RIVER VALLEY PRIMARY CARE SERVICES
NPI: 1902452345
· LAVACA, AR 72941
· Federally Qualified Health Center (FQHC)
· NPI assigned 08/12/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official WHITE, JEROME controls 13+ related entities in our dataset. Read more
$1.06M
Total Medicaid Paid
Provider Details
| Authorized Official | WHITE, JEROME (EX. DIRECTOR) |
| NPI Enumeration Date | 08/12/2019 |
Related Entities
Other providers sharing the same authorized official: WHITE, JEROME
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
229 |
$34K |
| 2020 |
1,011 |
$170K |
| 2021 |
1,168 |
$200K |
| 2022 |
1,498 |
$250K |
| 2023 |
1,274 |
$205K |
| 2024 |
1,256 |
$200K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,382 |
5,465 |
$1.06M |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
28 |
26 |
$664.23 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$610.10 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |