Physician
Tri-Rivers Healthcare PLLC
Tri-Rivers Healthcare PLLC was paid $437K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoTRI-RIVERS HEALTHCARE PLLC
SMITHLAND, KY 42081
SMITHLAND, KY 42081
33aNPI1598885998assigned 03/30/2007
33bProvider typeInternal Medicine Physician
28Total paid$437K
24GClaims50,695
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Kentucky
Rank by total paid#61 of 231
Median peer was paid$77K
This provider vs. median5.7×
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 | 1,298 | $35K | |
| 2019 | 2,497 | $41K | |
| 2020 | 3,285 | $37K | |
| 2021 | 5,252 | $68K | |
| 2022 | 10,320 | $77K | |
| 2023 | 16,686 | $92K | |
| 2024incomplete | 11,357 | $89K |
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 | 78% | 12,401 | 9,491 | $341K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 7.4% | 965 | 860 | $32K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.1% | 620 | 480 | $18K |
| 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 | 2.5% | 309 | 226 | $11K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.7% | 85 | 82 | $8K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 305 | 281 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 242 | 216 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 373 | 346 | $5K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 54 | 52 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 191 | 170 | $2K |
| 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% | 39 | 34 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 36 | 32 | $1K |
23 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 89 | $1K |
| 81002 | <1% | 663 | $636.31 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 132 | $632.98 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 12 | $490.52 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 60 | $374.05 |
| 36415 | Collection of venous blood by venipuncture | <1% | 19 | $135.20 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 16 | $91.26 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 16 | $8.36 |
| 3008F | <1% | 6,015 | $2.97 | |
| 3074F | <1% | 4,863 | $2.24 | |
| 3078F | <1% | 4,165 | $1.60 | |
| 3079F | <1% | 1,799 | $0.76 | |
| 3077F | <1% | 370 | $0.50 | |
| 3080F | <1% | 151 | $0.23 | |
| 1126F | <1% | 2,633 | $0.12 | |
| 3075F | <1% | 553 | $0.10 | |
| 1125F | <1% | 1,188 | $0.07 | |
| 1160F | 0% | 4,843 | $0.00 | |
| 1159F | 0% | 3,687 | $0.00 | |
| 3725F | 0% | 344 | $0.00 | |
| 1036F | 0% | 2,651 | $0.00 | |
| 1034F | 0% | 764 | $0.00 | |
| 1035F | 0% | 42 | $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 | Salem, KY | $738K |
| Tri-Rivers Healthcare PLLC | Marion, KY | $522K |
| 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.