Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRI-STATE COMMUNITY HEALTH CENTER, INC

NPI: 1083055081 · BERKELEY SPRINGS, WV 25411 · Federally Qualified Health Center (FQHC) · NPI assigned 07/08/2013

$1.69M
Total Medicaid Paid
35,527
Total Claims
29,515
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDESHONG, SHEILA (COO)
NPI Enumeration Date07/08/2013

Related Entities

Other providers sharing the same authorized official: DESHONG, SHEILA

ProviderCityStateTotal Paid
TRI-STATE COMMUNITY HEALTH CENTER, INC HANCOCK MD $5.81M
TRI-STATE COMMUNITY HEALTH CENTER, INC MCCONNELLSBURG PA $1.68M
TRI-STATE COMMUNITY HEALTH CENTER, INC CUMBERLAND MD $741K
TRI-STATE COMMUNITY HEALTH CENTER, INC CUMBERLAND MD $355K
TRI-STATE COMMUNITY HEALTH CENTER-HOSP PHYSICIANS PRACTICE CUMBERLAND MD $89K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,507 $251K
2019 3,512 $169K
2020 6,950 $294K
2021 5,790 $265K
2022 6,157 $297K
2023 4,957 $246K
2024 2,654 $166K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 14,126 11,506 $1.50M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,058 6,103 $75K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,007 5,195 $56K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,694 2,471 $24K
36415 Collection of venous blood by venipuncture 1,003 953 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 260 255 $6K
96127 575 397 $5K
81003 160 143 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,915 987 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 226 153 $2K
87428 469 437 $1K
90688 29 29 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 230 218 $20.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 571 469 $9.53
94760 96 94 $0.00
83036 Hemoglobin; glycosylated (A1C) 15 13 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24 24 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $0.00
90472 Immunization administration, each additional vaccine (list separately) 40 39 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $0.00