TRI-STATE MEDICAL SPECIALISTS LLC
NPI: 1649598426
· FORT MOHAVE, AZ 86426
· 207LP2900X
$1.17M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,212 |
$250K |
| 2019 |
9,082 |
$180K |
| 2020 |
5,313 |
$167K |
| 2021 |
5,430 |
$186K |
| 2022 |
4,056 |
$154K |
| 2023 |
2,865 |
$115K |
| 2024 |
2,771 |
$115K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
28,896 |
26,124 |
$975K |
| 99214 |
|
1,841 |
1,733 |
$95K |
| 99204 |
|
215 |
206 |
$18K |
| 20611 |
|
330 |
191 |
$14K |
| J3301 |
Triamcinolone acet inj nos |
1,863 |
1,421 |
$10K |
| 64635 |
|
46 |
28 |
$10K |
| 64636 |
|
48 |
28 |
$9K |
| 76942 |
|
522 |
280 |
$8K |
| 64493 |
|
63 |
41 |
$6K |
| 20553 |
|
230 |
130 |
$5K |
| 72275 |
|
49 |
42 |
$3K |
| 27096 |
|
45 |
37 |
$3K |
| 64494 |
|
60 |
40 |
$3K |
| 64495 |
|
61 |
40 |
$3K |
| 72114 |
|
43 |
43 |
$1K |
| 72148 |
|
16 |
16 |
$1K |
| 99212 |
|
58 |
55 |
$1K |
| 80305 |
|
838 |
635 |
$701.83 |
| 99211 |
|
13 |
13 |
$211.09 |
| J2175 |
Meperidine hydrochl /100 mg |
107 |
68 |
$176.75 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
336 |
258 |
$88.66 |
| A4209 |
5+ cc sterile syringe&needle |
2,049 |
1,202 |
$55.56 |
| J2250 |
Inj midazolam hydrochloride |
192 |
136 |
$26.60 |
| J1100 |
Dexamethasone sodium phos |
37 |
27 |
$20.58 |
| J3010 |
Fentanyl citrate injection |
21 |
13 |
$7.38 |
| A4215 |
Sterile needle |
2,564 |
1,495 |
$7.23 |
| A4213 |
20+ cc syringe only |
44 |
33 |
$1.46 |
| 1036F |
|
134 |
105 |
$0.00 |
| A4550 |
Surgical trays |
2,423 |
1,336 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
468 |
350 |
$0.00 |
| 4004F |
|
117 |
79 |
$0.00 |