Tri-State Emergency Physicians LLP

Tri-State Emergency Physicians LLP was paid $5.29M by Medicaid between Jan 2018 and Apr 2020, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 61% of everything it billed.

33Billing provider infoTRI-STATE EMERGENCY PHYSICIANS LLP
WHEELING, WV 26003

33aNPI1508313719assigned 09/06/2016

33bProvider typeEmergency Medicine Physician

28Total paid$5.29M

24GClaims21,744

24DCodes billed5

24AFirst – last monthJan 2018 – Apr 2020

Compared with peers

Next to other Emergency Medicine Physician providers in West Virginia

Rank by total paid#2 of 87

Median peer was paid$75K

This provider vs. median71×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official KING, DERIK controls 13+ related entities in our dataset. Read more

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
2018	8,373	$1.75M
2019	9,303	$2.18M
2020	4,068	$1.35M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	61%	10,333	9,755	$3.24M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	22%	3,910	3,759	$1.16M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	9.1%	3,185	3,064	$482K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	7.3%	4,285	3,953	$384K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	31	29	$15K

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 officialKING, DERIK (MANAGING PARTNER)

Same official

Other billing entities under KING, DERIK

Full network →

Provider	Location	Paid
Mid Ohio Emergency Physicians LLP	Mansfield, OH	$2.32M
Gateway Emergency Physicians, LLP	Joplin, MO	$817K
Mountain Emergency Physicians LLP	Wheeling, WV	$531K
Southern Alabama Physicians LLP	Dothan, AL	$393K
Riverside Emergency Physicians, LLP	Williamston, NC	$277K
West Side Emergency Physicians, LLP	Kenton, OH	$233K
Gateway Emergency Physicians, LLP	Neosho, MO	$92K
Southern Ohio Emergency Physicians, LLP	Athens, OH	$52K
Delmarva Emergency Physicians LLP	Dover, DE	$26K
Delmarva Emergency Physicians LLP	Smyrna, DE	$17K
Delmarva Emergency Physicians LLP	Milford, DE	$15K
Meramec Emergency Physicians, LLP	Dexter, MO	$11K
Atlantic Hospitalist Physicians, LLP	Williamston, NC	$8K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.