Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THREE RIVERS HEALTH SYSTEM, INC

NPI: 1568739423 · THREE RIVERS, MI 49093 · General Acute Care Hospital · NPI assigned 11/21/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COSTELLO, JEFFERY controls 13+ related entities in our dataset. Read more

$13.42M
Total Medicaid Paid
408,315
Total Claims
362,744
Beneficiaries
222
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOSTELLO, JEFFERY (CFO)
NPI Enumeration Date11/21/2011

Related Entities

Other providers sharing the same authorized official: COSTELLO, JEFFERY

ProviderCityStateTotal Paid
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $3.13M
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $1.20M
THREE RIVERS HEALTH SYSTEM, INC WHITE PIGEON MI $1.07M
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $503K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $359K
THREE RIVERS HEALTH SYSTEM, INC PORTAGE MI $262K
THREE RIVERS HEALTH SYSTEM, INC MARCELLUS MI $248K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $244K
THREE RIVERS HEALTH SYSTEM, INC PORTAGE MI $62K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $24K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $13K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $6K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 63,200 $1.96M
2019 62,554 $2.11M
2020 49,142 $1.54M
2021 61,905 $2.16M
2022 61,272 $2.03M
2023 66,604 $2.14M
2024 43,638 $1.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 24,179 22,502 $4.40M
99283 Emergency department visit for the evaluation and management, moderate severity 13,204 12,666 $1.64M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,543 3,379 $1.23M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,342 5,865 $616K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 7,679 6,101 $460K
74177 Computed tomography, abdomen and pelvis; with contrast material 2,661 2,570 $405K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 17,442 5,122 $404K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,704 2,019 $238K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,718 2,664 $201K
71046 Radiologic examination, chest; 2 views 5,343 5,180 $200K
96361 Intravenous infusion, hydration; each additional hour 6,076 5,356 $193K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 233 229 $172K
96375 Therapeutic injection; each additional sequential IV push 5,844 4,956 $168K
59025 Fetal non-stress test 1,537 837 $141K
80061 Lipid panel 7,421 7,372 $131K
70450 Computed tomography, head or brain; without contrast material 1,444 1,414 $123K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,005 953 $96K
99220 823 731 $83K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,950 1,920 $82K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,867 5,782 $77K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,882 5,787 $76K
86900 2,024 1,901 $76K
G0378 Hospital observation service, per hour 415 385 $76K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,391 1,382 $75K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,613 3,574 $74K
76830 Ultrasound, transvaginal 1,208 1,201 $71K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,205 1,408 $69K
71045 Radiologic examination, chest; single view 1,724 1,643 $68K
84443 Thyroid stimulating hormone (TSH) 9,878 9,657 $68K
77067 Screening mammography, bilateral, including computer-aided detection 1,395 1,394 $68K
87428 3,282 3,175 $63K
80053 Comprehensive metabolic panel 23,701 21,390 $62K
97162 1,145 1,138 $60K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 133 124 $60K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 4,229 1,757 $56K
97161 1,080 1,071 $54K
99460 955 916 $50K
74176 Computed tomography, abdomen and pelvis; without contrast material 408 394 $47K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,717 3,628 $44K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,497 2,432 $41K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 24,868 21,460 $39K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,398 1,382 $38K
64493 69 68 $38K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 622 621 $37K
83036 Hemoglobin; glycosylated (A1C) 7,291 7,217 $36K
76705 Ultrasound, abdominal, real time with image documentation; limited 609 604 $36K
99223 Prolong inpt eval add15 m 361 342 $35K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,109 3,876 $35K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,231 2,208 $34K
42820 Tonsillectomy and adenoidectomy; younger than age 12 23 12 $32K
99232 Subsequent hospital care, per day, moderate complexity 728 314 $30K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 13 13 $29K
36415 Collection of venous blood by venipuncture 21,496 19,304 $28K
99233 Prolong inpt eval add15 m 485 209 $27K
99238 Hospital discharge day management, 30 minutes or less 633 626 $27K
99239 Hospital discharge day management, more than 30 minutes 461 443 $25K
27687 55 29 $24K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 103 103 $22K
72100 565 563 $22K
86780 2,790 2,757 $21K
76801 362 330 $21K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,521 1,496 $20K
71275 Computed tomographic angiography, chest, with contrast material 242 235 $20K
87481 990 982 $19K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,185 1,183 $18K
77063 Screening digital breast tomosynthesis, bilateral 1,310 1,309 $17K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 486 313 $14K
