Tri-County Medical Associates of PA, LLC

Tri-County Medical Associates of PA, LLC was paid $12K by Medicaid between Dec 2020 and Jan 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoTRI-COUNTY MEDICAL ASSOCIATES OF PA, LLC
NEW CASTLE, PA 16105

33aNPI1497718696assigned 04/10/2006

33bProvider typeInternal Medicine Physician

28Total paid$12K

24GClaims593

24DCodes billed3

24AFirst – last monthDec 2020 – Jan 2023

Compared with peers

Next to other Internal Medicine Physician providers in Pennsylvania

Rank by total paid#711 of 1,726

Median peer was paid$6K

This provider vs. median1.9×

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	15	$170.14
2021	275	$5K
2022	280	$6K
2023	23	$691.44

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	74%	329	298	$9K
99309	Subsequent nursing facility care, per day, low to moderate complexity	26%	101	61	$3K
94760		<1%	163	153	$28.33

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 officialKAUL, RAMESH (MANAGING MEMBER/DOCTOR)