Medicaid Provider Spending

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

THREE RIVERS HEALTH SYSTEM, INC

NPI: 1720350903 · WHITE PIGEON, MI 49099 · Rural Health Clinic/Center · NPI assigned 02/02/2012

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

Authorized official COSTELLO, JEFFERY controls 13+ related entities in our dataset. Read more

$1.07M
Total Medicaid Paid
44,991
Total Claims
42,010
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOSTELLO, JEFFERY (CFO)
Parent OrganizationTHREE RIVERS HEALTH SYSTEM, INC
NPI Enumeration Date02/02/2012

Related Entities

Other providers sharing the same authorized official: COSTELLO, JEFFERY

ProviderCityStateTotal Paid
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $13.42M
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $3.13M
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $1.20M
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $503K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $359K
THREE RIVERS HEALTH SYSTEM, INC PORTAGE MI $262K
THREE RIVERS HEALTH SYSTEM, INC MARCELLUS MI $248K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $244K
THREE RIVERS HEALTH SYSTEM, INC PORTAGE MI $62K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $24K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $13K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $6K
THREE RIVERS HEALTH SYSTEM, INC THREE RIVERS MI $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,081 $191K
2019 7,169 $179K
2020 6,073 $140K
2021 5,840 $139K
2022 6,038 $141K
2023 6,717 $151K
2024 5,073 $132K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 18,627 16,622 $994K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,112 6,892 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,391 6,869 $25K
90674 381 379 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 629 588 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,271 3,252 $3K
90472 Immunization administration, each additional vaccine (list separately) 1,269 1,244 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 342 342 $2K
36415 Collection of venous blood by venipuncture 2,667 2,578 $880.68
90682 257 255 $769.02
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 69 69 $583.34
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 95 92 $521.37
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 266 236 $308.77
90672 57 57 $134.40
83036 Hemoglobin; glycosylated (A1C) 312 311 $112.56
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 39 38 $87.15
90686 710 709 $78.72
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 54 49 $75.58
99442 33 33 $61.80
92551 165 162 $61.59
90473 64 64 $42.77
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 59 56 $41.07
0012A 12 12 $37.85
0011A 13 13 $37.85
81002 245 238 $28.54
90656 18 18 $22.35
90681 13 13 $0.00
90670 123 123 $0.00
90648 16 16 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 16 16 $0.00
90651 15 15 $0.00
36416 552 550 $0.00
91301 37 37 $0.00
90677 14 14 $0.00
90723 16 16 $0.00
90697 14 14 $0.00
3044F 18 18 $0.00