Physician
Tri-State Pain Institute LLC
Tri-State Pain Institute LLC was paid $4K by Medicaid between Jan 2018 and Dec 2019, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoTRI-STATE PAIN INSTITUTE LLC
ERIE, PA 16506
ERIE, PA 16506
33aNPI1215106323assigned 02/22/2008
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$4K
24GClaims1,237
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Pennsylvania
Rank by total paid#29 of 34
Median peer was paid$19K
This provider vs. median0.2×
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 | 871 | $2K | |
| 2019 | 366 | $2K |
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 | 55% | 169 | 166 | $2K |
| 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 | 45% | 69 | 66 | $2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 211 | 202 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 302 | 289 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 271 | 260 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 24 | 24 | $0.00 |
| 1111F | 0% | 178 | 169 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 13 | 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 officialTHOMAS, JOSEPH (SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Assurance Professional Management Services INC. | Las Vegas, NV | $6.90M |
| Joseph S Thomas M D | Valdosta, GA | $5K |
| Care Plus Medical Transportation, INC | Stafford, TX | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.