Clinic
Five Rivers Health Centers
Five Rivers Health Centers was paid $2.08M by Medicaid between Jan 2018 and Nov 2024, across 65 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
33Billing provider infoFIVE RIVERS HEALTH CENTERS
XENIA, OH 45385
XENIA, OH 45385
33aNPI1801331384assigned 12/20/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.08M
24GClaims73,932
24DCodes billed65
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#148 of 348
Median peer was paid$1.33M
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2018 | 8,293 | $180K | |
| 2019 | 11,511 | $304K | |
| 2020 | 10,771 | $287K | |
| 2021 | 14,700 | $382K | |
| 2022 | 11,871 | $368K | |
| 2023 | 10,652 | $344K | |
| 2024incomplete | 6,134 | $218K |
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 | 69% | 21,128 | 16,129 | $1.44M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.1% | 9,206 | 4,826 | $189K |
| 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 | 3.8% | 2,477 | 1,398 | $80K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.1% | 2,874 | 1,336 | $64K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.7% | 7,630 | 1,782 | $55K |
| D1110 | Prophylaxis - adult | 2.0% | 2,535 | 1,586 | $42K |
| D0330 | Panoramic radiographic image | 1.5% | 1,410 | 857 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 2,059 | 1,044 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 2,005 | 1,223 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,277 | 859 | $17K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,824 | 1,084 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 583 | 317 | $16K |
53 more codes
| D0274 | Bitewings - four radiographic images | <1% | 1,924 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 124 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 616 | $7K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 277 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 68 | $5K |
| 90686 | <1% | 839 | $5K | |
| D1120 | Dental cleaning, child | <1% | 378 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 476 | $4K |
| 92551 | <1% | 1,349 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,173 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 188 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 84 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 668 | $3K |
| 36416 | <1% | 1,410 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 53 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 48 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 64 | $2K |
| 90670 | <1% | 343 | $1K | |
| 99173 | <1% | 871 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 82 | $806.06 |
| 85018 | <1% | 672 | $691.53 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | $444.36 |
| 90688 | <1% | 108 | $434.39 | |
| 90715 | <1% | 35 | $369.51 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 262 | $278.51 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 42 | $263.09 |
| 90656 | <1% | 30 | $200.95 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 25 | $161.82 |
| 3074F | <1% | 311 | $120.00 | |
| 90716 | <1% | 107 | $104.87 | |
| 3079F | <1% | 119 | $100.00 | |
| 3078F | <1% | 188 | $85.00 | |
| 3008F | <1% | 127 | $80.00 | |
| 81002 | <1% | 95 | $65.38 | |
| 90707 | <1% | 95 | $57.67 | |
| D1351 | Sealant - per tooth | <1% | 153 | $44.00 |
| 87210 | <1% | 21 | $35.18 | |
| 3075F | <1% | 20 | $30.00 | |
| 3044F | <1% | 19 | $0.08 | |
| 90685 | <1% | 57 | $0.04 | |
| 90698 | <1% | 148 | $0.01 | |
| 90633 | <1% | 165 | $0.01 | |
| 1036F | 0% | 2,264 | $0.00 | |
| 90744 | 0% | 65 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 387 | $0.00 |
| 3351F | 0% | 17 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 59 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 68 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 43 | $0.00 |
| 4004F | 0% | 1,564 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 345 | $0.00 |
| 90734 | 0% | 24 | $0.00 | |
| 1160F | 0% | 236 | $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 | Dayton, OH | $1.76M |
| 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.