Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Uniontown › NPI 1194022392
Physician

Tri County Urology Associates INC

Tri County Urology Associates INC was paid $30K by Medicaid between Nov 2020 and May 2022, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.

33Billing provider infoTRI COUNTY UROLOGY ASSOCIATES INC
UNIONTOWN, PA 15401
33aNPI1194022392assigned 02/24/2011
33bProvider typeUrology Physician
28Total paid$30K
24GClaims1,697
24DCodes billed7
24AFirst – last monthNov 2020 – May 2022
Compared with peers

Next to other Urology Physician providers in Pennsylvania

Rank by total paid#31 of 134
Median peer was paid$3K
This provider vs. median9.6×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2020124$3K
20211,146$23K
2022427$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 42% 398 382 $13K
51798 21% 786 755 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 296 274 $6K
76775 7.7% 39 39 $2K
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 7.5% 30 30 $2K
81002 1.1% 133 132 $331.10
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 15 $169.89

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 officialSAVARIRAYAN, SUNIL (PRESIDENT)