Stones River Regional Independent Practice Association

Stones River Regional Independent Practice Association was paid $310K by Medicaid between Jan 2018 and Oct 2024, across 58 billing codes. Its largest line is 99284, emergency room visit (serious) — 30% of everything it billed.

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	11,325	$285K
2019	1,621	$25K
2020	19	$0.00
2022	45	$0.00
2023	62	$0.00
2024incomplete	268	$304.69

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	30%	1,526	1,399	$92K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	24%	974	847	$76K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	3,206	2,633	$69K
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	5.8%	766	649	$18K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	3.6%	284	271	$11K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	3.3%	141	119	$10K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.6%	102	96	$8K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.7%	105	99	$5K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	1.2%	137	119	$4K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	684	558	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	133	119	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	132	69	$1K

46 more codes

96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	29	$1K
99223	Prolong inpt eval add15 m	<1%	12	$1K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	<1%	12	$1K
96127		<1%	240	$1K
76819	Fetal biophysical profile; without non-stress testing	<1%	28	$932.78
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	130	$914.21
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	22	$784.01
71045	Radiologic examination, chest; single view	<1%	196	$715.83
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	54	$561.05
99173		<1%	51	$472.80
71046	Radiologic examination, chest; 2 views	<1%	73	$462.61
92552		<1%	24	$347.15
81025		<1%	32	$203.31
G0444	Annual depression screening, 5 to 15 minutes	<1%	108	$181.88
90756		<1%	38	$147.54
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	14	$112.75
90656		<1%	15	$95.45
36415	Collection of venous blood by venipuncture	<1%	83	$92.20
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	64	$83.40
81003		<1%	19	$37.38
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	30	$21.05
80053	Comprehensive metabolic panel	<1%	30	$13.46
81002		<1%	18	$5.24
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	570	$0.00
99490	Ccm add 20min	0%	22	$0.00
4040F		0%	240	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	76	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	194	$0.00
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	0%	147	$0.00
92015	Determination of refractive state	0%	66	$0.00
1159F		0%	185	$0.00
77067	Screening mammography, bilateral, including computer-aided detection	0%	16	$0.00
1160F		0%	90	$0.00
3078F		0%	145	$0.00
1003F		0%	101	$0.00
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	0%	64	$0.00
3048F		0%	263	$0.00
3008F		0%	625	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	42	$0.00
3044F		0%	530	$0.00
1036F		0%	193	$0.00
3074F		0%	166	$0.00
3079F		0%	21	$0.00
G0008	Administration of influenza virus vaccine	0%	17	$0.00
3049F		0%	28	$0.00
90686		0%	27	$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 officialVANDAGRIFF, SUSAN (CREDENTIALING MANAGER)