Clinic
River Valley Physicians, LLC
River Valley Physicians, LLC was paid $3.25M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoRIVER VALLEY PHYSICIANS, LLC
EAST LIVERPOOL, OH 43920
EAST LIVERPOOL, OH 43920
33aNPI1891756870assigned 03/30/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$3.25M
24GClaims114,510
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Ohio
Rank by total paid#6 of 48
Median peer was paid$245K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2018 | 17,795 | $380K | |
| 2019 | 21,675 | $562K | |
| 2020 | 17,900 | $460K | |
| 2021 | 17,320 | $481K | |
| 2022 | 15,440 | $457K | |
| 2023 | 11,275 | $353K | |
| 2024incomplete | 13,105 | $559K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 33% | 24,720 | 20,657 | $1.07M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 26,135 | 22,284 | $918K |
| 99223 | Prolong inpt eval add15 m | 6.2% | 4,417 | 4,087 | $201K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.4% | 3,214 | 3,013 | $176K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.3% | 7,444 | 3,445 | $109K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.0% | 1,287 | 1,217 | $98K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.9% | 3,572 | 3,306 | $94K |
| 87428 | 1.9% | 1,584 | 1,456 | $63K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 1,243 | 1,148 | $52K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 1,768 | 883 | $44K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.3% | 449 | 427 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 503 | 469 | $32K |
69 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 460 | $26K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 533 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 750 | $21K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,119 | $21K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,214 | $19K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,743 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,320 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,125 | $14K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,355 | $14K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 431 | $14K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 196 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 814 | $12K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 848 | $11K |
| 99283 | Emergency room visit (moderate) | <1% | 326 | $11K |
| 99406 | <1% | 1,559 | $11K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 222 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 794 | $9K |
| 90688 | <1% | 708 | $8K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 467 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 229 | $8K |
| 99310 | Prolong nursin fac eval 15m | <1% | 290 | $7K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,999 | $5K |
| 36416 | <1% | 2,489 | $5K | |
| 90756 | <1% | 305 | $5K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 713 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 801 | $4K |
| 20610 | <1% | 129 | $3K | |
| 87807 | <1% | 364 | $3K | |
| 81003 | <1% | 1,643 | $3K | |
| 92567 | <1% | 354 | $3K | |
| 82962 | <1% | 1,790 | $3K | |
| 90674 | <1% | 214 | $3K | |
| 91322 | <1% | 49 | $2K | |
| 95251 | <1% | 88 | $2K | |
| 0064A | <1% | 35 | $1K | |
| 81025 | <1% | 219 | $1K | |
| 85018 | <1% | 188 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 85 | $1K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 129 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 34 | $986.18 |
| 99306 | Prolong nursin fac eval 15m | <1% | 38 | $980.38 |
| 90480 | <1% | 49 | $877.40 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $794.16 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $756.18 |
| 80305 | <1% | 91 | $678.59 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 129 | $674.97 |
| 0134A | <1% | 18 | $600.00 | |
| 92557 | <1% | 15 | $300.39 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 31 | $286.97 |
| 99490 | Ccm add 20min | <1% | 40 | $254.16 |
| 99441 | <1% | 35 | $219.13 | |
| G0008 | Administration of influenza virus vaccine | <1% | 101 | $208.45 |
| 92552 | <1% | 20 | $191.25 | |
| 81002 | <1% | 193 | $179.56 | |
| 1123F | <1% | 118 | $174.54 | |
| 92553 | <1% | 14 | $125.94 | |
| 90715 | <1% | 15 | $118.53 | |
| 90658 | <1% | 24 | $40.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 45 | $26.14 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 18 | $20.66 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 16 | $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) | <1% | 46 | $2.62 |
| 91306 | <1% | 35 | $0.11 | |
| 91313 | <1% | 18 | $0.06 | |
| 99024 | 0% | 13 | $0.00 | |
| 96127 | 0% | 13 | $0.00 | |
| 4004F | 0% | 78 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 792 | $0.00 |
| 90734 | 0% | 13 | $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 officialWEIR, BETH (EXECUTIVE DIRECTOR)