Clinic
Five Rivers Health Centers
Five Rivers Health Centers was paid $1.76M by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoFIVE RIVERS HEALTH CENTERS
DAYTON, OH 45417
DAYTON, OH 45417
33aNPI1750761813assigned 06/04/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.76M
24GClaims66,815
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#157 of 348
Median peer was paid$1.33M
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 13,014 | $263K | |
| 2019 | 12,049 | $305K | |
| 2020 | 11,426 | $311K | |
| 2021 | 12,976 | $340K | |
| 2022 | 8,866 | $275K | |
| 2023 | 5,689 | $200K | |
| 2024incomplete | 2,795 | $68K |
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 | 68% | 16,920 | 10,801 | $1.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 11,085 | 6,495 | $234K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.2% | 2,600 | 854 | $110K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.3% | 2,898 | 1,414 | $58K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,611 | 869 | $22K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.0% | 745 | 395 | $18K |
| D1110 | Prophylaxis - adult | <1% | 833 | 459 | $11K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,084 | 641 | $11K |
| 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% | 401 | 276 | $10K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 236 | 82 | $9K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | <1% | 1,125 | 546 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 734 | 423 | $7K |
47 more codes
| D0330 | Panoramic radiographic image | <1% | 659 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,818 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 726 | $6K |
| 90686 | <1% | 698 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 535 | $5K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 336 | $5K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 182 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 138 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 551 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 871 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 989 | $2K |
| D0120 | Dental checkup, returning patient | <1% | 227 | $2K |
| 82962 | <1% | 1,620 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,286 | $1K |
| 99385 | <1% | 37 | $1K | |
| 99386 | <1% | 28 | $988.57 | |
| 90688 | <1% | 91 | $894.64 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 110 | $851.44 |
| 99406 | <1% | 124 | $572.38 | |
| 99403 | <1% | 14 | $556.57 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 18 | $486.00 |
| 3078F | <1% | 332 | $310.00 | |
| 90658 | <1% | 19 | $306.04 | |
| 3074F | <1% | 330 | $305.00 | |
| 3046F | <1% | 361 | $100.05 | |
| 86580 | <1% | 32 | $92.39 | |
| 81002 | <1% | 74 | $87.22 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 26 | $37.61 |
| 4004F | 0% | 4,816 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 897 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,196 | $0.00 |
| 1160F | 0% | 336 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 832 | $0.00 |
| 90836 | 0% | 15 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 42 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 13 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,642 | $0.00 |
| 1036F | 0% | 2,089 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 597 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 189 | $0.00 |
| D9995 | 0% | 517 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 17 | $0.00 |
| 3017F | 0% | 453 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 409 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 195 | $0.00 |
| 3044F | 0% | 39 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 17 | $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 | $755K |
| 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.