0% | 134 | 97 | $2K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 190 | 101 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 389 | 223 | $740.00 |
| D1206 | Topical application of fluoride varnish | <1% | 75 | 45 | $645.00 |
| 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% | 21 | 12 | $635.36 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 70 | 16 | $605.25 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 40 | 27 | $540.00 |
8 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 24 | $479.71 |
| D0274 | Bitewings - four radiographic images | <1% | 64 | $460.00 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 53 | $383.40 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 17 | $172.01 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 46 | $100.00 |
| 92551 | <1% | 23 | $80.24 | |
| 99173 | <1% | 23 | $31.68 | |
| 4004F | 0% | 22 | $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.
Who's on the registration
| 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 | $2.54M |
| 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 | $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.