Tri-State Physiatry LLC

Tri-State Physiatry LLC was paid $22K by Medicaid between Apr 2018 and Sep 2022, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 59% of everything it billed.

33Billing provider infoTRI-STATE PHYSIATRY LLC
MORGANTOWN, WV 26505

33aNPI1396267886assigned 07/17/2017

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$22K

24GClaims1,395

24DCodes billed5

24AFirst – last monthApr 2018 – Sep 2022

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in West Virginia

Rank by total paid#5 of 9

Median peer was paid$22K

This provider vs. median1.0×

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	198	$13K
2020	937	$7K
2021	181	$2K
2022	79	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	59%	264	44	$13K
99309	Subsequent nursing facility care, per day, low to moderate complexity	40%	1,083	578	$9K
99306	Prolong nursin fac eval 15m	1.1%	18	14	$239.86
99308	Subsequent nursing facility care, per day, straightforward	0%	17	12	$0.00
99222	Initial hospital care, per day, moderate complexity	0%	13	13	$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 officialGIBBS-MCELVYQ, SHELANA (PRESIDENT)