Tri-State Orthopaedic Surgeons, INC.

Tri-State Orthopaedic Surgeons, INC. was paid $2.72M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoTRI-STATE ORTHOPAEDIC SURGEONS, INC.
EVANSVILLE, IN 47715

33aNPI1073501003assigned 10/13/2005

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$2.72M

24GClaims70,861

24DCodes billed33

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Indiana

Rank by total paid#1 of 38

Median peer was paid$45K

This provider vs. median60×

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	9,543	$83K
2019	7,070	$249K
2020	6,545	$245K
2021	10,696	$482K
2022	13,141	$563K
2023	14,166	$618K
2024incomplete	9,700	$480K

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	57%	37,272	30,941	$1.55M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	28%	12,080	11,081	$753K
73630		3.2%	4,571	3,836	$86K
20610		3.1%	3,374	2,672	$85K
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	2.5%	1,359	1,122	$68K
76881		2.1%	1,671	1,263	$58K
73610		1.2%	1,703	1,444	$33K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,069	953	$22K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	3,020	2,571	$15K
72100		<1%	779	674	$15K
73564		<1%	690	601	$13K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	1,077	395	$5K

21 more codes

L4386	Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	35	$3K
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	449	$2K
99221		<1%	38	$2K
73562		<1%	136	$2K
73110		<1%	71	$2K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	13	$2K
73100		<1%	69	$1K
73140		<1%	89	$1K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	592	$1K
73560		<1%	31	$550.00
73030		<1%	172	$478.54
72040		<1%	12	$301.99
73600		<1%	17	$232.68
73130		<1%	28	$182.23
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	265	$96.60
99152		<1%	17	$64.30
99204	Doctor's office visit, new patient (more involved)	0%	71	$0.00
97161		0%	13	$0.00
73050		0%	13	$0.00
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	0%	13	$0.00
97010		0%	52	$0.00

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 officialRAWLEY, PHILIP (CEO)