Medicaid Provider Spending

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

TRI-STATE COMMUNITY HEALTH CENTER, INC

NPI: 1467401372 · CUMBERLAND, MD 21502 · Federally Qualified Health Center (FQHC) · NPI assigned 05/08/2006

$741K
Total Medicaid Paid
20,741
Total Claims
9,949
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDESHONG, SHEILA (CHEIF OPERATING OFFICER)
NPI Enumeration Date05/08/2006

Related Entities

Other providers sharing the same authorized official: DESHONG, SHEILA

ProviderCityStateTotal Paid
TRI-STATE COMMUNITY HEALTH CENTER, INC HANCOCK MD $5.81M
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 $355K
TRI-STATE COMMUNITY HEALTH CENTER-HOSP PHYSICIANS PRACTICE CUMBERLAND MD $89K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,488 $139K
2019 859 $57K
2020 11,026 $131K
2021 2,087 $114K
2022 1,805 $115K
2023 1,622 $114K
2024 854 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,849 4,259 $634K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,602 2,746 $52K
81002 3,737 1,427 $33K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,203 660 $15K
81025 679 275 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 273 59 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 12 $644.95
99232 Subsequent hospital care, per day, moderate complexity 108 16 $207.68
99000 1,663 336 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 407 130 $0.00
59430 207 29 $0.00