Physician
Tri State Lung & Sleep Associates, INC
Tri State Lung & Sleep Associates, INC was paid $521K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoTRI STATE LUNG & SLEEP ASSOCIATES, INC
EAST LIVERPOOL, OH 43920
EAST LIVERPOOL, OH 43920
33aNPI1356371561assigned 07/04/2006
33bProvider typeSleep Medicine (Internal Medicine) Physician
28Total paid$521K
24GClaims23,684
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Sleep Medicine (Internal Medicine) Physician providers in Ohio
Rank by total paid#3 of 14
Median peer was paid$33K
This provider vs. median16×
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 | 5,627 | $111K | |
| 2019 | 4,399 | $103K | |
| 2020 | 3,988 | $80K | |
| 2021 | 3,242 | $70K | |
| 2022 | 2,849 | $64K | |
| 2023 | 2,221 | $56K | |
| 2024incomplete | 1,358 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 17% | 2,131 | 2,000 | $89K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,623 | 2,461 | $75K |
| 94060 | 13% | 2,670 | 2,574 | $70K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 12% | 3,739 | 1,503 | $61K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 11% | 5,479 | 1,811 | $57K |
| 99223 | Prolong inpt eval add15 m | 10% | 1,213 | 1,113 | $53K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 4.4% | 189 | 179 | $23K |
| 94729 | 3.6% | 1,378 | 1,332 | $19K | |
| 94726 | 3.5% | 1,318 | 1,274 | $18K | |
| 99222 | Initial hospital care, per day, moderate complexity | 2.4% | 447 | 377 | $13K |
| 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 | 2.4% | 207 | 201 | $12K |
| 99406 | 1.5% | 1,290 | 1,241 | $8K |
13 more codes
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.1% | 209 | $6K |
| 95811 | <1% | 37 | $5K | |
| 31622 | <1% | 105 | $5K | |
| 90756 | <1% | 118 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 106 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 167 | $1K |
| 90674 | <1% | 62 | $1K | |
| 99441 | <1% | 97 | $711.52 | |
| G0008 | Administration of influenza virus vaccine | <1% | 43 | $374.49 |
| 90661 | <1% | 14 | $372.18 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 13 | $230.22 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $117.00 |
| G0009 | Administration of pneumococcal vaccine | <1% | 16 | $94.29 |
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 officialAZIZ, GHULAM (PRESIDENT)