Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

River Valley Health (NPI 1790333292)

Field	Value
Entity Type	Organization
Organization	River Valley Health
Address	431 Hepburn St
City	Williamsport
State	PA
ZIP	17701
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 28, 2019

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	28,390	$200	$5.5M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	15,040	$1	$15K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,050	$1	$1.1K
3074F	No Summary found for this code	2,220	$0	$0
3075F	No Summary found for this code	290	$0	$0
3077F	No Summary found for this code	130	$0	$0
3078F	No Summary found for this code	1,830	$0	$0
3079F	No Summary found for this code	720	$0	$0
3080F	No Summary found for this code	80	$0	$0
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	50	$0	$0

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

River Valley Health — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	110	1,690	760	$170	$1.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,719	8,160	210	$60	$68.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	144	8,870	240	$40	$56.1K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	360	1,620	80	$60	$28.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	155	380	140	$30	$27.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,541	1,640	300	$30	$24.7K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	374	420	600	$10	$15.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	148	510	60	$50	$13.1K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	23	440	410	$10	$13K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	197	320	40	$30	$7K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with River Valley Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
River Valley Health	PA	Federally Qualified Health Center (FQHC)	$0	$22.2M
Natasha Alligood-percoco	PA	Obstetrics & Gynecology Physician	$11.1K	$13.3K

Nearby Providers

Other providers in the same ZIP code as River Valley Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Enterprises, Inc.	PA	Voluntary or Charitable Agency	$0	$36.1M
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$17.6M
Crossroads Counseling, Inc	PA	Clinic/Center	$0	$11.2M
Pediatric Services Of America, LLC	PA	Home Health Agency	$0	$10.8M
Upmc Williamsport	PA	General Acute Care Hospital	$0	$9.7M
Diakon Child, Family & Community Ministries	PA	Community/Behavioral Health Agency	$0	$9.1M
Lycoming-clinton Joinder Board	PA	Case Management Agency	$0	$8.4M
Lycoming-clinton Mhmr Program	PA	Psychologist	$0	$7.8M
Maxim Healthcare Services, Inc.	PA	Home Health Agency	$0	$7.7M
Williamsport Family Medical Center, LLC	PA	Methadone Clinic	$96.1K	$6.5M

River Valley Health — Billing Profile & Reimbursement Data

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River Valley Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References