TRI-STATE MEMORIAL HOSPITAL
NPI: 1598814352
· CLARKSTON, WA 99403
· Family Medicine Physician
· NPI assigned 01/10/2007
$3.72M
Total Medicaid Paid
Provider Details
| Authorized Official | TOWN, ALEX (CFO) |
| Parent Organization | TRI-STATE MEMORIAL HOSPITAL |
| NPI Enumeration Date | 01/10/2007 |
Related Entities
Other providers sharing the same authorized official: TOWN, ALEX
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,449 |
$381K |
| 2019 |
11,329 |
$494K |
| 2020 |
14,872 |
$599K |
| 2021 |
11,587 |
$488K |
| 2022 |
13,418 |
$648K |
| 2023 |
12,455 |
$598K |
| 2024 |
9,393 |
$515K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
21,258 |
19,708 |
$1.34M |
| 99213 |
|
18,187 |
17,497 |
$960K |
| 99283 |
|
12,784 |
12,549 |
$538K |
| 99284 |
|
5,359 |
5,229 |
$392K |
| 90833 |
|
6,032 |
5,241 |
$207K |
| 99203 |
|
824 |
808 |
$61K |
| 74177 |
|
999 |
975 |
$54K |
| 96127 |
|
4,303 |
4,048 |
$21K |
| 99212 |
|
472 |
454 |
$17K |
| 71045 |
|
2,961 |
2,669 |
$14K |
| 99215 |
Prolong outpt/office vis |
127 |
107 |
$14K |
| 71046 |
|
2,167 |
2,118 |
$14K |
| 70450 |
|
459 |
442 |
$10K |
| 82075 |
|
414 |
316 |
$9K |
| 0002A |
|
241 |
238 |
$9K |
| 80305 |
|
812 |
647 |
$7K |
| 0001A |
|
230 |
229 |
$7K |
| 99205 |
Prolong outpt/office vis |
70 |
69 |
$7K |
| 90834 |
|
76 |
67 |
$5K |
| 99393 |
|
52 |
52 |
$4K |
| 99282 |
|
146 |
143 |
$4K |
| 90686 |
|
232 |
231 |
$3K |
| 99204 |
|
26 |
26 |
$2K |
| 11721 |
|
286 |
278 |
$2K |
| 90471 |
|
393 |
389 |
$2K |
| 11056 |
|
58 |
55 |
$2K |
| 77067 |
|
74 |
73 |
$2K |
| 90688 |
|
103 |
103 |
$2K |
| 76705 |
|
83 |
80 |
$1K |
| 99354 |
|
29 |
28 |
$1K |
| 99285 |
|
12 |
12 |
$1K |
| 90460 |
|
276 |
270 |
$1K |
| 99392 |
|
13 |
13 |
$999.69 |
| 99223 |
Prolong inpt eval add15 m |
15 |
12 |
$803.07 |
| 99231 |
|
65 |
37 |
$714.20 |
| 90792 |
|
54 |
52 |
$711.07 |
| 0003A |
|
16 |
16 |
$649.60 |
| 94729 |
|
106 |
106 |
$579.51 |
| 74176 |
|
12 |
12 |
$559.77 |
| 73630 |
|
106 |
94 |
$538.84 |
| 94726 |
|
66 |
66 |
$489.11 |
| 99442 |
|
19 |
17 |
$452.75 |
| 90960 |
|
14 |
13 |
$445.96 |
| 99232 |
|
18 |
13 |
$428.92 |
| 97597 |
|
18 |
12 |
$395.06 |
| 94060 |
|
65 |
65 |
$390.80 |
| 36415 |
|
220 |
205 |
$354.69 |
| 80053 |
|
42 |
42 |
$347.49 |
| 73610 |
|
57 |
52 |
$271.82 |
| 73030 |
|
41 |
41 |
$219.68 |
| 73130 |
|
39 |
37 |
$203.77 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
263 |
248 |
$114.08 |
| 72100 |
|
12 |
12 |
$75.05 |
| 74019 |
|
12 |
12 |
$73.23 |
| 73502 |
|
15 |
12 |
$65.16 |
| 73562 |
|
13 |
12 |
$60.44 |
| 73110 |
|
12 |
12 |
$58.81 |
| 99459 |
|
12 |
12 |
$54.60 |
| 91300 |
|
633 |
524 |
$0.00 |