Tri-State Gastroenterology Associates, PSC
Tri-State Gastroenterology Associates, PSC was paid $1.92M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 40% of everything it billed.
CRESTVIEW HILLS, KY 41017
Next to other Ambulatory Surgical Clinic/Center providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,893 | $326K | |
| 2019 | 1,690 | $326K | |
| 2020 | 1,380 | $261K | |
| 2021 | 1,980 | $293K | |
| 2022 | 1,295 | $198K | |
| 2023 | 1,349 | $246K | |
| 2024incomplete | 898 | $266K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 40% | 4,972 | 3,733 | $765K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 33% | 2,695 | 2,157 | $625K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 17% | 1,220 | 997 | $330K |
| 43248 | 7.2% | 773 | 583 | $139K | |
| 43450 | 2.0% | 472 | 323 | $38K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 63 | 55 | $15K |
| 43249 | <1% | 21 | 12 | $4K | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 254 | 205 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 15 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Tri-State Gastroenterology Associates, PSC | Crestview Hills, KY | $1.25M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.