Physician
Three Rivers Health System INC
Three Rivers Health System INC was paid $40K by Medicaid between Nov 2018 and May 2020, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoTHREE RIVERS HEALTH SYSTEM INC
THREE RIVERS, MI 49093
THREE RIVERS, MI 49093
33aNPI1982194452assigned 05/10/2018
33bProvider typeFamily Medicine Physician
28Total paid$40K
24GClaims755
24DCodes billed3
24AFirst – last monthNov 2018 – May 2020
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#504 of 826
Median peer was paid$98K
This provider vs. median0.4×
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
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 | 29 | $1K | |
| 2019 | 545 | $29K | |
| 2020 | 181 | $10K |
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 | 63% | 534 | 462 | $25K |
| 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 | 35% | 205 | 191 | $14K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 16 | 16 | $1K |
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 officialANDREWS, STEVEN (CHIEF FINANCIAL OFFICER)
Parent organizationTHREE RIVERS HEALTH SYSTEM INC