Medicaid Provider Spending

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

RIVER VALLEY PHYSICIANS, LLC

NPI: 1891756870 · EAST LIVERPOOL, OH 43920 · Multi-Specialty Clinic/Center · NPI assigned 03/30/2006

$3.25M
Total Medicaid Paid
114,510
Total Claims
94,769
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWEIR, BETH (EXECUTIVE DIRECTOR)
NPI Enumeration Date03/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,795 $380K
2019 21,675 $562K
2020 17,900 $460K
2021 17,320 $481K
2022 15,440 $457K
2023 11,275 $353K
2024 13,105 $559K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,720 20,657 $1.07M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,135 22,284 $918K
99223 Prolong inpt eval add15 m 4,417 4,087 $201K
99284 Emergency department visit for the evaluation and management, high severity 3,214 3,013 $176K
99232 Subsequent hospital care, per day, moderate complexity 7,444 3,445 $109K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,287 1,217 $98K
99239 Hospital discharge day management, more than 30 minutes 3,572 3,306 $94K
87428 1,584 1,456 $63K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,243 1,148 $52K
99233 Prolong inpt eval add15 m 1,768 883 $44K
J1050 Injection, medroxyprogesterone acetate, 1 mg 449 427 $42K
99215 Prolong outpt/office vis 503 469 $32K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 460 427 $26K
90834 Psychotherapy, 45 minutes with patient 533 366 $24K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 750 630 $21K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,119 903 $21K
90460 Immunization administration through 18 years of age via any route, first or only component 1,214 701 $19K
36415 Collection of venous blood by venipuncture 8,743 7,730 $17K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,320 1,157 $16K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,125 622 $14K
99308 Subsequent nursing facility care, per day, straightforward 1,355 1,017 $14K
99222 Initial hospital care, per day, moderate complexity 431 384 $14K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 196 166 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 814 752 $12K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 848 786 $11K
99283 Emergency department visit for the evaluation and management, moderate severity 326 277 $11K
99406 1,559 1,349 $11K
90791 Psychiatric diagnostic evaluation 222 182 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 794 737 $9K
90688 708 681 $8K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 467 201 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 229 218 $8K
99310 Prolong nursin fac eval 15m 290 197 $7K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 2,999 2,768 $5K
36416 2,489 2,169 $5K
90756 305 265 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 713 647 $4K
83036 Hemoglobin; glycosylated (A1C) 801 726 $4K
20610 129 96 $3K
87807 364 347 $3K
81003 1,643 1,324 $3K
92567 354 308 $3K
82962 1,790 1,533 $3K
90674 214 205 $3K
91322 49 39 $2K
95251 88 80 $2K
0064A 35 28 $1K
81025 219 196 $1K
85018 188 184 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 85 83 $1K
J1030 Injection, methylprednisolone acetate, 40 mg 129 107 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 34 34 $986.18
99306 Prolong nursin fac eval 15m 38 32 $980.38
90480 49 39 $877.40
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $794.16
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $756.18
80305 91 82 $678.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 129 114 $674.97
0134A 18 16 $600.00
92557 15 15 $300.39
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 31 27 $286.97
99490 Ccm add 20min 40 34 $254.16
99441 35 29 $219.13
G0008 Administration of influenza virus vaccine 101 84 $208.45
92552 20 17 $191.25
81002 193 172 $179.56
1123F 118 104 $174.54
92553 14 12 $125.94
90715 15 14 $118.53
90658 24 19 $40.00
J0696 Injection, ceftriaxone sodium, per 250 mg 45 26 $26.14
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 18 15 $20.66
J1100 Injection, dexamethasone sodium phosphate, 1 mg 16 15 $8.18
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 46 42 $2.62
91306 35 28 $0.11
91313 18 16 $0.06
99024 13 12 $0.00
96127 13 13 $0.00
4004F 78 64 $0.00
G8482 Influenza immunization administered or previously received 792 676 $0.00
90734 13 13 $0.00