Physician
Tri-County Clinical
Tri-County Clinical was paid $459K by Medicaid between Oct 2020 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoTRI-COUNTY CLINICAL
AUSTIN, TX 78731
AUSTIN, TX 78731
33aNPI1588971477assigned 09/13/2010
33bProvider typeFamily Medicine Physician
28Total paid$459K
24GClaims8,311
24DCodes billed12
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#189 of 1,204
Median peer was paid$31K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2020 | 415 | $21K | |
| 2021 | 2,714 | $166K | |
| 2022 | 2,471 | $148K | |
| 2023 | 1,662 | $72K | |
| 2024incomplete | 1,049 | $52K |
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 | 57% | 5,653 | 5,036 | $259K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 14% | 819 | 355 | $66K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 886 | 339 | $64K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 7.9% | 269 | 259 | $36K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.4% | 290 | 250 | $11K |
| 96156 | 1.2% | 129 | 93 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.2% | 146 | 54 | $5K |
| 99223 | Prolong inpt eval add15 m | <1% | 29 | 27 | $4K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 26 | 14 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 28 | 28 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 24 | 24 | $2K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 12 | 12 | $512.73 |
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 officialCARNSER, CLAYTON (VP/COO)
| Provider | Location | Paid |
|---|---|---|
| Tri-County Clinical | Luling, TX | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.