NP / PA
Tri State Urgent Care LLC
Tri State Urgent Care LLC was paid $104K by Medicaid between Jan 2018 and May 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoTRI STATE URGENT CARE LLC
COLD SPRING, KY 41076
COLD SPRING, KY 41076
33aNPI1649454034assigned 12/21/2007
33bProvider typeAcute Care Clinical Nurse Specialist
28Total paid$104K
24GClaims3,200
24DCodes billed4
24AFirst – last monthJan 2018 – May 2019
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,288 | $78K | |
| 2019 | 912 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 72% | 2,014 | 1,794 | $75K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 426 | 391 | $28K |
| 94760 | <1% | 743 | 692 | $512.92 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | 13 | $275.13 |
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.
From NPPES
Who's on the registration
Authorized officialHASSAN, THORAYA (MANANDER)
| Provider | Location | Paid |
|---|---|---|
| Dixie Urgent Care INC | Fairfield, OH | $217K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.