Physician
Tri-State Health, INC.
Tri-State Health, INC. was paid $3.60M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoTRI-STATE HEALTH, INC.
ELKTON, MD 21921
ELKTON, MD 21921
33aNPI1255409082assigned 12/01/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.60M
24GClaims50,883
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Maryland
Rank by total paid#10 of 501
Median peer was paid$77K
This provider vs. median47×
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 | 6,784 | $427K | |
| 2019 | 6,951 | $496K | |
| 2020 | 11,785 | $718K | |
| 2021 | 6,425 | $479K | |
| 2022 | 5,753 | $524K | |
| 2023 | 8,030 | $521K | |
| 2024incomplete | 5,155 | $436K |
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 | 50% | 25,163 | 14,609 | $1.79M |
| 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 | 35% | 14,232 | 9,676 | $1.28M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 11% | 7,905 | 3,906 | $409K |
| 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 | 2.5% | 749 | 646 | $90K |
| 99407 | <1% | 1,022 | 600 | $20K | |
| 80305 | <1% | 890 | 496 | $10K | |
| 99406 | <1% | 776 | 445 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 146 | 135 | $2K |
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 officialNIAZ, MUHAMMED (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Tri-State Health, INC. | Elkton, MD | $2.08M |
| Tri-State Health, INC | Elkton, MD | $384K |
| Tri-State Health, INC | Elkton, MD | $52K |
| Tri-State Health, INC | North East, MD | $42K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.