WHITE RIVER HEALTH SYSTEM, INC
NPI: 1871609743
· NEWPORT, AR 72112
· 207Q00000X
$655K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,452 |
$108K |
| 2019 |
4,649 |
$114K |
| 2020 |
3,270 |
$82K |
| 2021 |
5,880 |
$114K |
| 2022 |
7,056 |
$105K |
| 2023 |
4,549 |
$87K |
| 2024 |
2,185 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,518 |
5,670 |
$296K |
| 99213 |
|
8,440 |
7,372 |
$224K |
| 87428 |
|
1,088 |
938 |
$63K |
| 87880 |
|
1,494 |
1,311 |
$15K |
| 99215 |
Prolong outpt/office vis |
224 |
209 |
$14K |
| 87804 |
|
1,061 |
729 |
$10K |
| 80053 |
|
1,604 |
1,454 |
$8K |
| 87426 |
|
171 |
138 |
$6K |
| 80061 |
|
571 |
532 |
$4K |
| 99202 |
|
154 |
133 |
$4K |
| 99308 |
|
127 |
118 |
$2K |
| 84443 |
|
305 |
282 |
$1K |
| 36415 |
|
2,760 |
2,433 |
$1K |
| 90686 |
|
142 |
123 |
$1K |
| 85025 |
|
416 |
376 |
$905.67 |
| 99212 |
|
42 |
41 |
$847.78 |
| 99307 |
|
50 |
42 |
$471.33 |
| G0439 |
Ppps, subseq visit |
29 |
29 |
$374.50 |
| 85027 |
|
67 |
60 |
$268.25 |
| 99441 |
|
14 |
12 |
$261.76 |
| 83036 |
|
41 |
40 |
$249.66 |
| 3075F |
|
430 |
385 |
$136.03 |
| 3074F |
|
2,191 |
1,932 |
$128.06 |
| 71046 |
|
12 |
12 |
$113.98 |
| 81001 |
|
27 |
24 |
$72.32 |
| 3078F |
|
2,156 |
1,892 |
$30.10 |
| 3079F |
|
786 |
706 |
$20.07 |
| 3077F |
|
94 |
87 |
$10.00 |
| 96372 |
|
14 |
12 |
$3.09 |
| 3725F |
|
323 |
273 |
$0.00 |
| 3288F |
|
15 |
14 |
$0.00 |
| G0444 |
Depression screen annual |
15 |
15 |
$0.00 |
| 1036F |
|
603 |
554 |
$0.00 |
| G0008 |
Admin influenza virus vac |
43 |
43 |
$0.00 |
| 1101F |
|
14 |
13 |
$0.00 |