Medicaid Provider Spending

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

TRI STATE MEDICAL CLINIC INC

NPI: 1649370719 · MIDDLESBORO, KY 40965 · Family Nurse Practitioner · NPI assigned 09/25/2006

$1.26M
Total Medicaid Paid
49,413
Total Claims
38,781
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROARK, LARRY (NURSE PRACTITIONER/OWNER)
NPI Enumeration Date09/25/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,886 $147K
2019 7,010 $151K
2020 7,341 $204K
2021 9,766 $248K
2022 6,956 $201K
2023 7,033 $166K
2024 5,421 $140K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,528 24,610 $856K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,912 2,389 $94K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,006 2,500 $62K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,993 1,610 $58K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 571 545 $55K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 631 564 $33K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,304 991 $21K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,379 1,148 $20K
87428 296 278 $18K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 647 524 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 332 312 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 760 717 $5K
J0696 Injection, ceftriaxone sodium, per 250 mg 146 135 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 131 117 $5K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 391 334 $3K
90674 150 130 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 407 372 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 94 91 $1K
99215 Prolong outpt/office vis 20 16 $970.85
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 30 28 $936.46
99201 26 22 $534.18
90686 17 16 $232.41
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 154 139 $94.36
A4206 Syringe with needle, sterile, 1 cc or less, each 1,253 1,032 $75.43
81002 44 37 $35.55
J1885 Injection, ketorolac tromethamine, per 15 mg 13 12 $25.34
87807 12 12 $12.70
G0008 Administration of influenza virus vaccine 18 13 $8.44
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 148 87 $0.07