Managed care
Trihealth U LLC
Trihealth U LLC was paid $209K by Medicaid between Oct 2020 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoTRIHEALTH U LLC
CINCINNATI, OH 45212
CINCINNATI, OH 45212
33aNPI1528605177assigned 12/03/2019
33bProvider typePoint of Service
28Total paid$209K
24GClaims6,285
24DCodes billed9
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers
Next to other Point of Service providers in Ohio
Rank by total paid#4 of 6
Median peer was paid$209K
This provider vs. median1.0×
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 | 39 | $2K | |
| 2021 | 736 | $27K | |
| 2022 | 1,146 | $41K | |
| 2023 | 2,399 | $74K | |
| 2024incomplete | 1,965 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 73% | 4,172 | 3,776 | $153K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.9% | 471 | 467 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 390 | 360 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 5.4% | 1,037 | 917 | $11K |
| 99401 | 1.1% | 95 | 93 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 65 | 62 | $2K |
| 87428 | <1% | 29 | 27 | $877.29 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $310.80 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | 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.
From NPPES
Who's on the registration
Authorized officialCROFTON, MICHAEL (VP FINANCE)
| Provider | Location | Paid |
|---|---|---|
| The Good Samaritan Hospital of Cincinnati, Ohio | Cincinnati, OH | $85.63M |
| Bethesda Hospital INC | Cincinnati, OH | $57.06M |
| Hospice of Cincinnati Incorporated | Cincinnati, OH | $54.08M |
| Trihealth G LLC | Cincinnati, OH | $30.89M |
| Trihealth H LLC | Cincinnati, OH | $12.50M |
| Mccullough-Hyde Memorial Hospital, INC. | Oxford, OH | $4.51M |
| Trihealth HF LLC | Oxford, OH | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.