Medicaid Provider Spending

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

TRI-COUNTY HOSPITALISTS, LLC

NPI: 1730518564 · PHOENIXVILLE, PA 19460 · Primary Care Clinic/Center · NPI assigned 11/02/2013

$155K
Total Medicaid Paid
7,348
Total Claims
5,333
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHARMA, NAVNEET (PHYSICIAN)
NPI Enumeration Date11/02/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 99 $711.15
2020 1,521 $14K
2021 2,726 $49K
2022 1,411 $32K
2023 1,011 $35K
2024 580 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,515 1,290 $58K
99491 Ccm add 20min 314 314 $29K
99309 Subsequent nursing facility care, per day, low to moderate complexity 752 362 $15K
80305 1,311 1,137 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,618 1,170 $8K
99232 Subsequent hospital care, per day, moderate complexity 589 276 $6K
99223 Prolong inpt eval add15 m 214 198 $6K
99233 Prolong inpt eval add15 m 485 187 $5K
99239 Hospital discharge day management, more than 30 minutes 53 46 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 53 48 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 51 46 $2K
99222 Initial hospital care, per day, moderate complexity 89 84 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51 41 $2K
99308 Subsequent nursing facility care, per day, straightforward 101 27 $901.74
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 25 24 $877.06
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 32 29 $805.68
99231 Subsequent hospital care, per day, straightforward or low complexity 48 14 $618.50
99219 13 13 $349.17
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16 13 $167.66
99310 Prolong nursin fac eval 15m 18 14 $60.31