THREE RIVERS HEALTH SYSTEM, INC
NPI: 1790144079
· THREE RIVERS, MI 49093
· Family Medicine Physician
· NPI assigned 02/16/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COSTELLO, JEFFERY controls 13+ related entities in our dataset. Read more
$359K
Total Medicaid Paid
Provider Details
| Authorized Official | COSTELLO, JEFFERY (CFO) |
| Parent Organization | THREE RIVERS HEALTH SYSTEM, INC |
| NPI Enumeration Date | 02/16/2016 |
Related Entities
Other providers sharing the same authorized official: COSTELLO, JEFFERY
| Provider | City | State | Total 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 |
WHITE PIGEON |
MI |
$1.07M |
| THREE RIVERS HEALTH SYSTEM, INC |
THREE RIVERS |
MI |
$503K |
| 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
| Year | Claims | Total Paid |
|---|
| 2018 |
1,227 |
$63K |
| 2019 |
957 |
$56K |
| 2020 |
1,028 |
$24K |
| 2021 |
1,380 |
$38K |
| 2022 |
1,344 |
$41K |
| 2023 |
1,913 |
$58K |
| 2024 |
2,470 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
4,558 |
4,162 |
$219K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,119 |
2,945 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,273 |
2,129 |
$47K |
| 90686 |
|
105 |
104 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
176 |
176 |
$868.40 |
| 90674 |
|
57 |
57 |
$499.68 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$346.35 |
| 90658 |
|
18 |
18 |
$248.08 |