TRI STATE MEDICAL CENTER PLLC
NPI: 1073390944
· BELLE FOURCHE, SD 57717
· 363L00000X
$868.87
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
76 |
$868.87 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
27 |
13 |
$721.87 |
| W0037 |
|
49 |
49 |
$147.00 |