Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Tri-County Surgical Specialists LLC

Tri-County Surgical Specialists LLC was paid $171K by Medicaid between Jan 2018 and Jun 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoTRI-COUNTY SURGICAL SPECIALISTS LLC
CHARLESTON, SC 29406
33aNPI1659661544assigned 04/12/2011
28Total paid$171K
24GClaims3,781
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2024

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FAILE, ROBERT controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018837$36K
2019667$30K
2020441$22K
2021558$25K
2022480$19K
2023649$32K
2024incomplete149$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 76% 3,091 2,844 $130K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16% 441 414 $28K
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 5.3% 118 116 $9K
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 1.1% 39 36 $2K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 28 18 $1K
73110 <1% 25 25 $495.99
73100 <1% 26 24 $457.08
73600 <1% 13 12 $246.04

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 officialFAILE, ROBERT (VICE PRESIDENT)
Same official

Other billing entities under FAILE, ROBERT

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.