THREE RIVERS HEALTH SYSTEM, INC
NPI: 1942669296
· PORTAGE, MI 49024
· Otolaryngology/Facial Plastic Surgery Physician
· NPI assigned 02/15/2016
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COSTELLO, JEFFERY controls 13+ related entities in our dataset. Read more
$262K
Total Medicaid Paid
Provider Details
| Authorized Official | COSTELLO, JEFFERY (CFO) |
| Parent Organization | THREE RIVERS HEALTH SYSTEM, INC |
| NPI Enumeration Date | 02/15/2016 |
Related Entities
Other providers sharing the same authorized official: COSTELLO, JEFFERY
| Provider | City | State | Total 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 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
734 |
$12K |
| 2019 |
721 |
$16K |
| 2020 |
1,114 |
$27K |
| 2021 |
1,655 |
$51K |
| 2022 |
1,993 |
$57K |
| 2023 |
2,198 |
$79K |
| 2024 |
577 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,010 |
1,898 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,221 |
1,197 |
$72K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
382 |
380 |
$34K |
| 92557 |
|
1,416 |
1,404 |
$29K |
| 92567 |
|
2,195 |
2,166 |
$20K |
| 95115 |
|
1,586 |
612 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
83 |
82 |
$6K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 92579 |
|
61 |
61 |
$1K |
| 92588 |
|
25 |
25 |
$475.04 |