Tri-State Community Health Center-Hosp Physicians Practice
Tri-State Community Health Center-Hosp Physicians Practice was paid $89K by Medicaid between Jan 2020 and Mar 2024, across 3 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 59% of everything it billed.
CUMBERLAND, MD 21502
Next to other Federally Qualified Health Center (FQHC) providers in Maryland
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 177 | $41K | |
| 2021 | 187 | $13K | |
| 2022 | 137 | $20K | |
| 2023 | 61 | $14K | |
| 2024incomplete | 14 | $1K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 59% | 61 | 61 | $52K |
| 99238 | Hospital discharge day management, 30 minutes or less | 22% | 269 | 260 | $19K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 19% | 246 | 170 | $17K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Tri-State Community Health Center, INC | Hancock, MD | $5.81M |
| Tri-State Community Health Center, INC | Berkeley Springs, WV | $1.69M |
| Tri-State Community Health Center, INC | Mcconnellsburg, PA | $1.68M |
| Tri-State Community Health Center, INC | Cumberland, MD | $741K |
| Tri-State Community Health Center, INC | Cumberland, MD | $355K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.