Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRI-STATE COMMUNITY HEALTH CENTER, INC

NPI: 1366491201 · HANCOCK, MD 21750 · Federally Qualified Health Center (FQHC) · NPI assigned 05/09/2006

$5.81M
Total Medicaid Paid
98,150
Total Claims
84,318
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDESHONG, SHEILA (EXECUTIVE DIRECTOR)
NPI Enumeration Date05/09/2006

Related Entities

Other providers sharing the same authorized official: DESHONG, SHEILA

ProviderCityStateTotal Paid
TRI-STATE COMMUNITY HEALTH CENTER, INC BERKELEY SPRINGS WV $1.69M
TRI-STATE COMMUNITY HEALTH CENTER, INC MCCONNELLSBURG PA $1.68M
TRI-STATE COMMUNITY HEALTH CENTER, INC CUMBERLAND MD $741K
TRI-STATE COMMUNITY HEALTH CENTER, INC CUMBERLAND MD $355K
TRI-STATE COMMUNITY HEALTH CENTER-HOSP PHYSICIANS PRACTICE CUMBERLAND MD $89K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,294 $64K
2019 2,474 $57K
2020 20,431 $1.06M
2021 19,252 $1.24M
2022 21,549 $1.27M
2023 19,466 $1.23M
2024 11,684 $901K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,831 18,283 $2.60M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,715 14,590 $1.96M
T1015 Clinic visit/encounter, all-inclusive 15,940 14,090 $609K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,169 2,113 $286K
99215 Prolong outpt/office vis 811 798 $112K
59430 781 688 $104K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 621 602 $85K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 115 115 $14K
36415 Collection of venous blood by venipuncture 6,666 5,780 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,526 1,496 $7K
99385 56 53 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,687 2,549 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 26 $3K
87428 851 802 $2K
96127 438 370 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 14 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 72 68 $843.28
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 275 266 $580.00
90472 Immunization administration, each additional vaccine (list separately) 40 40 $325.92
90715 107 103 $256.08
81025 3,145 2,943 $50.25
90686 605 600 $27.97
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,685 1,630 $24.22
81003 1,700 1,572 $17.20
93000 150 150 $15.68
81002 6,713 4,216 $10.56
99000 9,341 8,816 $8.76
83036 Hemoglobin; glycosylated (A1C) 119 117 $0.00
94760 183 177 $0.00
92551 46 46 $0.00
99406 13 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,709 1,193 $0.00