Tristar Family Care, LLC
Tristar Family Care, LLC was paid $368K by Medicaid between Jan 2018 and May 2023, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
ASHLAND CITY, TN 37015
Next to other Internal Medicine Physician providers in Tennessee
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 448 | $10K | |
| 2019 | 398 | $10K | |
| 2020 | 510 | $12K | |
| 2021 | 5,641 | $122K | |
| 2022 | 8,621 | $187K | |
| 2023 | 1,367 | $26K |
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 | 68% | 9,608 | 7,656 | $251K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,802 | 2,288 | $64K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.1% | 1,483 | 1,278 | $15K |
| 20610 | 3.9% | 612 | 446 | $14K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 222 | 190 | $10K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.1% | 296 | 261 | $4K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 674 | 543 | $3K |
| 99305 | <1% | 159 | 140 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 109 | 84 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 12 | $1K |
| 90686 | <1% | 37 | 25 | $375.55 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 13 | $334.48 |
11 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 39 | $204.24 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 211 | $185.62 |
| 80305 | <1% | 30 | $90.98 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 120 | $46.30 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | $0.00 |
| 3078F | 0% | 23 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| 3074F | 0% | 70 | $0.00 | |
| 3008F | 0% | 142 | $0.00 | |
| 2000F | 0% | 207 | $0.00 | |
| 1036F | 0% | 88 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.