NP / PA
Tri-State Pain Management Service INC
Tri-State Pain Management Service INC was paid $46K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoTRI-STATE PAIN MANAGEMENT SERVICE INC
CINCINNATI, OH 45230
CINCINNATI, OH 45230
33aNPI1770565954assigned 11/15/2005
33bProvider typeNurse Practitioner
28Total paid$46K
24GClaims9,394
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nurse Practitioner providers in Ohio
Rank by total paid#60 of 168
Median peer was paid$9K
This provider vs. median5.2×
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 | 1,791 | $3K | |
| 2019 | 1,257 | $3K | |
| 2020 | 514 | $2K | |
| 2021 | 2,300 | $10K | |
| 2022 | 1,950 | $13K | |
| 2023 | 990 | $8K | |
| 2024incomplete | 592 | $7K |
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 | 55% | 2,014 | 1,829 | $25K |
| 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 | 38% | 716 | 681 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.8% | 100 | 96 | $4K |
| 1036F | 0% | 1,055 | 944 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 977 | 927 | $0.00 |
| 1123F | 0% | 332 | 306 | $0.00 | |
| 3017F | 0% | 1,020 | 917 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,017 | 930 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 840 | 732 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 864 | 779 | $0.00 |
| 4040F | 0% | 230 | 204 | $0.00 | |
| 4004F | 0% | 187 | 171 | $0.00 |
1 more codes
| 1090F | 0% | 42 | $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 officialASHLEY, JEWELL (OFFICE MANAGER)