Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Rivers, Andi

Rivers, Andi was paid $220K by Medicaid between Oct 2019 and Jul 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 45% of everything it billed.

33Billing provider infoRIVERS, ANDI
SYCAMORE, IL 60178
33aNPI1568016335assigned 07/30/2019
28Total paid$220K
24GClaims4,536
24DCodes billed5
24AFirst – last monthOct 2019 – Jul 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Illinois

Rank by total paid#317 of 3,353
Median peer was paid$25K
This provider vs. median8.9×

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.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
2019291$7K
2020803$32K
20211,120$56K
20221,491$77K
2023791$45K
2024incomplete40$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 45% 1,468 1,366 $99K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 1,446 1,212 $63K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 23% 1,366 1,254 $51K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.2% 215 211 $5K
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% 41 29 $2K

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.