Medicaid Provider Spending

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

TRISTAR JOINT REPLACEMENT INSTITUTE, LLC

NPI: 1164834057 · NASHVILLE, TN 37203 · Orthopaedic Surgery Physician · NPI assigned 05/27/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DUNCAN, GARY controls 14+ related entities in our dataset. Read more

$16K
Total Medicaid Paid
1,023
Total Claims
812
Beneficiaries
9
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDUNCAN, GARY (VP)
NPI Enumeration Date05/27/2014

Related Entities

Other providers sharing the same authorized official: DUNCAN, GARY

ProviderCityStateTotal Paid
ST LUCIE MEDICAL SPECIALISTS LLC PORT ST LUCIE FL $1.26M
PALM BEACH GENERAL SURGERY LLC LOXAHATCHEE FL $1.24M
COLUMBIA PRIMARY CARE LLC WEST PALM BEACH FL $663K
INTERNAL MEDICINE ASSOCIATES OF SOUTHERN HILLS LLC NASHVILLE TN $281K
LAWNWOOD HEALTHCARE SPECIALISTS LLC VERO BEACH FL $248K
MIDDLE TENNESSEE NEUROLOGY LLC SMYRNA TN $172K
GREENVIEW PRIMECARE LLC FRANKLIN KY $171K
TRISTAR MEDICAL GROUP - CENTENNIAL PRIMARY CARE, LLC NASHVILLE TN $160K
SOUTHERN HILLS NEUROLOGY CONSULTANTS LLC NASHVILLE TN $29K
HERMITAGE PRIMARY CARE LLC HERMITAGE TN $25K
STERLING PRIMARY CARE ASSOCIATES LLC NASHVILLE TN $10K
CENTENNIAL SURGICAL ASSOCIATES LLC NASHVILLE TN $9K
NORTH GEORGIA PRIMARY CARE GROUP LLC RINGGOLD GA $9K
GREENVIEW SPECIALTY ASSOCIATES LLC BOWLING GREEN KY $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 58 $907.19
2019 108 $3K
2021 44 $934.69
2022 123 $2K
2023 422 $5K
2024 268 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
73562 351 265 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 104 82 $3K
73564 133 104 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 44 37 $2K
73502 130 110 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 83 67 $1K
77073 79 66 $1K
72170 33 26 $314.98
99024 66 55 $0.00