Clinic
Five Rivers Health Centers
Five Rivers Health Centers was paid $755K by Medicaid between Mar 2020 and Nov 2024, across 57 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 62% of everything it billed.
33Billing provider infoFIVE RIVERS HEALTH CENTERS
DAYTON, OH 45417
DAYTON, OH 45417
33aNPI1730722570assigned 10/24/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$755K
24GClaims44,364
24DCodes billed57
24AFirst – last monthMar 2020 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#212 of 348
Median peer was paid$1.33M
This provider vs. median0.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official MCFARLANE-EL, GINA controls 14+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 1,874 | $40K | |
| 2021 | 9,828 | $152K | |
| 2022 | 15,271 | $257K | |
| 2023 | 12,804 | $230K | |
| 2024incomplete | 4,587 | $75K |
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 | 62% | 8,801 | 7,513 | $470K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.6% | 8,115 | 1,784 | $65K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 1,690 | 887 | $37K |
| D0330 | Panoramic radiographic image | 3.4% | 1,374 | 815 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.7% | 664 | 356 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 1,417 | 845 | $17K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.7% | 903 | 659 | $13K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.5% | 1,808 | 1,396 | $11K |
| D1206 | Topical application of fluoride varnish | 1.1% | 1,116 | 694 | $8K |
| D1110 | Prophylaxis - adult | 1.1% | 467 | 300 | $8K |
| D0140 | Limited oral evaluation - problem focused | 1.0% | 869 | 469 | $8K |
| 99384 | 1.0% | 214 | 120 | $8K |
45 more codes
| 92551 | <1% | 2,323 | $8K | |
| 92015 | Determination of refractive state | <1% | 2,938 | $7K |
| D1120 | Dental cleaning, child | <1% | 729 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 224 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 177 | $6K |
| 99383 | <1% | 147 | $5K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 124 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 97 | $3K |
| 99173 | <1% | 2,189 | $3K | |
| D0120 | Dental checkup, returning patient | <1% | 252 | $2K |
| 90651 | <1% | 414 | $2K | |
| 99382 | <1% | 47 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 915 | $2K |
| D0274 | Bitewings - four radiographic images | <1% | 468 | $2K |
| 3008F | <1% | 442 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 88 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 286 | $805.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 171 | $777.27 |
| 90715 | <1% | 338 | $771.70 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 29 | $722.17 |
| 85018 | <1% | 743 | $715.16 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 30 | $637.52 |
| 90686 | <1% | 640 | $633.62 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 22 | $264.72 |
| D0272 | Bitewings - two radiographic images | <1% | 85 | $230.00 |
| 90688 | <1% | 50 | $189.60 | |
| 92341 | <1% | 17 | $93.06 | |
| 36416 | <1% | 52 | $90.75 | |
| D0270 | <1% | 27 | $60.00 | |
| 90670 | 0% | 339 | $0.00 | |
| 90633 | 0% | 530 | $0.00 | |
| 90710 | 0% | 444 | $0.00 | |
| 90707 | 0% | 49 | $0.00 | |
| 90734 | 0% | 407 | $0.00 | |
| 1160F | 0% | 55 | $0.00 | |
| 3078F | 0% | 45 | $0.00 | |
| 4004F | 0% | 72 | $0.00 | |
| 90696 | 0% | 225 | $0.00 | |
| 90716 | 0% | 54 | $0.00 | |
| 1036F | 0% | 215 | $0.00 | |
| 90698 | 0% | 161 | $0.00 | |
| 3074F | 0% | 27 | $0.00 | |
| 2023F | 0% | 36 | $0.00 | |
| 90744 | 0% | 182 | $0.00 | |
| 90677 | 0% | 21 | $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 officialMCFARLANE-EL, GINA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Five Rivers Health Centers | Dayton, OH | $13.10M |
| Five Rivers Health Centers | Dayton, OH | $7.95M |
| Five Rivers Health Centers | Xenia, OH | $2.54M |
| Five Rivers Health Centers | Xenia, OH | $2.08M |
| Five Rivers Health Centers | Dayton, OH | $1.76M |
| Five Rivers Health Centers | Dayton, OH | $208K |
| Five Rivers Health Centers | Dayton, OH | $121K |
| Five Rivers Health Centers | Dayton, OH | $115K |
| Five Rivers Health Centers | Dayton, OH | $102K |
| Five Rivers Health Centers | Xenia, OH | $18K |
| Five Rivers Health Centers | Dayton, OH | $14K |
| Five Rivers Health Centers | Dayton, OH | $7K |
| Five Rivers Health Centers | Dayton, OH | $7K |
| Five Rivers Health Centers | Xenia, OH | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.