Medicaid Provider Spending

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

TRI-RIVERS HEALTHCARE, PLLC

NPI: 1649592304 · SALEM, KY 42078 · Emergency Medicine Physician · NPI assigned 02/23/2010

$280K
Total Medicaid Paid
10,264
Total Claims
7,735
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHENEISEN, MICHAEL (AGENT / BUSINESS MANAGER)
NPI Enumeration Date02/23/2010

Related Entities

Other providers sharing the same authorized official: HENEISEN, MICHAEL

ProviderCityStateTotal Paid
TRI-RIVERS HEALTHCARE PLLC SALEM KY $738K
TRI-RIVERS HEALTHCARE PLLC MARION KY $522K
TRI-RIVERS HEALTHCARE PLLC SMITHLAND KY $437K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,155 $46K
2019 1,420 $57K
2020 695 $29K
2021 922 $32K
2022 1,420 $27K
2023 3,196 $66K
2024 1,456 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,016 1,646 $170K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,521 1,232 $42K
43249 294 244 $37K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,539 1,550 $15K
99219 172 123 $6K
99232 Subsequent hospital care, per day, moderate complexity 247 98 $4K
99220 68 44 $2K
99222 Initial hospital care, per day, moderate complexity 78 52 $1K
43248 24 13 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17 14 $792.33
99308 Subsequent nursing facility care, per day, straightforward 150 71 $566.18
99238 Hospital discharge day management, 30 minutes or less 51 38 $496.39
99217 19 14 $434.64
99239 Hospital discharge day management, more than 30 minutes 17 12 $260.17
99309 Subsequent nursing facility care, per day, low to moderate complexity 41 16 $59.51
3008F 683 588 $0.60
3074F 374 317 $0.08
3078F 313 267 $0.06
1034F 17 12 $0.00
1036F 288 242 $0.00
1126F 218 195 $0.00
1125F 107 83 $0.00
3079F 27 25 $0.00
1160F 557 477 $0.00
1159F 426 362 $0.00