Physician
Tribe513, P.A.
Tribe513, P.A. was paid $8.63M by Medicaid between Jan 2018 and Oct 2021, across 68 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoTRIBE513, P.A.
GREENVILLE, SC 29607
GREENVILLE, SC 29607
33aNPI1154438075assigned 08/24/2006
33bProvider typeInternal Medicine Physician
28Total paid$8.63M
24GClaims179,547
24DCodes billed68
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#3 of 273
Median peer was paid$19K
This provider vs. median453×
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 | 43,120 | $1.69M | |
| 2019 | 35,809 | $1.58M | |
| 2020 | 39,617 | $1.92M | |
| 2021 | 61,001 | $3.43M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 37,704 | 35,202 | $3.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 23,706 | 21,638 | $1.46M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 12,254 | 11,740 | $1.06M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 7,270 | 7,139 | $699K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.3% | 25,636 | 25,111 | $626K |
| 90461 | 3.5% | 13,037 | 12,821 | $304K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 3.0% | 1,629 | 1,599 | $255K |
| 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 | <1% | 555 | 539 | $81K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,430 | 1,406 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 668 | 656 | $65K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 418 | 389 | $55K |
| G9153 | Mapcp demonstration - physician incentive pool | <1% | 5,518 | 5,451 | $49K |
56 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,825 | $42K |
| 99051 | <1% | 2,431 | $30K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,753 | $29K |
| 96161 | <1% | 3,090 | $27K | |
| 92587 | <1% | 1,420 | $23K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,540 | $21K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 460 | $21K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 202 | $19K |
| 99188 | <1% | 977 | $17K | |
| 81003 | <1% | 6,670 | $16K | |
| 99177 | <1% | 3,178 | $15K | |
| 99460 | <1% | 210 | $15K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 92 | $14K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 880 | $13K |
| 59430 | <1% | 75 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 132 | $11K |
| 83655 | <1% | 745 | $10K | |
| 76801 | <1% | 78 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,442 | $6K |
| 87081 | <1% | 703 | $5K | |
| 87430 | <1% | 234 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 274 | $2K |
| 90715 | <1% | 65 | $2K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 17 | $2K |
| 90686 | <1% | 1,811 | $2K | |
| 94760 | <1% | 1,596 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 452 | $1K |
| 99221 | <1% | 14 | $1K | |
| 99383 | <1% | 12 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 15 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $1K |
| 87807 | <1% | 58 | $703.65 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 35 | $655.54 |
| 59025 | Fetal non-stress test | <1% | 28 | $642.51 |
| 96127 | <1% | 82 | $619.34 | |
| 90674 | <1% | 29 | $466.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 75 | $432.29 |
| 99462 | <1% | 13 | $315.90 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 26 | $270.70 |
| 81025 | <1% | 17 | $129.76 | |
| 82247 | <1% | 15 | $85.48 | |
| 90633 | 0% | 752 | $0.00 | |
| 90670 | 0% | 3,617 | $0.00 | |
| 90700 | 0% | 437 | $0.00 | |
| 90707 | 0% | 670 | $0.00 | |
| 0502F | 0% | 177 | $0.00 | |
| 90685 | 0% | 111 | $0.00 | |
| 90648 | 0% | 56 | $0.00 | |
| 90713 | 0% | 13 | $0.00 | |
| 90680 | 0% | 2,014 | $0.00 | |
| 90698 | 0% | 2,253 | $0.00 | |
| 90716 | 0% | 646 | $0.00 | |
| 90744 | 0% | 1,127 | $0.00 | |
| 99000 | 0% | 24 | $0.00 | |
| 0503F | 0% | 12 | $0.00 | |
| 36416 | 0% | 27 | $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 officialOOSTDYK, MELISSA (COORDINATOR, PROVIDER RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Apex Allergy & Immunology, P.C. | Greenville, SC | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.