NP / PA
Tri State Urologic Services PSC INC
Tri State Urologic Services PSC INC was paid $933K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoTRI STATE UROLOGIC SERVICES PSC INC
CINCINNATI, OH 45212
CINCINNATI, OH 45212
33aNPI1568404846assigned 06/12/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$933K
24GClaims49,145
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Ohio
Rank by total paid#7 of 365
Median peer was paid$4K
This provider vs. median232×
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 | |
|---|---|---|---|
| 2018 | 5,100 | $70K | |
| 2019 | 6,691 | $116K | |
| 2020 | 6,061 | $103K | |
| 2021 | 7,334 | $139K | |
| 2022 | 7,519 | $158K | |
| 2023 | 8,544 | $191K | |
| 2024incomplete | 7,896 | $156K |
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 | 61% | 14,377 | 13,096 | $573K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 10% | 378 | 335 | $97K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.5% | 903 | 850 | $60K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 860 | 784 | $38K |
| 81002 | 4.0% | 24,441 | 22,038 | $37K | |
| 88121 | 1.6% | 69 | 63 | $15K | |
| 88112 | 1.1% | 261 | 234 | $10K | |
| 87500 | 1.1% | 423 | 379 | $10K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.1% | 424 | 379 | $10K |
| 87653 | 1.1% | 423 | 379 | $10K | |
| 87641 | 1.1% | 407 | 364 | $10K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 575 | 302 | $9K |
17 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 423 | $8K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 410 | $8K |
| 87481 | <1% | 423 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 246 | $7K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 423 | $6K |
| 87640 | <1% | 423 | $3K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 16 | $3K |
| 87556 | <1% | 70 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 54 | $2K |
| 87563 | <1% | 70 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 2,649 | $1K |
| 87511 | <1% | 124 | $1K | |
| 51798 | <1% | 119 | $947.17 | |
| 52281 | <1% | 13 | $632.98 | |
| 84153 | <1% | 106 | $543.73 | |
| 99221 | <1% | 13 | $200.19 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 22 | $153.94 |
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 officialWALZ, EARL (CEO)
| Provider | Location | Paid |
|---|---|---|
| The Urology Center LLC | Cincinnati, OH | $809K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.