Medicaid Provider Spending

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

NEW RIVER HEALTH ASSOCIATION, INC.

NPI: 1811983331 · SCARBRO, WV 25917 · Federally Qualified Health Center (FQHC) · NPI assigned 09/20/2005

$8.27M
Total Medicaid Paid
143,433
Total Claims
111,059
Beneficiaries
78
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSCHULTZ, JOHN (EXECUTIVE DIRECTOR)
NPI Enumeration Date09/20/2005

Related Entities

Other providers sharing the same authorized official: SCHULTZ, JOHN

ProviderCityStateTotal Paid
HOPKINS SCHOOL DISTRICT HOPKINS MN $6.69M
NEW RIVER HEALTH ASSOCIATION, INC. SOPHIA WV $1.89M
NEW RIVER HEALTH ASSOCIATION, INC. OAK HILL WV $1.48M
NEW RIVER HEALTH ASSOCIATION, INC. SUMMERSVILLE WV $1.31M
NEW RIVER HEALTH ASSOCIATION, INC. COAL CITY WV $1.15M
NEW RIVER HEALTH ASSOCIATION, INC. COAL CITY WV $355K
NEW RIVER HEALTH ASSOCIATION, INC. COAL CITY WV $230K
FAMILY FIRST HEALTHCARE PLLC WEIRTON WV $33K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,463 $1.75M
2019 15,699 $660K
2020 32,656 $1.84M
2021 28,461 $1.87M
2022 25,172 $1.91M
2023 1,613 $118K
2024 1,369 $126K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 58,534 41,229 $6.68M
D0999 Unspecified diagnostic procedure, by report 3,526 3,061 $554K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28,894 22,556 $442K
36415 Collection of venous blood by venipuncture 4,784 4,375 $85K
90832 Psychotherapy, 30 minutes with patient 5,483 2,959 $72K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,375 8,132 $58K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,517 4,089 $46K
80053 Comprehensive metabolic panel 3,966 3,623 $45K
80061 Lipid panel 2,089 1,935 $33K
84443 Thyroid stimulating hormone (TSH) 1,718 1,579 $23K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,413 1,257 $21K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,680 1,581 $20K
83036 Hemoglobin; glycosylated (A1C) 1,277 1,199 $17K
81003 1,371 1,153 $16K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,036 903 $13K
90834 Psychotherapy, 45 minutes with patient 1,877 1,229 $13K
90853 Group psychotherapy (other than of a multiple-family group) 690 333 $12K
80050 General health panel 365 336 $12K
98940 525 204 $9K
0002A 463 377 $8K
90791 Psychiatric diagnostic evaluation 709 639 $8K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 260 240 $7K
90686 465 440 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 965 895 $6K
0001A 456 375 $6K
84439 333 304 $6K
90472 Immunization administration, each additional vaccine (list separately) 585 532 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 140 128 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 231 219 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 147 139 $3K
81025 520 456 $3K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 244 111 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 155 153 $3K
J1030 Injection, methylprednisolone acetate, 40 mg 98 91 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 140 138 $2K
82043 144 135 $2K
82570 121 117 $2K
82607 77 75 $2K
90670 122 116 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 213 203 $2K
90837 Psychotherapy, 53 minutes with patient 61 53 $1K
90715 105 103 $1K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 45 44 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 21 19 $753.60
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 15 14 $661.85
80305 69 43 $653.53
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 104 100 $610.33
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 24 24 $513.64
D1120 Prophylaxis - child 81 77 $482.88
86803 24 24 $447.37
90633 42 40 $437.29
D1208 Topical application of fluoride, excluding varnish 130 126 $362.16
D0140 Limited oral evaluation - problem focused 811 763 $242.56
90698 40 40 $241.44
0003A 16 16 $240.00
81001 27 27 $227.03
82728 12 12 $180.76
83540 12 12 $164.84
G0008 Administration of influenza virus vaccine 54 54 $162.05
83735 14 13 $155.21
82947 15 15 $143.89
90649 14 12 $120.72
90662 30 30 $69.94
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14 14 $52.65
D0220 Intraoral - periapical first radiographic image 540 519 $33.00
90744 12 12 $0.00
D0150 Comprehensive oral evaluation - new or established patient 88 82 $0.00
D0120 Periodic oral evaluation - established patient 100 98 $0.00
D0210 Intraoral - complete series of radiographic images 12 12 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 28 24 $0.00
D1110 Prophylaxis - adult 445 423 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 107 94 $0.00
91300 404 308 $0.00
90710 47 41 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 21 21 $0.00
D0274 Bitewings - four radiographic images 85 81 $0.00
90734 14 12 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 42 41 $0.00