86703 2,868 2,847 $14K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 301 297 $14K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,968 1,843 $14K
84439 2,938 2,882 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 5,703 5,126 $13K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 295 253 $13K
99222 Initial hospital care, per day, moderate complexity 161 152 $12K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 194 192 $11K
84702 2,271 1,768 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,020 998 $10K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 104 104 $10K
86803 2,137 2,110 $10K
64483 25 24 $9K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 83 29 $9K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 678 678 $8K
01480 111 101 $8K
73630 987 972 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,394 4,578 $7K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 750 747 $7K
87088 2,926 2,799 $6K
87340 2,039 2,022 $6K
87625 264 262 $6K
85027 2,986 2,914 $5K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 12 12 $5K
87086 Culture, bacterial; quantitative colony count, urine 2,782 2,690 $5K
88142 494 493 $5K
82728 774 762 $5K
80048 Basic metabolic panel (calcium, ionized) 3,943 3,381 $5K
00170 Anesthesia for intraoral procedures, including biopsy 65 64 $5K
73610 717 703 $4K
81001 13,540 12,585 $4K
95851 494 426 $4K
82043 1,292 1,280 $4K
93975 39 38 $4K
87077 1,141 1,122 $4K
73030 324 315 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 363 346 $4K
83880 1,065 975 $3K
82950 1,193 1,188 $3K
83735 5,025 4,327 $3K
82607 441 435 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 25 25 $3K
93971 53 52 $3K
73130 543 525 $3K
85610 2,693 2,204 $3K
87070 817 794 $3K
73562 226 224 $2K
54150 36 36 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material 14 14 $2K
70486 37 37 $2K
87210 1,284 1,248 $2K
87150 163 160 $2K
73110 307 301 $2K
76770 26 26 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,533 1,504 $1K
85651 957 870 $1K
87186 466 462 $1K
83540 386 378 $1K
83690 4,373 4,030 $1K
83550 268 260 $1K
99217 30 27 $1K
86317 866 856 $926.51
74018 48 46 $872.96
86140 561 513 $854.59
76536 12 12 $781.25
76641 12 12 $779.55
76642 15 15 $682.69
80306 797 762 $634.42
86850 1,752 1,698 $605.81
73502 28 28 $562.26
86677 143 141 $550.32
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 25 12 $509.74
84550 281 261 $450.20
86769 13 13 $433.86
81025 5,999 5,745 $432.78
87081 163 160 $428.29
86038 91 89 $400.07
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 25 25 $349.41
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 813 584 $341.48
85730 1,300 1,198 $339.45
88304 115 114 $310.08
74019 263 253 $288.86
86694 20 15 $279.08
36591 17 12 $273.35
72125 Computed tomography, cervical spine; without contrast material 29 28 $257.96
82746 25 25 $196.55
85379 879 852 $189.42
83721 55 55 $164.40
86592 70 70 $161.79
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 14 14 $155.92
83605 3,945 3,482 $154.55
85652 177 166 $124.71
82105 12 12 $94.24
86704 25 25 $90.31
84484 4,075 3,170 $88.64
82570 35 35 $78.73
87040 835 521 $66.62
82550 119 112 $60.96
73564 15 15 $59.64
82784 27 27 $57.45
84703 226 218 $50.59
86756 486 482 $39.84
84403 13 13 $29.40
87807 373 366 $29.17
87430 313 310 $28.59
80076 15 15 $26.82
86431 12 12 $25.52
86709 12 12 $25.26
82150 26 25 $24.42
87205 12 12 $23.40
84146 13 13 $12.74
84132 13 13 $2.78
J0690 Injection, cefazolin sodium, 500 mg 1,426 1,361 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 190 187 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,496 4,359 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 3,350 3,233 $0.00
86901 2,029 1,905 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 3,154 2,953 $0.00
96376 1,578 1,090 $0.00
J1170 Injection, hydromorphone, up to 4 mg 2,534 2,173 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 851 841 $0.00
J2360 Injection, orphenadrine citrate, up to 60 mg 201 199 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 1,170 856 $0.00
J2704 Injection, propofol, 10 mg 29 26 $0.00
J2060 Injection, lorazepam, 2 mg 518 440 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 322 306 $0.00
J1630 Injection, haloperidol, up to 5 mg 27 24 $0.00
82376 15 12 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 591 550 $0.00
12001 61 61 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 60 60 $0.00
64494 91 68 $0.00
94760 31 29 $0.00
96368 15 13 $0.00
J7050 Infusion, normal saline solution, 250 cc 14 13 $0.00
82962 54 48 $0.00
J3490 Unclassified drugs 37 36 $0.00
97750 14 14 $0.00
95831 34 29 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 3,808 3,421 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 1,307 1,129 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 109 107 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,247 1,139 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 372 352 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,385 4,218 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 169 164 $0.00
90715 212 211 $0.00
82948 304 225 $0.00
A9577 Injection, gadobenate dimeglumine (multihance), per ml 66 65 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 59 54 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 34 28 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 12 12 $0.00
93041 56 53 $0.00
73140 12 12 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 14 13 $0.00