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HybridRheumatology

River City Rheumatology

Quick Facts

Practice TypeHybrid
LocationAda, Grand Rapids, West Michigan
DoctorsJames Birmingham M.D., Rheumatology, Andrew Lewandoski D.O., Rheumatology
Telehealth TypeVirtual visits
Insurance AcceptedAetna, Coventry, First Health, ASR, BCBS, Cigna, HAP, Humana, Medicaid - Priority Health, Medicaid - Blue Cross Complete, Medicaid - Molina, Medicaid - Straight Medicaid, Medicaid - Children's Special Health Services, Medicare, Medicare Railroad, Metro Care, Molina, Priority Health, Tricare, UHC
Telehealth AvailableYes

About

At River City Rheumatology, two fellowship-trained rheumatologists treat the full range of inflammatory and autoimmune conditions in adults and children. Dr. James Birmingham founded the practice in Ada, MI, alongside River City Wellness and Integrated Care. Dr. Andrew Lewandoski joined the team, bringing a focused expertise in chronic pain and inflammatory disease. Together, they treat conditions including rheumatoid arthritis, lupus, psoriatic arthritis, ankylosing spondylitis, gout, vasculitis, and dermatomyositis.

The practice goes well beyond diagnosis and medication management. River City Rheumatology runs a full-service infusion suite, participates in clinical research, and offers joint injections alongside a curated wellness program. The team integrates guidance on sleep, diet, exercise, and stress management into every patient relationship. Additional services include bioidentical hormone replacement therapy, a GLP-1 weight management program, and Thorne supplements available in office and online. A concierge membership program through River City Wellness and Integrated Care gives members same-day access, extended appointment times, and direct communication with Dr. Birmingham.

Details

Address

6741 Fulton St. E., Ada, MI 49301

Membership Details

Memberships are available for a modest yearly fee. Introductory rates and discounts currently being offered. Exact pricing not publicly listed.

Typical Appointment

45 minutes

Telemedicine Same-Day Appointments

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Frequently Asked Questions

River City Rheumatology is a specialty rheumatology clinic in Ada, MI, near Grand Rapids. The practice treats both adults and children with inflammatory and autoimmune conditions. It also operates River City Wellness and Integrated Care, a concierge membership program offering expanded access and wellness services.

Yes. River City Rheumatology bills insurance for covered rheumatology services. The practice participates with several major plans including Aetna, BCBS, ASR, and others. The practice does not participate with Meridian, McLaren, or any Marketplace plans. Certain services, including BHRT and the GLP-1 weight management program, operate on a cash-pay basis.

Routine appointments run 45 minutes. Concierge members receive a 90-minute comprehensive wellness exam annually. Same-day and next-day appointments are available for members of the concierge program through River City Wellness and Integrated Care.

River City Wellness and Integrated Care is a concierge membership program associated with River City Rheumatology. Members gain same-day or next-day appointment access, extended exam times, direct communication with Dr. Birmingham on a dedicated line, specialty care coordination, and access to a full wellness program. Membership spots are limited and operate on a first-come, first-serve basis, with priority for established patients.

River City Wellness and Integrated Care memberships require a modest yearly fee. The practice currently offers introductory rates and discounts. Contact the practice directly for current pricing details.

Yes. River City Rheumatology offers telemedicine visits. Patients can connect with the practice remotely for appropriate follow-up and care needs.

River City Rheumatology offers a GLP-1 Weight Management Program using compounded semaglutide and tirzepatide. The program uses a microdosing approach targeting approximately one pound of weight loss per week. An initial consultation costs $150. Monthly medication costs range from $250 to $300 for semaglutide and $400 to $450 for tirzepatide. The program operates on a cash-pay basis only.

Yes. The practice runs a full-service infusion suite with semi-private, quiet spaces featuring comfortable recliners. Trained nurses attend patients throughout their infusion appointments. Infusion therapy supports treatment for many of the autoimmune and inflammatory conditions the practice manages.

Yes. The practice offers bioidentical hormone replacement therapy as a cash-pay service. New patients receive 15 percent off their first pellet procedure. The practice also offers a 10 percent referral discount on future procedures for patients who refer others.

Yes. River City Rheumatology offers patients the opportunity to participate in clinical research. This gives qualifying patients access to emerging treatment options. Ask the care team about current research opportunities during your visit.

Practice last updated August 19, 2026