NP / PA
Tri-Rivers Healthcare PLLC
Tri-Rivers Healthcare PLLC was paid $738K by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.
33Billing provider infoTRI-RIVERS HEALTHCARE PLLC
SALEM, KY 42078
SALEM, KY 42078
33aNPI1588644496assigned 01/18/2006
33bProvider typeFamily Nurse Practitioner
28Total paid$738K
24GClaims89,493
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Nurse Practitioner providers in Kentucky
Rank by total paid#31 of 424
Median peer was paid$19K
This provider vs. median39×
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 | 3,095 | $69K | |
| 2019 | 4,988 | $87K | |
| 2020 | 8,117 | $103K | |
| 2021 | 9,230 | $102K | |
| 2022 | 20,486 | $136K | |
| 2023 | 28,301 | $142K | |
| 2024incomplete | 15,276 | $99K |
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 | 83% | 23,208 | 16,809 | $610K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 5.4% | 1,487 | 882 | $40K |
| 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 | 3.4% | 579 | 471 | $25K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.4% | 522 | 465 | $17K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 205 | 163 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 86 | 59 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 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 | <1% | 282 | 248 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 114 | 102 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 109 | 90 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 96 | 30 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 297 | 250 | $3K |
28 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 43 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 48 | $2K |
| 81002 | <1% | 2,017 | $2K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 226 | $2K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 359 | $774.17 |
| 3077F | <1% | 2,447 | $660.49 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 15 | $519.11 |
| 3074F | <1% | 6,939 | $432.51 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $331.80 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $233.10 |
| 90756 | <1% | 14 | $194.24 | |
| 99406 | <1% | 20 | $136.16 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 19 | $67.38 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $30.18 |
| 3008F | <1% | 9,988 | $7.92 | |
| 3078F | <1% | 5,650 | $4.07 | |
| 3079F | <1% | 3,907 | $2.97 | |
| 3075F | <1% | 1,409 | $1.08 | |
| 3080F | <1% | 845 | $0.80 | |
| 1126F | <1% | 3,696 | $0.28 | |
| 1125F | <1% | 4,142 | $0.15 | |
| 1160F | <1% | 8,141 | $0.01 | |
| 1159F | 0% | 5,780 | $0.00 | |
| 3725F | 0% | 315 | $0.00 | |
| 1036F | 0% | 4,176 | $0.00 | |
| 1034F | 0% | 1,733 | $0.00 | |
| 1035F | 0% | 442 | $0.00 | |
| 99000 | 0% | 14 | $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 officialHENEISEN, MICHAEL (AGENT)
| Provider | Location | Paid |
|---|---|---|
| Tri-Rivers Healthcare PLLC | Marion, KY | $522K |
| Tri-Rivers Healthcare PLLC | Smithland, KY | $437K |
| Tri-Rivers Healthcare, PLLC | Salem, KY | $280K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.