Physician
Tri City Urology Associates PC
Tri City Urology Associates PC was paid $941K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoTRI CITY UROLOGY ASSOCIATES PC
SAGINAW, MI 48601
SAGINAW, MI 48601
33aNPI1366463101assigned 07/21/2006
33bProvider typeUrology Physician
28Total paid$941K
24GClaims26,043
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urology Physician providers in Michigan
Rank by total paid#1 of 41
Median peer was paid$22K
This provider vs. median44×
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 | 3,990 | $117K | |
| 2019 | 3,773 | $110K | |
| 2020 | 3,271 | $98K | |
| 2021 | 3,324 | $131K | |
| 2022 | 3,209 | $140K | |
| 2023 | 3,636 | $163K | |
| 2024incomplete | 4,840 | $183K |
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 | 25% | 6,027 | 5,911 | $234K |
| 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 | 14% | 2,310 | 2,271 | $131K |
| 52000 | 13% | 1,109 | 1,103 | $119K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 1,929 | 1,923 | $112K |
| 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 | 11% | 1,201 | 1,197 | $105K |
| 52356 | 7.7% | 316 | 301 | $72K | |
| 99221 | 7.5% | 1,383 | 1,331 | $70K | |
| 52310 | 5.6% | 339 | 334 | $53K | |
| 51798 | 2.4% | 4,028 | 4,002 | $23K | |
| 81002 | <1% | 3,968 | 3,843 | $8K | |
| 82570 | <1% | 2,680 | 2,659 | $8K | |
| 52352 | <1% | 13 | 13 | $2K |
4 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 653 | $2K |
| 52332 | <1% | 26 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 42 | $837.83 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $628.19 |
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 officialBAHM, TAMARA (MEDICAL BILLER)