TRI STATE MEDICAL CENTER PLLC
NPI: 1073390944
· BELLE FOURCHE, SD 57717
· Nurse Practitioner
· NPI assigned 09/13/2023
$868.87
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
76 |
$868.87 |
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 |
27 |
13 |
$721.87 |
| W0037 |
|
49 |
49 |
$147.00 |