Physician
River Hospital, INC.
River Hospital, INC. was paid $999K by Medicaid between Jan 2020 and Sep 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoRIVER HOSPITAL, INC.
ALEXANDRIA BAY, NY 13607
ALEXANDRIA BAY, NY 13607
33aNPI1831452994assigned 06/22/2012
33bProvider typeAdult Medicine Physician
28Total paid$999K
24GClaims6,554
24DCodes billed9
24AFirst – last monthJan 2020 – Sep 2024
Compared with peers
Next to other Adult Medicine Physician providers in New York
Rank by total paid#2 of 54
Median peer was paid$23K
This provider vs. median43×
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.
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 | 14 | $738.64 | |
| 2021 | 1,108 | $152K | |
| 2022 | 1,926 | $283K | |
| 2023 | 2,122 | $334K | |
| 2024incomplete | 1,384 | $229K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 52% | 3,203 | 2,939 | $515K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 43% | 2,981 | 2,720 | $427K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.6% | 164 | 164 | $26K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 64 | 64 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43 | 43 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 36 | 36 | $5K |
| 99000 | <1% | 38 | 38 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $2K |
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 officialBOVA, CARRIE (DIRECTOR, REVENUE CYCLE MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| Community Memorial Hospital | Hamilton, NY | $598K |
| Claxton-Hepburn Medical Center | Ogdensburg, NY | $10K |
| Claxton-Hepburn Medical Center | Ogdensburg, NY | $573.04 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.