Tri State Community Health Center

Tri State Community Health Center was paid $154K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 37% of everything it billed.

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	675	$10K
2019	904	$13K
2020	537	$8K
2021	1,971	$31K
2022	2,900	$34K
2023	3,492	$44K
2024incomplete	1,520	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	37%	2,906	2,403	$56K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	972	793	$24K
90460	Immunization administration through 18 years of age via any route, first or only component	12%	1,038	373	$18K
D0330	Panoramic radiographic image	5.1%	226	220	$8K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	3.9%	129	55	$6K
81025		3.3%	1,582	1,197	$5K
81002		3.3%	3,381	2,280	$5K
D0150	Comprehensive oral evaluation - new or established patient	3.2%	201	191	$5K
96156		3.0%	198	137	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.2%	53	52	$3K
D1120	Dental cleaning, childProphylaxis - child	2.0%	115	111	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.4%	36	26	$2K

27 more codes

99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	33	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.1%	44	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.0%	37	$2K
D0274	Bitewings - four radiographic images	<1%	60	$1K
D0140	Limited oral evaluation - problem focused	<1%	47	$1K
D0120	Dental checkup, returning patient	<1%	33	$811.37
90791	Psychiatric diagnostic evaluation	<1%	15	$774.37
92551		<1%	122	$692.24
99383		<1%	12	$627.98
D1110	Prophylaxis - adult	<1%	16	$547.56
D1206	Topical application of fluoride varnish	<1%	27	$520.70
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	44	$514.43
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	58	$478.54
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	<1%	39	$394.34
99173		<1%	95	$295.43
90674		<1%	18	$210.70
90658		<1%	53	$175.76
85018		<1%	80	$94.85
85014		<1%	15	$6.63
90461		<1%	128	$6.30
90700		0%	43	$0.00
90713		0%	61	$0.00
90670		0%	16	$0.00
0502F		0%	21	$0.00
90744		0%	13	$0.00
99000		0%	14	$0.00
90647		0%	18	$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 officialRICHARDSON, ALBERT (CHIEF EXECUTIVE OFFICER)