Three Rivers Medical Clinics INC
Three Rivers Medical Clinics INC was paid $7.06M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoTHREE RIVERS MEDICAL CLINICS INC
LOUISA, KY 41230
LOUISA, KY 41230
33aNPI1568567345assigned 09/14/2006
33bProvider typeRegistered Nurse
28Total paid$7.06M
24GClaims373,291
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Registered Nurse providers in Kentucky
Rank by total paid#1 of 20
Median peer was paid$12K
This provider vs. median590×
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 FEY, LAURA controls 20+ 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 | |
|---|---|---|---|
| 2018 | 41,581 | $1.06M | |
| 2019 | 42,439 | $1.09M | |
| 2020 | 45,177 | $1.15M | |
| 2021 | 47,376 | $1.13M | |
| 2022 | 61,258 | $1.04M | |
| 2023 | 87,056 | $928K | |
| 2024incomplete | 48,404 | $653K |
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 | 41% | 104,944 | 89,133 | $2.87M |
| 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% | 35,533 | 30,646 | $1.42M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.4% | 17,377 | 5,507 | $450K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.9% | 3,405 | 2,726 | $277K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.9% | 5,451 | 4,265 | $276K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 5,186 | 4,515 | $272K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 3.7% | 2,272 | 1,791 | $258K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 4,493 | 3,574 | $147K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.0% | 11,211 | 9,533 | $139K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 7,161 | 5,888 | $126K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 5,309 | 4,820 | $114K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.1% | 5,151 | 1,398 | $79K |
70 more codes
| 36415 | Collection of venous blood by venipuncture | 1.1% | 17,399 | $75K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 414 | $64K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 699 | $51K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 860 | $49K |
| 00731 | <1% | 738 | $46K | |
| 99442 | <1% | 1,436 | $43K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,398 | $41K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 9,384 | $30K |
| 99221 | <1% | 665 | $25K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 314 | $23K |
| 99219 | <1% | 482 | $23K | |
| 76830 | Ultrasound, transvaginal | <1% | 428 | $20K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,479 | $18K |
| 20610 | <1% | 558 | $15K | |
| 91200 | <1% | 1,670 | $15K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 354 | $13K |
| J2010 | Injection, lincomycin hcl, up to 300 mg | <1% | 1,019 | $11K |
| 99490 | Ccm add 20min | <1% | 2,116 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 184 | $7K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 528 | $5K |
| 99443 | <1% | 79 | $5K | |
| 93016 | <1% | 287 | $4K | |
| 00811 | <1% | 68 | $4K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 36 | $4K |
| 99441 | <1% | 217 | $4K | |
| 90688 | <1% | 283 | $4K | |
| 93018 | <1% | 287 | $4K | |
| 43249 | <1% | 32 | $3K | |
| 99383 | <1% | 64 | $3K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 536 | $3K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 64 | $2K |
| 90686 | <1% | 108 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 279 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $1K |
| G0008 | Administration of influenza virus vaccine | <1% | 234 | $1K |
| 99382 | <1% | 26 | $1K | |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 133 | $729.72 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 16 | $566.47 |
| 87400 | <1% | 51 | $558.85 | |
| 87807 | <1% | 39 | $483.61 | |
| 81025 | <1% | 78 | $398.06 | |
| 80305 | <1% | 52 | $361.74 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 506 | $170.29 |
| 74018 | <1% | 13 | $127.23 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $92.36 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 767 | $81.46 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 16 | $76.54 |
| 82270 | <1% | 37 | $76.10 | |
| 81002 | <1% | 120 | $72.81 | |
| 3074F | <1% | 8,026 | $27.53 | |
| 3008F | <1% | 20,223 | $26.92 | |
| 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 | <1% | 23 | $21.92 |
| 3078F | <1% | 6,207 | $21.77 | |
| 3079F | <1% | 4,446 | $16.53 | |
| 1126F | <1% | 3,460 | $13.51 | |
| 1125F | <1% | 3,108 | $12.65 | |
| 1036F | <1% | 16,597 | $12.43 | |
| 1160F | <1% | 22,202 | $7.19 | |
| 1159F | <1% | 20,576 | $7.12 | |
| 3077F | <1% | 1,534 | $6.41 | |
| 3075F | <1% | 1,126 | $4.28 | |
| 3080F | <1% | 601 | $2.41 | |
| 1035F | 0% | 1,207 | $0.00 | |
| 1034F | 0% | 6,769 | $0.00 | |
| 99024 | 0% | 298 | $0.00 | |
| 1170F | 0% | 12 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 250 | $0.00 |
| 3725F | 0% | 530 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | $0.00 |
| G9622 | Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | 0% | 12 | $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 officialFEY, LAURA (SR. DIRECTOR PHYSICIAN REV CYCLE)
| Provider | Location | Paid |
|---|---|---|
| Mckenzie-Willamette Regional Medical Center Associates LLC | Springfield, OR | $44.67M |
| Deming Hospital Corporation | Deming, NM | $11.41M |
| Ambulance Services of Forrest City LLC | Forrest City, AR | $3.51M |
| Ambulance Services of Tooele, LLC | Tooele, UT | $3.42M |
| Paintsville Hma Physician Management, LLC | Paintsville, KY | $2.41M |
| Deming Clinic Corporation | Deming, NM | $2.06M |
| Fort Payne Clinic Corp. | Fort Payne, AL | $2.00M |
| San Miguel Clinic Corp | Las Vegas, NM | $1.76M |
| Fort Payne RHC Corp | Fort Payne, AL | $1.76M |
| Jackson Hospital Corporation | Beattyville, KY | $1.68M |
| Tooele Clinic Corp | Tooele, UT | $1.29M |
| Williamston Clinic Corp | Williamston, NC | $1.26M |
| Mckenzie Physician Services LLC | Brentwood, TN | $1.24M |
| Anna Hospital Corporation | Anna, IL | $1.17M |
| Big Bend Hospital Corporation | Alpine, TX | $952K |
| Kentucky River Physician Corporation | Jackson, KY | $948K |
| Fort Payne HBP LLC | Fort Payne, AL | $731K |
| Forrest City Clinic Company LLC | Forrest City, AR | $702K |
| Mesquite Clinic Management Company LLC | Logandale, NV | $597K |
| Mesquite Clinic Management Company LLC | Mesquite, NV | $556K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.