Medicaid Provider Spending

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

TRI STATE CLINIC, INC.

NPI: 1124097795 · GRUNDY, VA 24614 · Rural Health Clinic/Center · NPI assigned 03/16/2006

$3.83M
Total Medicaid Paid
93,540
Total Claims
76,607
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTACY, JANET (ADMINISTRATOR)
NPI Enumeration Date03/16/2006

Related Entities

Other providers sharing the same authorized official: STACY, JANET

ProviderCityStateTotal Paid
TRI STATE CLINIC, INC. GRUNDY VA $261K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,899 $296K
2019 13,930 $558K
2020 12,522 $503K
2021 13,934 $535K
2022 16,212 $643K
2023 15,095 $675K
2024 12,948 $624K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 43,912 35,467 $1.81M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26,930 22,644 $844K
T1015 Clinic visit/encounter, all-inclusive 10,448 8,150 $730K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,545 1,501 $105K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,475 1,424 $100K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,109 1,085 $86K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 5,669 4,202 $74K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,040 976 $65K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 712 678 $15K
99307 475 320 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42 33 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 169 115 $864.74
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 12 $501.69