Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Tristate Obgyn, PC

Tristate Obgyn, PC was paid $2.40M by Medicaid between Oct 2020 and Dec 2024, across 26 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 48% of everything it billed.

33Billing provider infoTRISTATE OBGYN, PC
MEMPHIS, TN 38115
33aNPI1104274091assigned 06/01/2016
28Total paid$2.40M
24GClaims39,387
24DCodes billed26
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Tennessee

Rank by total paid#8 of 176
Median peer was paid$39K
This provider vs. median61×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2020949$49K
20219,883$665K
202211,080$697K
20239,242$579K
2024incomplete8,233$407K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 48% 967 818 $1.14M
59510 11% 261 182 $258K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.2% 6,098 4,839 $221K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5.3% 1,887 1,575 $127K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3.3% 1,673 1,171 $80K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3.3% 1,588 1,282 $79K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.2% 987 804 $78K
76801 3.0% 1,340 1,033 $73K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3.0% 2,126 1,373 $71K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.7% 1,144 964 $66K
59025 Fetal non-stress test 1.9% 1,458 781 $45K
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 1.4% 633 523 $34K
14 more codes
54150 1.3% 218 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 1,188 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,666 $23K
76830 Ultrasound, transvaginal <1% 294 $14K
81025 <1% 2,360 $9K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 290 $8K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 82 $4K
96127 <1% 856 $3K
0500F <1% 1,049 $3K
99385 <1% 34 $3K
0503F <1% 1,682 $174.75
81002 <1% 30 $36.47
0502F 0% 9,440 $0.00
99072 0% 36 $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 officialEHIREMEN, STEPHEN (PRESIDENT)