Tri State Medical

Tri State Medical was paid $814K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 44% of everything it billed.

33Billing provider infoTRI STATE MEDICAL
WEIRTON, WV 26062

33aNPI1720084304assigned 06/28/2005

33bProvider typeOxygen Equipment & Supplies (DME)

28Total paid$814K

24GClaims13,873

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Oxygen Equipment & Supplies (DME) providers in West Virginia

Rank by total paid#7 of 23

Median peer was paid$685K

This provider vs. median1.2×

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	1,891	$128K
2019	1,374	$82K
2020	2,099	$148K
2021	2,233	$118K
2022	2,322	$113K
2023	2,254	$126K
2024incomplete	1,700	$99K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	44%	4,547	4,034	$358K
A4520	Incontinence garment, any type, (e.g., brief, diaper), each	35%	2,170	2,056	$288K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	8.0%	3,074	2,736	$65K
E0570	Nebulizer, with compressor	5.2%	1,586	1,415	$42K
E0601	Continuous positive airway pressure (cpap) device	2.7%	520	468	$22K
E0114	Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips	1.5%	374	337	$12K
K0001	Standard wheelchair	1.1%	370	321	$9K
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	<1%	97	86	$4K
A7038	Filter, disposable, used with positive airway pressure device	<1%	680	625	$3K
E0562	Humidifier, heated, used with positive airway pressure device	<1%	52	50	$3K
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable	<1%	87	84	$2K
A4554	Disposable underpads, all sizes	<1%	134	126	$2K

5 more codes

A4604	Tubing with integrated heating element for use with positive airway pressure device	<1%	42	$1K
A5500	For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe	<1%	32	$729.68
A5512	For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each	<1%	34	$595.11
A7035	Headgear used with positive airway pressure device	<1%	43	$587.75
A7015	Aerosol mask, used with dme nebulizer	<1%	31	$158.97

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 officialBERNABEI, JOHN (OWNER)

Same official

Other billing entities under BERNABEI, JOHN

Full network →

Provider	Location	Paid
Follansbee Pharmacy, INC	Follansbee, WV	$74K
Follansbee Pharmacy INC	Weirton, WV	$1K

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