TRI STATE URGENT CARE LLC
NPI: 1649454034
· COLD SPRING, KY 41076
· Acute Care Clinical Nurse Specialist
· NPI assigned 12/21/2007
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | HASSAN, THORAYA (MANANDER) |
| NPI Enumeration Date | 12/21/2007 |
Related Entities
Other providers sharing the same authorized official: HASSAN, THORAYA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,288 |
$78K |
| 2019 |
912 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,014 |
1,794 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
426 |
391 |
$28K |
| 94760 |
|
743 |
692 |
$512.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$275.13 |