RIVER VALLEY PRIMARY CARE SERVICES
NPI: 1568647519
· FORT SMITH, AR 72904
· Federally Qualified Health Center (FQHC)
· NPI assigned 01/08/2008
$1.01M
Total Medicaid Paid
Provider Details
| Authorized Official | WHITE, JERRY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/08/2008 |
Related Entities
Other providers sharing the same authorized official: WHITE, JERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
595 |
$103K |
| 2019 |
604 |
$105K |
| 2020 |
655 |
$108K |
| 2021 |
1,616 |
$238K |
| 2022 |
1,518 |
$212K |
| 2023 |
1,037 |
$151K |
| 2024 |
830 |
$97K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,485 |
5,593 |
$998K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
273 |
263 |
$15K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
84 |
77 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$0.00 |