Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRI-RIVERS HEALTHCARE PLLC

NPI: 1598885998 · SMITHLAND, KY 42081 · Internal Medicine Physician · NPI assigned 03/30/2007

$437K
Total Medicaid Paid
50,695
Total Claims
41,028
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHENEISEN, MICHAEL (AGENT)
NPI Enumeration Date03/30/2007

Related Entities

Other providers sharing the same authorized official: HENEISEN, MICHAEL

ProviderCityStateTotal Paid
TRI-RIVERS HEALTHCARE PLLC SALEM KY $738K
TRI-RIVERS HEALTHCARE PLLC MARION KY $522K
TRI-RIVERS HEALTHCARE, PLLC SALEM KY $280K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 11,357 $89K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,401 9,491 $341K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 965 860 $32K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 620 480 $18K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 309 226 $11K
90792 Psychiatric diagnostic evaluation with medical services 85 82 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 305 281 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 242 216 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 373 346 $5K
90791 Psychiatric diagnostic evaluation 54 52 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 191 170 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 39 34 $2K
90832 Psychotherapy, 30 minutes with patient 36 32 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 89 79 $1K
81002 663 530 $636.31
T1015 Clinic visit/encounter, all-inclusive 132 98 $632.98
99309 Subsequent nursing facility care, per day, low to moderate complexity 12 12 $490.52
83036 Hemoglobin; glycosylated (A1C) 60 57 $374.05
36415 Collection of venous blood by venipuncture 19 16 $135.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 16 13 $91.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg 16 13 $8.36
3008F 6,015 4,941 $2.97
3074F 4,863 3,945 $2.24
3078F 4,165 3,380 $1.60
3079F 1,799 1,505 $0.76
3077F 370 301 $0.50
3080F 151 124 $0.23
1126F 2,633 2,252 $0.12
3075F 553 466 $0.10
1125F 1,188 969 $0.07
1160F 4,843 3,924 $0.00
1159F 3,687 3,040 $0.00
3725F 344 309 $0.00
1036F 2,651 2,143 $0.00
1034F 764 602 $0.00
1035F 42 39 $0.00