Medicaid Provider Spending

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

TRI STATE SURGICAL ASSOCIATES PLLC

NPI: 1801993175 · MIDDLETOWN, NY 10941 · Specialist · NPI assigned 09/20/2006

$2.27M
Total Medicaid Paid
27,426
Total Claims
25,211
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKOWAL, GINA (BILLING MANAGER)
NPI Enumeration Date09/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,670 $255K
2019 3,297 $278K
2020 3,443 $263K
2021 5,054 $430K
2022 5,187 $427K
2023 4,846 $382K
2024 2,929 $232K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,879 15,121 $1.23M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,851 4,594 $489K
99215 Prolong outpt/office vis 2,117 1,983 $267K
74240 1,968 1,954 $153K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 376 376 $56K
99443 536 521 $47K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 97 97 $12K
43775 12 12 $7K
99442 37 36 $2K
99205 Prolong outpt/office vis 12 12 $2K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 61 59 $2K
T1013 Sign language or oral interpretive services, per 15 minutes 102 100 $1K
96127 109 79 $558.39
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $493.53
36415 Collection of venous blood by venipuncture 257 255 $397.51