Medicaid Provider Spending

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

TRI-RIVERS HEALTHCARE PLLC

NPI: 1588644496 · SALEM, KY 42078 · Family Nurse Practitioner · NPI assigned 01/18/2006

$738K
Total Medicaid Paid
89,493
Total Claims
68,277
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENEISEN, MICHAEL (AGENT)
NPI Enumeration Date01/18/2006

Related Entities

Other providers sharing the same authorized official: HENEISEN, MICHAEL

ProviderCityStateTotal Paid
TRI-RIVERS HEALTHCARE PLLC MARION KY $522K
TRI-RIVERS HEALTHCARE PLLC SMITHLAND KY $437K
TRI-RIVERS HEALTHCARE, PLLC SALEM KY $280K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,095 $69K
2019 4,988 $87K
2020 8,117 $103K
2021 9,230 $102K
2022 20,486 $136K
2023 28,301 $142K
2024 15,276 $99K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,208 16,809 $610K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,487 882 $40K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 579 471 $25K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 522 465 $17K
99308 Subsequent nursing facility care, per day, straightforward 205 163 $5K
99222 Initial hospital care, per day, moderate complexity 86 59 $5K
90792 Psychiatric diagnostic evaluation with medical services 60 58 $5K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 282 248 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 114 102 $4K
90832 Psychotherapy, 30 minutes with patient 109 90 $4K
99232 Subsequent hospital care, per day, moderate complexity 96 30 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 297 250 $3K
90791 Psychiatric diagnostic evaluation 43 36 $3K
99238 Hospital discharge day management, 30 minutes or less 48 38 $2K
81002 2,017 1,438 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 226 154 $2K
T1015 Clinic visit/encounter, all-inclusive 359 280 $774.17
3077F 2,447 1,860 $660.49
99239 Hospital discharge day management, more than 30 minutes 15 12 $519.11
3074F 6,939 5,470 $432.51
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 32 $331.80
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 12 $233.10
90756 14 12 $194.24
99406 20 19 $136.16
J1885 Injection, ketorolac tromethamine, per 15 mg 19 13 $67.38
36415 Collection of venous blood by venipuncture 15 15 $30.18
3008F 9,988 7,745 $7.92
3078F 5,650 4,499 $4.07
3079F 3,907 3,134 $2.97
3075F 1,409 1,193 $1.08
3080F 845 672 $0.80
1126F 3,696 3,011 $0.28
1125F 4,142 3,163 $0.15
1160F 8,141 6,242 $0.01
1159F 5,780 4,457 $0.00
3725F 315 277 $0.00
1036F 4,176 3,200 $0.00
1034F 1,733 1,302 $0.00
1035F 442 350 $0.00
99000 14 14 $0.00