Clinic
Five Rivers Health Centers
Five Rivers Health Centers was paid $7.95M by Medicaid between Apr 2022 and Dec 2024, across 101 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoFIVE RIVERS HEALTH CENTERS
DAYTON, OH 45417
DAYTON, OH 45417
33aNPI1891466280assigned 09/24/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.95M
24GClaims289,334
24DCodes billed101
24AFirst – last monthApr 2022 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#35 of 348
Median peer was paid$1.33M
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2022 | 75,556 | $2.22M | |
| 2023 | 132,983 | $3.59M | |
| 2024incomplete | 80,795 | $2.14M |
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 | 63% | 64,816 | 50,508 | $5.04M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 63,023 | 31,348 | $1.39M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.1% | 32,871 | 7,475 | $243K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 5,755 | 3,166 | $180K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 7,421 | 3,929 | $171K |
| 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 | 1.3% | 3,191 | 1,672 | $101K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.1% | 1,779 | 952 | $87K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,410 | 1,791 | $78K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,704 | 1,844 | $65K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,422 | 583 | $62K |
| D1110 | Prophylaxis - adult | <1% | 2,566 | 1,704 | $58K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 869 | 468 | $39K |
89 more codes
| T2003 | Non-emergency transportation, per trip | <1% | 4,457 | $39K |
| D0120 | Dental checkup, returning patient | <1% | 2,667 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 724 | $24K |
| 36415 | Collection of venous blood by venipuncture | <1% | 13,175 | $24K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,958 | $24K |
| D0140 | Limited oral evaluation - problem focused | <1% | 2,157 | $23K |
| G0467 | Community health center visit, returning patient | <1% | 2,105 | $22K |
| D1206 | Topical application of fluoride varnish | <1% | 1,984 | $21K |
| D1120 | Dental cleaning, child | <1% | 1,642 | $20K |
| D0274 | Bitewings - four radiographic images | <1% | 1,759 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,281 | $17K |
| D0330 | Panoramic radiographic image | <1% | 898 | $16K |
| 99381 | <1% | 593 | $15K | |
| 92551 | <1% | 3,586 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,648 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 176 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 3,092 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 209 | $9K |
| 59430 | <1% | 110 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 248 | $8K |
| 90686 | <1% | 3,054 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 328 | $7K |
| 81025 | <1% | 1,937 | $6K | |
| 90837 | Psychotherapy session, about an hour | <1% | 96 | $6K |
| 99173 | <1% | 3,506 | $5K | |
| 85018 | <1% | 4,602 | $4K | |
| 99442 | <1% | 427 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,205 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 990 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 499 | $3K |
| 36416 | <1% | 1,313 | $3K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 53 | $3K |
| 11721 | <1% | 170 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 61 | $2K |
| 80305 | <1% | 546 | $2K | |
| 92015 | Determination of refractive state | <1% | 208 | $2K |
| 99441 | <1% | 244 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 47 | $922.36 |
| 90656 | <1% | 477 | $921.52 | |
| 90677 | <1% | 2,412 | $865.98 | |
| D0272 | Bitewings - two radiographic images | <1% | 166 | $630.00 |
| 99459 | <1% | 63 | $523.41 | |
| 81003 | <1% | 650 | $508.60 | |
| 0134A | <1% | 14 | $489.58 | |
| 3077F | <1% | 300 | $475.00 | |
| 3079F | <1% | 765 | $375.01 | |
| D0240 | <1% | 50 | $360.00 | |
| 90715 | <1% | 20 | $300.26 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $295.68 |
| 87210 | <1% | 174 | $290.32 | |
| 3074F | <1% | 3,534 | $280.00 | |
| 90670 | <1% | 3,765 | $267.99 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 33 | $240.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 13 | $225.36 |
| 90658 | <1% | 13 | $196.74 | |
| 3008F | <1% | 1,836 | $170.00 | |
| 3044F | <1% | 172 | $160.11 | |
| 82962 | <1% | 124 | $133.03 | |
| 3046F | <1% | 478 | $110.12 | |
| 90633 | <1% | 2,097 | $103.76 | |
| 90698 | <1% | 2,788 | $85.33 | |
| 3080F | <1% | 47 | $80.00 | |
| 3078F | <1% | 2,691 | $65.00 | |
| 81002 | <1% | 38 | $36.54 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 16 | $22.16 |
| 3075F | <1% | 15 | $15.00 | |
| 90744 | <1% | 1,508 | $10.00 | |
| 91313 | <1% | 14 | $0.13 | |
| 90681 | 0% | 2,664 | $0.00 | |
| 0502F | 0% | 969 | $0.00 | |
| 90707 | 0% | 273 | $0.00 | |
| 90700 | 0% | 52 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 143 | $0.00 |
| 90648 | 0% | 31 | $0.00 | |
| V2025 | Deluxe frame | 0% | 77 | $0.00 |
| 90710 | 0% | 58 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 116 | $0.00 |
| 4004F | 0% | 19 | $0.00 | |
| 90716 | 0% | 337 | $0.00 | |
| 3351F | 0% | 1,376 | $0.00 | |
| 90697 | 0% | 2,451 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 273 | $0.00 |
| 1123F | 0% | 246 | $0.00 | |
| 1111F | 0% | 45 | $0.00 | |
| 0503F | 0% | 116 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 92 | $0.00 |
| 3352F | 0% | 78 | $0.00 | |
| 0500F | 0% | 23 | $0.00 | |
| 2023F | 0% | 28 | $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 | Xenia, OH | $2.54M |
| Five Rivers Health Centers | Xenia, OH | $2.08M |
| 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.