Physician
Great River Physicians and Clinics INC
Great River Physicians and Clinics INC was paid $422K by Medicaid between Jan 2018 and Jun 2021, across 9 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoGREAT RIVER PHYSICIANS AND CLINICS INC
WAPELLO, IA 52653
WAPELLO, IA 52653
33aNPI1679613723assigned 02/07/2007
33bProvider typeFamily Medicine Physician
28Total paid$422K
24GClaims7,442
24DCodes billed9
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Family Medicine Physician providers in Iowa
Rank by total paid#70 of 275
Median peer was paid$69K
This provider vs. median6.1×
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.
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 | 1,777 | $107K | |
| 2019 | 2,320 | $129K | |
| 2020 | 2,072 | $119K | |
| 2021 | 1,273 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 4,140 | 3,470 | $421K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 2,217 | 1,952 | $335.32 |
| 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 | <1% | 491 | 464 | $178.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 389 | 359 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 12 | 12 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 107 | 102 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 33 | 32 | $0.00 |
| 81002 | 0% | 14 | 13 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 39 | 37 | $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 officialHAYES, TONY (EXECUTIVE VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Great River Physicians and Clinics, INC | West Burlington, IA | $4.55M |
| Great River Physicians and Clinics INC | Mediapolis, IA | $237K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.