Physician
Tri-State Pulmonary Medical Practice
Tri-State Pulmonary Medical Practice was paid $17K by Medicaid between Dec 2020 and Sep 2022, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.
33Billing provider infoTRI-STATE PULMONARY MEDICAL PRACTICE
MONACA, PA 15061
MONACA, PA 15061
33aNPI1437580081assigned 12/09/2013
33bProvider typePulmonary Disease Physician
28Total paid$17K
24GClaims455
24DCodes billed2
24AFirst – last monthDec 2020 – Sep 2022
Compared with peers
Next to other Pulmonary Disease Physician providers in Pennsylvania
Rank by total paid#40 of 137
Median peer was paid$7K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2020 | 19 | $750.42 | |
| 2021 | 237 | $8K | |
| 2022 | 199 | $8K |
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 | 94% | 422 | 373 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 33 | 32 | $983.00 |
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 officialLARACUENTE, BENJAMIN (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Pulmonary Center of Pennsylvania, LLC | Monaca, PA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.