Medicaid Provider Spending

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

NEW RIVER HEALTH ASSOCIATION, INC.

NPI: 1851836225 · SOPHIA, WV 25921 · Federally Qualified Health Center (FQHC) · NPI assigned 12/21/2016

$1.89M
Total Medicaid Paid
26,804
Total Claims
19,798
Beneficiaries
13
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHULTZ, JOHN (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date12/21/2016

Related Entities

Other providers sharing the same authorized official: SCHULTZ, JOHN

ProviderCityStateTotal Paid
NEW RIVER HEALTH ASSOCIATION, INC. SCARBRO WV $8.27M
HOPKINS SCHOOL DISTRICT HOPKINS MN $6.69M
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
2019 2,461 $105K
2020 3,785 $222K
2021 4,030 $256K
2022 5,812 $436K
2023 5,758 $449K
2024 4,958 $418K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 13,315 9,617 $1.85M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,671 4,331 $19K
36415 Collection of venous blood by venipuncture 977 925 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 178 158 $5K
90686 164 145 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 287 190 $648.20
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 35 25 $486.15
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,046 4,313 $71.70
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 36 26 $0.00
81003 21 17 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 25 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 13 13 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 22 13 $0.00