Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Riverview Medical Center LLC

Riverview Medical Center LLC was paid $5.23M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99284, emergency room visit (serious) — 34% of everything it billed.

33Billing provider infoRIVERVIEW MEDICAL CENTER LLC
CARTHAGE, TN 37030
33aNPI1922319037assigned 06/24/2010
33bProvider typeNeurology Physician
28Total paid$5.23M
24GClaims68,078
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Neurology Physician providers in Tennessee

Rank by total paid#2 of 83
Median peer was paid$27K
This provider vs. median197×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LAWRENCE, CHARLOTTE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
201812,386$763K
20199,796$712K
20205,369$442K
202110,772$690K
202210,988$934K
202312,583$1.06M
2024incomplete6,184$628K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 34% 7,987 6,974 $1.80M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 28% 7,915 7,103 $1.48M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 9.4% 3,059 2,307 $494K
G0378 Hospital observation service, per hour 5.6% 2,460 913 $295K
80053 Comprehensive metabolic panel 5.2% 7,923 6,233 $270K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4.7% 10,685 7,612 $243K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.5% 2,586 1,737 $81K
81001 1.5% 4,907 4,128 $78K
96361 Intravenous infusion, hydration; each additional hour <1% 535 307 $52K
84484 <1% 1,828 1,139 $52K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 1,475 1,354 $45K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,988 1,836 $37K
39 more codes
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,547 $37K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 312 $36K
87430 <1% 761 $31K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,213 $26K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 1,094 $25K
71045 Radiologic examination, chest; single view <1% 939 $18K
87070 <1% 404 $18K
81025 <1% 878 $17K
71046 Radiologic examination, chest; 2 views <1% 255 $17K
96375 Therapeutic injection; each additional sequential IV push <1% 737 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 408 $10K
J7030 Infusion, normal saline solution , 1000 cc <1% 321 $8K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 257 $7K
36415 Collection of venous blood by venipuncture <1% 2,449 $5K
80048 Basic metabolic panel (calcium, ionized) <1% 343 $5K
85610 <1% 613 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 114 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 157 $3K
0240U <1% 68 $3K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 44 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 27 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 286 $2K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 340 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 269 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 15 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 236 $2K
J2704 Injection, propofol, 10 mg <1% 65 $1K
85730 <1% 133 $1K
87081 <1% 34 $981.20
85379 <1% 52 $901.89
87641 <1% 32 $694.24
83690 <1% 30 $605.87
87040 <1% 61 $525.42
96376 <1% 76 $464.05
J7120 Ringers lactate infusion, up to 1000 cc <1% 31 $417.85
85027 <1% 34 $270.75
87071 <1% 16 $138.82
83605 <1% 17 $51.97
A9270 Non-covered item or service 0% 62 $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 officialLAWRENCE, CHARLOTTE (SECRETARY)
Same official

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