Tri State Obstetrics & Gynecology
Tri State Obstetrics & Gynecology was paid $44K by Medicaid between Nov 2020 and Oct 2024, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 90% of everything it billed.
BEAVER FALLS, PA 15010
Next to other Gynecology Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 124 | $4K | |
| 2021 | 884 | $17K | |
| 2022 | 706 | $12K | |
| 2023 | 679 | $10K | |
| 2024incomplete | 180 | $840.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 90% | 937 | 816 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 82 | 77 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 15 | 15 | $867.60 |
| 3008F | 0% | 1,539 | 1,436 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Heritage Valley Pediatrics, INC. | Beaver, PA | $1.24M |
| Heritage Valley Multispecialty Group, INC. | Beaver, PA | $1.11M |
| Valley Medical Facilities, INC. | Beaver Falls, PA | $283K |
| Heritage Valley Multispecialty Group, INC. | Beaver Falls, PA | $69K |
| Heritage Valley Multispecialty Group, INC | Beaver, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.