Medicaid Provider Spending

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

TRI STATE CLINIC, INC.

NPI: 1518083971 · GRUNDY, VA 24614 · Pediatrics Physician · NPI assigned 03/21/2007

$261K
Total Medicaid Paid
10,457
Total Claims
7,742
Beneficiaries
14
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialSTACY, JANET (MANAGER)
NPI Enumeration Date03/21/2007

Related Entities

Other providers sharing the same authorized official: STACY, JANET

ProviderCityStateTotal Paid
TRI STATE CLINIC, INC. GRUNDY VA $3.83M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,925 $33K
2019 3,460 $70K
2020 2,136 $36K
2021 1,357 $47K
2022 1,048 $46K
2023 531 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,557 2,276 $140K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,465 2,119 $86K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,991 3,047 $20K
99221 41 40 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 28 26 $2K
99238 Hospital discharge day management, 30 minutes or less 43 40 $2K
99218 26 25 $2K
99232 Subsequent hospital care, per day, moderate complexity 99 26 $2K
99233 Prolong inpt eval add15 m 75 30 $1K
99223 Prolong inpt eval add15 m 20 13 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 46 45 $767.17
99239 Hospital discharge day management, more than 30 minutes 20 13 $757.65
99217 13 12 $688.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 33 30 $0.00