Clinic
Tri State Clinic, INC.
Tri State Clinic, INC. was paid $3.83M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoTRI STATE CLINIC, INC.
GRUNDY, VA 24614
GRUNDY, VA 24614
33aNPI1124097795assigned 03/16/2006
33bProvider typeRural Health Clinic/Center
28Total paid$3.83M
24GClaims93,540
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Virginia
Rank by total paid#2 of 66
Median peer was paid$195K
This provider vs. median20×
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 | 8,899 | $296K | |
| 2019 | 13,930 | $558K | |
| 2020 | 12,522 | $503K | |
| 2021 | 13,934 | $535K | |
| 2022 | 16,212 | $643K | |
| 2023 | 15,095 | $675K | |
| 2024incomplete | 12,948 | $624K |
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 | 47% | 43,912 | 35,467 | $1.81M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 22% | 26,930 | 22,644 | $844K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 19% | 10,448 | 8,150 | $730K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.7% | 1,545 | 1,501 | $105K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 1,475 | 1,424 | $100K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 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 | 1.9% | 5,669 | 4,202 | $74K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 1,040 | 976 | $65K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 712 | 678 | $15K |
| 99307 | <1% | 475 | 320 | $5K | |
| 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% | 42 | 33 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 169 | 115 | $864.74 |
1 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $501.69 |
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 officialSTACY, JANET (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Tri State Clinic, INC. | Grundy, VA | $261K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.