Medicaid Provider Spending

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

RIVERVIEW PHYSICIAN PRACTICES, LLC

NPI: 1669872735 · GORDONSVILLE, TN 38563 · Family Nurse Practitioner · NPI assigned 08/26/2014

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

Authorized official BOWMAN, MONICA controls 20+ related entities in our dataset. Read more

$94K
Total Medicaid Paid
7,419
Total Claims
5,869
Beneficiaries
20
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialBOWMAN, MONICA (PRESIDENT)
NPI Enumeration Date08/26/2014

Related Entities

Other providers sharing the same authorized official: BOWMAN, MONICA

ProviderCityStateTotal Paid
DLP MARQUETTE PHYSICIAN PRACTICES INC MARQUETTE MI $17.80M
CLARK REGIONAL PHYSICIAN PRACTICES, LLC WINCHESTER KY $9.45M
KENTUCKY MSO, LLC GEORGETOWN KY $6.59M
CLARK REGIONAL PHYSICIAN PRACTICES LLC WINCHESTER KY $2.97M
PINELAKE PHYSICIAN PRACTICE, LLC MAYFIELD KY $2.26M
PORTAGE PHYSICIAN PRACTICES INC HANCOCK MI $1.63M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.39M
COLORADO PLAINS PHYSICIAN PRACTICES LLC FORT MORGAN CO $1.28M
SPRING VIEW PHYSICIAN PRACTICES, LLC LEBANON KY $1.27M
NORTHWEST ALABAMA EMERGENCY MEDICINE LLC FLORENCE AL $1.24M
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC HENDERSON NC $897K
BOURBON PHYSICIAN PRACTICE LLC PARIS KY $847K
PORTAGE PHYSICIAN PRACTICES INC. HOUGHTON MI $763K
DLP CONEMAUGH PHYSICIAN PRACTICES LLC ROARING SPRING PA $761K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $529K
KENTUCKY MSO LLC GEORGETOWN KY $406K
RCCH TRIOS PHYSICIANS LLC KENNEWICK WA $401K
NATIONAL PARK CARDIOLOGY SERVICES, LLC HOT SPRINGS AR $341K
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC SOMERSET KY $331K
KENTUCKY MSO LLC GEORGETOWN KY $282K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 186 $3K
2019 31 $227.69
2020 36 $1K
2021 1,217 $38K
2022 4,518 $42K
2023 1,431 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,752 1,397 $61K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 420 336 $15K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 81 68 $10K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 320 186 $3K
87428 56 51 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 94 80 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 34 25 $292.46
90686 41 27 $227.43
3078F 527 442 $130.00
3077F 204 152 $120.00
3079F 214 158 $90.00
3074F 388 321 $70.00
3075F 143 118 $70.00
81002 13 12 $25.96
83036 Hemoglobin; glycosylated (A1C) 14 12 $25.21
1160F 802 637 $0.00
1159F 802 637 $0.00
1034F 170 126 $0.00
1036F 483 393 $0.00
3008F 861 691 $0.00