Clinic
Tri-County Hospitalists, LLC
Tri-County Hospitalists, LLC was paid $155K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoTRI-COUNTY HOSPITALISTS, LLC
PHOENIXVILLE, PA 19460
PHOENIXVILLE, PA 19460
33aNPI1730518564assigned 11/02/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$155K
24GClaims7,348
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Pennsylvania
Rank by total paid#13 of 43
Median peer was paid$55K
This provider vs. median2.8×
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 | 99 | $711.15 | |
| 2020 | 1,521 | $14K | |
| 2021 | 2,726 | $49K | |
| 2022 | 1,411 | $32K | |
| 2023 | 1,011 | $35K | |
| 2024incomplete | 580 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 1,515 | 1,290 | $58K |
| 99491 | Ccm add 20min | 19% | 314 | 314 | $29K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 10.0% | 752 | 362 | $15K |
| 80305 | 8.6% | 1,311 | 1,137 | $13K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.9% | 1,618 | 1,170 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.1% | 589 | 276 | $6K |
| 99223 | Prolong inpt eval add15 m | 4.1% | 214 | 198 | $6K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 485 | 187 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.7% | 53 | 46 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 53 | 48 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 51 | 46 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 89 | 84 | $2K |
8 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.1% | 51 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 101 | $901.74 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 25 | $877.06 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 32 | $805.68 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 48 | $618.50 |
| 99219 | <1% | 13 | $349.17 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 16 | $167.66 |
| 99310 | Prolong nursin fac eval 15m | <1% | 18 | $60.31 |
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 officialSHARMA, NAVNEET (PHYSICIAN)