Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › OTTUMWA › RIVER HILLS COMMUNITY HEALTH CENTER INC.

RIVER HILLS COMMUNITY HEALTH CENTER INC.

NPI: 1912952367 · OTTUMWA, IA 52501 · Federally Qualified Health Center (FQHC) · NPI assigned 05/24/2006

$77.32M
Total Medicaid Paid
853,275
Total Claims
709,046
Beneficiaries
125
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJOHNSON, RICHARD (CEO)
NPI Enumeration Date05/24/2006

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Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 137,414 $13.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 225,259 158,060 $52.39M
D9999 Unspecified adjunctive procedure, by report 69,129 59,238 $16.15M
D0999 Unspecified diagnostic procedure, by report 30,916 27,108 $7.89M
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 6,553 5,457 $109K
D0120 Periodic oral evaluation - established patient 26,200 25,667 $73K
D1206 Topical application of fluoride varnish 31,820 31,224 $71K
D1120 Prophylaxis - child 16,276 15,959 $63K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 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 3,406 2,312 $56K
D1110 Prophylaxis - adult 18,404 18,103 $49K
D2391 Resin-based composite - one surface, posterior, primary or permanent 7,006 5,301 $37K
D0150 Comprehensive oral evaluation - new or established patient 12,356 12,153 $35K
D1999 147 128 $32K
D0330 Panoramic radiographic image 12,140 11,907 $30K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 46,792 42,742 $29K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 1,139 767 $25K
D7140 Extraction, erupted tooth or exposed root 15,439 8,523 $25K
D0140 Limited oral evaluation - problem focused 22,076 21,355 $23K
D1351 Sealant - per tooth 11,043 3,197 $23K
D0274 Bitewings - four radiographic images 13,894 13,652 $22K
90834 Psychotherapy, 45 minutes with patient 27,946 20,531 $21K
90837 Psychotherapy, 53 minutes with patient 21,125 14,521 $16K
D0210 Intraoral - complete series of radiographic images 4,167 4,090 $16K
D0272 Bitewings - two radiographic images 5,471 5,350 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 62,748 53,797 $12K
90791 Psychiatric diagnostic evaluation 7,830 7,507 $9K
D0220 Intraoral - periapical first radiographic image 21,030 20,239 $9K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1,083 916 $7K
90832 Psychotherapy, 30 minutes with patient 14,872 10,327 $7K
D0190 2,687 2,633 $5K
D2930 Prefabricated stainless steel crown - primary tooth 179 92 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 711 481 $3K
D2150 Silver amalgam - two surfaces, primary or permanent 466 323 $2K
90792 Psychiatric diagnostic evaluation with medical services 4,685 4,515 $2K
D0603 2,943 2,920 $2K
D1208 Topical application of fluoride, excluding varnish 1,007 972 $924.51
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,624 4,334 $780.06
90853 Group psychotherapy (other than of a multiple-family group) 222 101 $585.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,560 6,468 $557.14
81025 4,049 3,588 $532.08
D1354 171 81 $472.53
90677 884 852 $448.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,559 5,373 $432.98
D0230 Intraoral - periapical each additional radiographic image 1,300 776 $373.31
99215 Prolong outpt/office vis 548 531 $366.49
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,994 2,945 $359.39
90847 Family psychotherapy with the patient present, 50 minutes 757 587 $308.26
J1050 Injection, medroxyprogesterone acetate, 1 mg 480 406 $270.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 400 375 $264.57
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,787 2,626 $263.40
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,806 3,749 $237.24
D0602 133 133 $180.00
D2330 233 170 $167.98
90715 1,790 1,756 $160.96
83036 Hemoglobin; glycosylated (A1C) 3,232 3,139 $122.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 546 484 $102.24
99385 340 324 $102.04
99381 1,276 1,174 $88.72
D2940 43 40 $87.70
87430 2,644 2,455 $85.20
90707 995 978 $83.18
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,114 1,960 $53.34
90686 4,110 4,014 $52.50
81002 3,670 3,416 $29.12
86580 884 857 $16.10
80305 1,029 899 $14.35
J1885 Injection, ketorolac tromethamine, per 15 mg 636 599 $3.32
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 189 169 $1.03
D2331 184 141 $0.92
D4910 81 81 $0.53
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 47 36 $0.25
D2335 22 18 $0.14
D0270 28 28 $0.14
D2160 17 13 $0.12
D2332 17 14 $0.11
D2740 Crown - porcelain/ceramic 12 12 $0.08
D1330 2,831 2,811 $0.00
90647 3,213 3,151 $0.00
90651 1,089 1,066 $0.00
90723 3,273 3,218 $0.00
90696 693 689 $0.00
90619 375 369 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,363 1,273 $0.00
99443 423 412 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 771 734 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,942 1,858 $0.00
90620 381 373 $0.00
90680 1,023 991 $0.00
85018 1,094 1,072 $0.00
90716 1,133 1,109 $0.00
93000 174 173 $0.00
1036F 25 24 $0.00
99441 266 252 $0.00
87807 467 438 $0.00
99383 27 27 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29 28 $0.00
99384 86 86 $0.00
2001F 36 35 $0.00
90381 12 12 $0.00
3008F 35 34 $0.00
90656 481 479 $0.00
90632 13 12 $0.00
82962 13 13 $0.00
2010F 37 36 $0.00
2000F 30 29 $0.00
3074F 22 21 $0.00
90734 1,126 1,108 $0.00
90785 638 470 $0.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 89 85 $0.00
90633 2,403 2,362 $0.00
83655 1,040 1,026 $0.00
90670 3,598 3,561 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 696 654 $0.00
91322 32 32 $0.00
99442 538 505 $0.00
90700 802 789 $0.00
90710 759 754 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,265 1,189 $0.00
90380 15 14 $0.00
3078F 21 20 $0.00
99382 26 26 $0.00
1159F 32 31 $0.00
1160F 32 31 $0.00
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 13 12 $0.00
90671 37 33 $0.00