Tri-State Medical Specialists LLC

Tri-State Medical Specialists LLC was paid $1.17M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.

33Billing provider infoTRI-STATE MEDICAL SPECIALISTS LLC
FORT MOHAVE, AZ 86426

33aNPI1649598426assigned 05/04/2010

33bProvider typePain Medicine (Anesthesiology) Physician

28Total paid$1.17M

24GClaims43,729

24DCodes billed31

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Arizona

Rank by total paid#8 of 28

Median peer was paid$308K

This provider vs. median3.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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	14,212	$250K
2019	9,082	$180K
2020	5,313	$167K
2021	5,430	$186K
2022	4,056	$154K
2023	2,865	$115K
2024incomplete	2,771	$115K

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	84%	28,896	26,124	$975K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	8.2%	1,841	1,733	$95K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.5%	215	206	$18K
20611		1.2%	330	191	$14K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	1,863	1,421	$10K
64635		<1%	46	28	$10K
64636		<1%	48	28	$9K
76942		<1%	522	280	$8K
64493		<1%	63	41	$6K
20553		<1%	230	130	$5K
72275		<1%	49	42	$3K
27096		<1%	45	37	$3K

19 more codes

64494		<1%	60	$3K
64495		<1%	61	$3K
72114		<1%	43	$1K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	16	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	58	$1K
80305		<1%	838	$701.83
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	13	$211.09
J2175	Injection, meperidine hydrochloride, per 100 mg	<1%	107	$176.75
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	336	$88.66
A4209	Syringe with needle, sterile 5 cc or greater, each	<1%	2,049	$55.56
J2250	Injection, midazolam hydrochloride, per 1 mg	<1%	192	$26.60
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	37	$20.58
J3010	Injection, fentanyl citrate, 0.1 mg	<1%	21	$7.38
A4215	Needle, sterile, any size, each	<1%	2,564	$7.23
A4213	Syringe, sterile, 20 cc or greater, each	<1%	44	$1.46
1036F		0%	134	$0.00
A4550	Surgical trays	0%	2,423	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	468	$0.00
4004F		0%	117	$0.00

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 officialTABORA, KNAYA (OWNER/MEMBER MANAGER)