TRI STATE MEDICAL CLINIC INC
NPI: 1649370719
· MIDDLESBORO, KY 40965
· 363LF0000X
$1.26M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
32,528 |
24,610 |
$856K |
| 99214 |
|
2,912 |
2,389 |
$94K |
| 99212 |
|
3,006 |
2,500 |
$62K |
| 87635 |
|
1,993 |
1,610 |
$58K |
| 87636 |
|
571 |
545 |
$55K |
| 99203 |
|
631 |
564 |
$33K |
| 87804 |
|
1,304 |
991 |
$21K |
| 96372 |
|
1,379 |
1,148 |
$20K |
| 87428 |
|
296 |
278 |
$18K |
| 99211 |
|
647 |
524 |
$7K |
| 87426 |
|
332 |
312 |
$6K |
| 87880 |
|
760 |
717 |
$5K |
| J0696 |
Ceftriaxone sodium injection |
146 |
135 |
$5K |
| 99202 |
|
131 |
117 |
$5K |
| G2025 |
Dis site tele svcs rhc/fqhc |
391 |
334 |
$3K |
| 90674 |
|
150 |
130 |
$2K |
| J1100 |
Dexamethasone sodium phos |
407 |
372 |
$2K |
| 90471 |
|
94 |
91 |
$1K |
| 99215 |
Prolong outpt/office vis |
20 |
16 |
$970.85 |
| 96374 |
|
30 |
28 |
$936.46 |
| 99201 |
|
26 |
22 |
$534.18 |
| 90686 |
|
17 |
16 |
$232.41 |
| J2001 |
Lidocaine injection |
154 |
139 |
$94.36 |
| A4206 |
1 cc sterile syringe&needle |
1,253 |
1,032 |
$75.43 |
| 81002 |
|
44 |
37 |
$35.55 |
| J1885 |
Ketorolac tromethamine inj |
13 |
12 |
$25.34 |
| 87807 |
|
12 |
12 |
$12.70 |
| G0008 |
Admin influenza virus vac |
18 |
13 |
$8.44 |
| G8427 |
Docrev cur meds by elig clin |
148 |
87 |
$0.07 |