Tristan Medical PC

Tristan Medical PC was paid $1.24M by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoTRISTAN MEDICAL PC
NORTON, MA 02766

33aNPI1154492700assigned 11/13/2006

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$1.24M

24GClaims33,444

24DCodes billed26

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Massachusetts

Rank by total paid#46 of 297

Median peer was paid$0.00

This provider vs. median0.0×

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	9,009	$333K
2019	9,064	$315K
2020	6,508	$272K
2021	3,959	$158K
2022	2,791	$126K
2023	1,249	$27K
2024incomplete	864	$5K

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	65%	15,634	14,658	$808K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	7,230	6,921	$286K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.8%	441	425	$35K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.9%	278	264	$23K
99490	Ccm add 20min	1.2%	3,546	3,543	$15K
99309	Subsequent nursing facility care, per day, low to moderate complexity	1.1%	1,297	886	$13K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	228	228	$12K
99310	Prolong nursin fac eval 15m	<1%	630	516	$10K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	395	392	$8K
90688		<1%	506	505	$7K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	57	54	$4K
99308	Subsequent nursing facility care, per day, straightforward	<1%	1,151	671	$4K

14 more codes

80305		<1%	729	$3K
83036	Hemoglobin; glycosylated (A1C)	<1%	440	$3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	404	$2K
64483		<1%	15	$2K
64484		<1%	14	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	29	$506.10
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	27	$251.61
93000		<1%	28	$204.27
99442		<1%	33	$150.88
83986		<1%	197	$76.95
81003		<1%	26	$43.89
99072		0%	33	$0.00
82962		0%	63	$0.00
G0008	Administration of influenza virus vaccine	0%	13	$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 officialTHIBERT, JULIE (MEDICAL DIRECTOR)