Clinic
River Hills Community Health Center INC.
River Hills Community Health Center INC. was paid $77.32M by Medicaid between Jan 2018 and Dec 2024, across 125 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 68% of everything it billed.
33Billing provider infoRIVER HILLS COMMUNITY HEALTH CENTER INC.
OTTUMWA, IA 52501
OTTUMWA, IA 52501
33aNPI1912952367assigned 05/24/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$77.32M
24GClaims853,275
24DCodes billed125
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
Rank by total paid#3 of 36
Median peer was paid$1.10M
This provider vs. median71×
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 | 97,883 | $7.81M | |
| 2019 | 105,354 | $8.64M | |
| 2020 | 94,000 | $8.36M | |
| 2021 | 122,620 | $11.31M | |
| 2022 | 146,099 | $13.58M | |
| 2023 | 149,905 | $13.96M | |
| 2024incomplete | 137,414 | $13.66M |
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 | 68% | 225,259 | 158,060 | $52.39M |
| D9999 | Unspecified adjunctive procedure, by report | 21% | 69,129 | 59,238 | $16.15M |
| D0999 | Unspecified diagnostic procedure, by report | 10% | 30,916 | 27,108 | $7.89M |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 6,553 | 5,457 | $109K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 26,200 | 25,667 | $73K |
| D1206 | Topical application of fluoride varnish | <1% | 31,820 | 31,224 | $71K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 16,276 | 15,959 | $63K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 10,398 | 7,750 | $58K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 3,406 | 2,312 | $56K |
| D1110 | Prophylaxis - adult | <1% | 18,404 | 18,103 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 7,006 | 5,301 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12,356 | 12,153 | $35K |
113 more codes
| D1999 | <1% | 147 | $32K | |
| D0330 | Panoramic radiographic image | <1% | 12,140 | $30K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 46,792 | $29K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 1,139 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 15,439 | $25K |
| D0140 | Limited oral evaluation - problem focused | <1% | 22,076 | $23K |
| D1351 | Sealant - per tooth | <1% | 11,043 | $23K |
| D0274 | Bitewings - four radiographic images | <1% | 13,894 | $22K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 27,946 | $21K |
| 90837 | Psychotherapy session, about an hour | <1% | 21,125 | $16K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 4,167 | $16K |
| D0272 | Bitewings - two radiographic images | <1% | 5,471 | $12K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 62,748 | $12K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 7,830 | $9K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 21,030 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 1,083 | $7K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 14,872 | $7K |
| D0190 | <1% | 2,687 | $5K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 179 | $4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 711 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 466 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 4,685 | $2K |
| D0603 | <1% | 2,943 | $2K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 1,007 | $924.51 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,624 | $780.06 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 222 | $585.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,560 | $557.14 |
| 81025 | <1% | 4,049 | $532.08 | |
| D1354 | <1% | 171 | $472.53 | |
| 90677 | <1% | 884 | $448.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,559 | $432.98 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,300 | $373.31 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 548 | $366.49 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,994 | $359.39 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 757 | $308.26 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 480 | $270.00 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 400 | $264.57 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,787 | $263.40 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,806 | $237.24 |
| D0602 | <1% | 133 | $180.00 | |
| D2330 | <1% | 233 | $167.98 | |
| 90715 | <1% | 1,790 | $160.96 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,232 | $122.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 546 | $102.24 |
| 99385 | <1% | 340 | $102.04 | |
| 99381 | <1% | 1,276 | $88.72 | |
| D2940 | <1% | 43 | $87.70 | |
| 87430 | <1% | 2,644 | $85.20 | |
| 90707 | <1% | 995 | $83.18 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,114 | $53.34 |
| 90686 | <1% | 4,110 | $52.50 | |
| 81002 | <1% | 3,670 | $29.12 | |
| 86580 | <1% | 884 | $16.10 | |
| 80305 | <1% | 1,029 | $14.35 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 636 | $3.32 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 189 | $1.03 |
| D2331 | <1% | 184 | $0.92 | |
| D4910 | <1% | 81 | $0.53 | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 47 | $0.25 |
| D2335 | <1% | 22 | $0.14 | |
| D0270 | <1% | 28 | $0.14 | |
| D2160 | <1% | 17 | $0.12 | |
| D2332 | <1% | 17 | $0.11 | |
| D2740 | Crown - porcelain/ceramic | <1% | 12 | $0.08 |
| D1330 | 0% | 2,831 | $0.00 | |
| 90647 | 0% | 3,213 | $0.00 | |
| 90651 | 0% | 1,089 | $0.00 | |
| 90723 | 0% | 3,273 | $0.00 | |
| 90696 | 0% | 693 | $0.00 | |
| 90619 | 0% | 375 | $0.00 | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 0% | 1,363 | $0.00 |
| 99443 | 0% | 423 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 771 | $0.00 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 1,942 | $0.00 |
| 90620 | 0% | 381 | $0.00 | |
| 90680 | 0% | 1,023 | $0.00 | |
| 85018 | 0% | 1,094 | $0.00 | |
| 90716 | 0% | 1,133 | $0.00 | |
| 93000 | 0% | 174 | $0.00 | |
| 1036F | 0% | 25 | $0.00 | |
| 99441 | 0% | 266 | $0.00 | |
| 87807 | 0% | 467 | $0.00 | |
| 99383 | 0% | 27 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 29 | $0.00 |
| 99384 | 0% | 86 | $0.00 | |
| 2001F | 0% | 36 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| 3008F | 0% | 35 | $0.00 | |
| 90656 | 0% | 481 | $0.00 | |
| 90632 | 0% | 13 | $0.00 | |
| 82962 | 0% | 13 | $0.00 | |
| 2010F | 0% | 37 | $0.00 | |
| 2000F | 0% | 30 | $0.00 | |
| 3074F | 0% | 22 | $0.00 | |
| 90734 | 0% | 1,126 | $0.00 | |
| 90785 | 0% | 638 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 89 | $0.00 |
| 90633 | 0% | 2,403 | $0.00 | |
| 83655 | 0% | 1,040 | $0.00 | |
| 90670 | 0% | 3,598 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 696 | $0.00 |
| 91322 | 0% | 32 | $0.00 | |
| 99442 | 0% | 538 | $0.00 | |
| 90700 | 0% | 802 | $0.00 | |
| 90710 | 0% | 759 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 1,265 | $0.00 |
| 90380 | 0% | 15 | $0.00 | |
| 3078F | 0% | 21 | $0.00 | |
| 99382 | 0% | 26 | $0.00 | |
| 1159F | 0% | 32 | $0.00 | |
| 1160F | 0% | 32 | $0.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 0% | 13 | $0.00 |
| 90671 | 0% | 37 | $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 officialJOHNSON, RICHARD (CEO)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.