Tri-State Surgery Center LLC

Tri-State Surgery Center LLC was paid $72K by Medicaid between Jan 2021 and Sep 2023, across 3 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 71% of everything it billed.

33Billing provider infoTRI-STATE SURGERY CENTER LLC
WASHINGTON, PA 15301

33aNPI1427094945assigned 06/22/2006

33bProvider typeAmbulatory Surgical Clinic/Center

28Total paid$72K

24GClaims337

24DCodes billed3

24AFirst – last monthJan 2021 – Sep 2023

Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania

Rank by total paid#52 of 119

Median peer was paid$57K

This provider vs. median1.2×

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
2021	288	$62K
2022	12	$3K
2023	37	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	71%	255	254	$51K
45380	Colonoscopy, flexible; with biopsy, single or multiple	22%	70	70	$16K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	6.5%	12	12	$5K

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 officialSPAHN, KRISTEN (FINANCE MANAGER)