Medicaid Provider Spending

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

TRISTAR FAMILY CARE, LLC

NPI: 1609326040 · ASHLAND CITY, TN 37015 · Internal Medicine Physician · NPI assigned 10/10/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official JOSEPH, LOUIS controls 20+ related entities in our dataset. Read more

$368K
Total Medicaid Paid
16,985
Total Claims
13,657
Beneficiaries
23
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialJOSEPH, LOUIS (GROUP VP/AUTHORIZED OFFICIAL)
NPI Enumeration Date10/10/2016

Related Entities

Other providers sharing the same authorized official: JOSEPH, LOUIS

ProviderCityStateTotal Paid
SUNRISE MOUNTAINVIEW MULTISPECIALTY CLINICS, LLC LAS VEGAS NV $4.67M
TANGIPAHOA PARISH SCHOOL SYSTEM AMITE LA $3.97M
RICHMOND MULTI-SPECIALTY, LLC FREDERICKSBURG VA $3.89M
CENTENNIAL HEART LLC NASHVILLE TN $3.47M
WEST VALLEY MEDICAL GROUP LLC CALDWELL ID $2.13M
MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC ASHEVILLE NC $1.94M
EAST FALLS FAMILY MEDICINE, LLC IDAHO FALLS ID $1.05M
MOUNTAINSTAR OGDEN PEDIATRICS LLC OGDEN UT $1.04M
ALASKA REGIONAL MEDICAL GROUP, LLC ANCHORAGE AK $872K
MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC SALT LAKE CITY UT $736K
GARDEN PARK PHYSICIAN GROUP INC GULFPORT MS $625K
WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC CALDWELL ID $484K
MOUNTAINSTAR BEHAVIORAL HEALTH LLC BOUNTIFUL UT $434K
MOUNTAINSTAR CARDIOLOGY ST MARKS LLC SALT LAKE CITY UT $379K
ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC SALT LAKE CITY UT $359K
MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC OGDEN UT $358K
MOUNTAINSTAR MEDICAL GROUP- CACHE VALLEY, LLC PROVIDENCE UT $329K
SKYLINE NEUROSCIENCE ASSOCIATES, LLC NASHVILLE TN $186K
MOUNTAINSTAR SPECIALTY SERVICES LLC SALT LAKE CITY UT $125K
ST. MARK'S PHYSICIAN BILLING, LLC SALT LAKE CITY UT $112K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 448 $10K
2019 398 $10K
2020 510 $12K
2021 5,641 $122K
2022 8,621 $187K
2023 1,367 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,608 7,656 $251K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,802 2,288 $64K
99308 Subsequent nursing facility care, per day, straightforward 1,483 1,278 $15K
20610 612 446 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 222 190 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity 296 261 $4K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 674 543 $3K
99305 159 140 $3K
99215 Prolong outpt/office vis 109 84 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 12 $1K
90686 37 25 $375.55
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $334.48
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 39 25 $204.24
83036 Hemoglobin; glycosylated (A1C) 211 138 $185.62
80305 30 29 $90.98
36415 Collection of venous blood by venipuncture 120 83 $46.30
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 12 12 $0.00
3078F 23 19 $0.00
G0008 Administration of influenza virus vaccine 15 13 $0.00
3074F 70 55 $0.00
3008F 142 112 $0.00
2000F 207 164 $0.00
1036F 88 71 $0.00