Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Four Rivers Internal Medicine, PLLC

Four Rivers Internal Medicine, PLLC was paid $104K by Medicaid between Dec 2021 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoFOUR RIVERS INTERNAL MEDICINE, PLLC
PADUCAH, KY 42003
33aNPI1912992421assigned 09/12/2005
28Total paid$104K
24GClaims12,044
24DCodes billed22
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Kentucky

Rank by total paid#121 of 424
Median peer was paid$19K
This provider vs. median5.5×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
202141$0.00
20222,201$17K
20236,258$42K
2024incomplete3,544$46K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46% 1,824 1,494 $48K
87428 37% 1,008 847 $38K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13% 299 221 $13K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.5% 256 194 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.2% 464 412 $1K
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 <1% 14 13 $402.60
J1030 Injection, methylprednisolone acetate, 40 mg <1% 80 63 $279.61
J2010 Injection, lincomycin hcl, up to 300 mg <1% 47 36 $199.57
1036F 0% 1,031 850 $0.00
3017F 0% 418 324 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 491 394 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,551 1,190 $0.00
10 more codes
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 569 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 17 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 83 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 569 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 1,250 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 1,261 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 15 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 573 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 164 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 60 $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 officialFORD, DONNA (OFFICE MANAGER)
Same official

Other billing entities under FORD, DONNA

Full network →
ProviderLocationPaid
Mercy Services Iowa City, INC.North English, IA$18K
Mercy Services Iowa City, INC.Columbus Junction, IA$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.