Physician
Tri-State Memorial Hospital
Tri-State Memorial Hospital was paid $3.72M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoTRI-STATE MEMORIAL HOSPITAL
CLARKSTON, WA 99403
CLARKSTON, WA 99403
33aNPI1598814352assigned 01/10/2007
33bProvider typeFamily Medicine Physician
28Total paid$3.72M
24GClaims81,503
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#31 of 347
Median peer was paid$53K
This provider vs. median70×
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 | 8,449 | $381K | |
| 2019 | 11,329 | $494K | |
| 2020 | 14,872 | $599K | |
| 2021 | 11,587 | $488K | |
| 2022 | 13,418 | $648K | |
| 2023 | 12,455 | $598K | |
| 2024incomplete | 9,393 | $515K |
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 | 36% | 21,258 | 19,708 | $1.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 18,187 | 17,497 | $960K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 12,784 | 12,549 | $538K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 5,359 | 5,229 | $392K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 5.6% | 6,032 | 5,241 | $207K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 824 | 808 | $61K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.4% | 999 | 975 | $54K |
| 96127 | <1% | 4,303 | 4,048 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 472 | 454 | $17K |
| 71045 | Radiologic examination, chest; single view | <1% | 2,961 | 2,669 | $14K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 127 | 107 | $14K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,167 | 2,118 | $14K |
47 more codes
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 459 | $10K |
| 82075 | <1% | 414 | $9K | |
| 0002A | <1% | 241 | $9K | |
| 80305 | <1% | 812 | $7K | |
| 0001A | <1% | 230 | $7K | |
| 99205 | Prolong outpt/office vis | <1% | 70 | $7K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 76 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 52 | $4K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 146 | $4K |
| 90686 | <1% | 232 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $2K |
| 11721 | <1% | 286 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 393 | $2K |
| 11056 | <1% | 58 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 74 | $2K |
| 90688 | <1% | 103 | $2K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 83 | $1K |
| 99354 | <1% | 29 | $1K | |
| 99285 | Emergency room visit (most serious) | <1% | 12 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 276 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | $999.69 |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $803.07 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 65 | $714.20 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 54 | $711.07 |
| 0003A | <1% | 16 | $649.60 | |
| 94729 | <1% | 106 | $579.51 | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 12 | $559.77 |
| 73630 | <1% | 106 | $538.84 | |
| 94726 | <1% | 66 | $489.11 | |
| 99442 | <1% | 19 | $452.75 | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 14 | $445.96 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 18 | $428.92 |
| 97597 | <1% | 18 | $395.06 | |
| 94060 | <1% | 65 | $390.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 220 | $354.69 |
| 80053 | Comprehensive metabolic panel | <1% | 42 | $347.49 |
| 73610 | <1% | 57 | $271.82 | |
| 73030 | <1% | 41 | $219.68 | |
| 73130 | <1% | 39 | $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) | <1% | 263 | $114.08 |
| 72100 | <1% | 12 | $75.05 | |
| 74019 | <1% | 12 | $73.23 | |
| 73502 | <1% | 15 | $65.16 | |
| 73562 | <1% | 13 | $60.44 | |
| 73110 | <1% | 12 | $58.81 | |
| 99459 | <1% | 12 | $54.60 | |
| 91300 | 0% | 633 | $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 officialTOWN, ALEX (CFO)
Parent organizationTRI-STATE MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Tri-State Memorial Hospital | Clarkston, WA | $14.46M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.