Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

River Region Family Medicine, LLC

River Region Family Medicine, LLC was paid $130K by Medicaid between Jun 2020 and Oct 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.

33Billing provider infoRIVER REGION FAMILY MEDICINE, LLC
WETUMPKA, AL 36092
33aNPI1578195525assigned 02/07/2020
28Total paid$130K
24GClaims6,154
24DCodes billed14
24AFirst – last monthJun 2020 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in Alabama

Rank by total paid#176 of 455
Median peer was paid$57K
This provider vs. median2.3×

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 BRUCE, MICHAEL controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20201,703$16K
20211,642$37K
20221,335$40K
2023952$26K
2024incomplete522$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 86% 3,113 2,390 $112K
99308 Subsequent nursing facility care, per day, straightforward 4.7% 1,504 1,255 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.0% 231 194 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.7% 213 169 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 43 36 $403.12
90686 <1% 27 26 $399.63
36415 Collection of venous blood by venipuncture <1% 454 367 $371.45
83036 Hemoglobin; glycosylated (A1C) <1% 45 40 $288.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 14 14 $147.95
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 25 25 $110.00
3074F 0% 204 161 $0.00
3079F 0% 132 115 $0.00
2 more codes
3075F 0% 21 $0.00
3078F 0% 128 $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 officialBRUCE, MICHAEL (CEO)
Same official

Other billing entities under BRUCE, MICHAEL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.