Three Rivers Health System, INC

Three Rivers Health System, INC was paid $262K by Medicaid between Jan 2018 and Jun 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoTHREE RIVERS HEALTH SYSTEM, INC
PORTAGE, MI 49024

33aNPI1942669296assigned 02/15/2016

33bProvider typeOtolaryngology/Facial Plastic Surgery Physician

28Total paid$262K

24GClaims8,992

24DCodes billed10

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Otolaryngology/Facial Plastic Surgery Physician providers in Michigan

Rank by total paid#2 of 10

Median peer was paid$27K

This provider vs. median9.8×

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 COSTELLO, JEFFERY controls 13+ related entities in our dataset. Read more

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	734	$12K
2019	721	$16K
2020	1,114	$27K
2021	1,655	$51K
2022	1,993	$57K
2023	2,198	$79K
2024incomplete	577	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	2,010	1,898	$89K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	28%	1,221	1,197	$72K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	13%	382	380	$34K
92557		11%	1,416	1,404	$29K
92567		7.6%	2,195	2,166	$20K
95115		3.3%	1,586	612	$9K
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	2.2%	83	82	$6K
99205	Prolong outpt/office vis	<1%	13	13	$1K
92579		<1%	61	61	$1K
92588		<1%	25	25	$475.04

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 officialCOSTELLO, JEFFERY (CFO)

Parent organizationTHREE RIVERS HEALTH SYSTEM, INC

Same official

Other billing entities under COSTELLO, JEFFERY

Full network →

Provider	Location	Paid
Three Rivers Health System, INC	Three Rivers, MI	$13.42M
Three Rivers Health System, INC	Three Rivers, MI	$3.13M
Three Rivers Health System, INC	Three Rivers, MI	$1.20M
Three Rivers Health System, INC	White Pigeon, MI	$1.07M
Three Rivers Health System, INC	Three Rivers, MI	$503K
Three Rivers Health System, INC	Three Rivers, MI	$359K
Three Rivers Health System, INC	Marcellus, MI	$248K
Three Rivers Health System, INC	Three Rivers, MI	$244K
Three Rivers Health System, INC	Portage, MI	$62K
Three Rivers Health System, INC	Three Rivers, MI	$24K
Three Rivers Health System, INC	Three Rivers, MI	$13K
Three Rivers Health System, INC	Three Rivers, MI	$6K
Three Rivers Health System, INC	Three Rivers, MI	$3K

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