Physician
Tri-County Family Medicine Program, INC.
Tri-County Family Medicine Program, INC. was paid $6.06M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoTRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
DANSVILLE, NY 14437
DANSVILLE, NY 14437
33aNPI1588649503assigned 12/13/2005
33bProvider typePediatrics Physician
28Total paid$6.06M
24GClaims111,826
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in New York
Rank by total paid#49 of 1,983
Median peer was paid$17K
This provider vs. median357×
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 | 11,238 | $669K | |
| 2019 | 14,976 | $791K | |
| 2020 | 16,299 | $807K | |
| 2021 | 18,147 | $1.02M | |
| 2022 | 17,324 | $1.03M | |
| 2023 | 17,824 | $992K | |
| 2024incomplete | 16,018 | $747K |
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 | 54% | 57,492 | 45,862 | $3.30M |
| 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 | 41% | 39,309 | 28,797 | $2.50M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 438 | 421 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,364 | 2,358 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 397 | 392 | $38K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 332 | 297 | $31K |
| 96127 | <1% | 6,706 | 6,593 | $30K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 379 | 373 | $17K |
| 90686 | <1% | 1,177 | 1,176 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 787 | 785 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 215 | 97 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,351 | 1,334 | $8K |
12 more codes
| 0002A | <1% | 174 | $6K | |
| 0012A | <1% | 201 | $6K | |
| 0011A | <1% | 189 | $4K | |
| 0001A | <1% | 98 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 31 | $2K |
| 0064A | <1% | 36 | $1K | |
| 0071A | <1% | 25 | $895.65 | |
| 0072A | <1% | 21 | $744.23 | |
| 80305 | <1% | 45 | $520.83 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $254.33 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $118.84 |
| 96160 | <1% | 35 | $88.44 |
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 officialSTONE, KAREN (CEO)
| Provider | Location | Paid |
|---|---|---|
| River Bend Services, INC. | Lena, MS | $1.59M |
| Life Span Counseling Center PC | Sanford, NC | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.