NPI: 1639302896 · MOUNTAINBURG, AR 72946 · Federally Qualified Health Center (FQHC) · NPI assigned 09/03/2009
Authorized official WHITE, JEROME controls 13+ related entities in our dataset. Read more
| Authorized Official | WHITE, JEROME (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 09/03/2009 |
Other providers sharing the same authorized official: WHITE, JEROME
| Provider | City | State | Total Paid |
|---|---|---|---|
| RIVER VALLEY PRIMARY CARE SERVICES | FORT SMITH | AR | $5.75M |
| RIVER VALLEY PRIMARY CARE SERVICES | RATCLIFF | AR | $1.75M |
| RIVER VALLEY PRIMARY CARE SERVICES | MULBERRY | AR | $1.63M |
| RIVER VALLEY PRIMARY CARE SERVICES | FORT SMITH | AR | $1.53M |
| RIVER VALLEY PRIMARY CARE SERVICES | WALDRON | AR | $1.11M |
| RIVER VALLEY PRIMARY CARE SERVICES | LAVACA | AR | $1.06M |
| RIVER VALLEY PRIMARY CARE SERVICES | CLARKSVILLE | AR | $1.02M |
| RIVER VALLEY PRIMARY CARE SERVICES | LAMAR | AR | $989K |
| RIVER VALLEY PRIMARY CARE SERVICES | BONANZA | AR | $476K |
| RIVER VALLEY PRIMARY CARE SERVICES | COAL HILL | AR | $334K |
| RIVER VALLEY PRIMARY CARE SERVICES | CLARKSVILLE | AR | $80K |
| RIVER VALLEY PRIMARY CARE SERVICES | LAVACA | AR | $399.00 |
| RIVER VALLEY PRIMARY CARE SERVICES | MULBERRY | AR | $292.60 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 948 | $154K |
| 2019 | 970 | $162K |
| 2020 | 854 | $132K |
| 2021 | 886 | $150K |
| 2022 | 1,168 | $192K |
| 2023 | 1,245 | $196K |
| 2024 | 1,075 | $179K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 6,806 | 5,995 | $1.16M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 108 | 95 | $4K |
| 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 | 175 | 159 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18 | 18 | $976.16 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39 | 38 | $0.00 |