Clinic
Triad Health Systems, INC.
Triad Health Systems, INC. was paid $2.94M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoTRIAD HEALTH SYSTEMS, INC.
WARSAW, KY 41095
WARSAW, KY 41095
33aNPI1831311299assigned 05/03/2007
33bProvider typeClinic/Center
28Total paid$2.94M
24GClaims101,045
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Kentucky
Rank by total paid#6 of 42
Median peer was paid$224K
This provider vs. median13×
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 | 4,827 | $134K | |
| 2019 | 14,638 | $416K | |
| 2020 | 12,183 | $356K | |
| 2021 | 15,927 | $455K | |
| 2022 | 19,990 | $542K | |
| 2023 | 19,157 | $578K | |
| 2024incomplete | 14,323 | $458K |
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 | 44% | 40,109 | 35,177 | $1.31M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 27% | 10,814 | 6,976 | $791K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.5% | 9,268 | 8,407 | $251K |
| 87428 | 4.2% | 3,204 | 3,030 | $124K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.9% | 8,305 | 7,776 | $113K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.9% | 1,571 | 1,193 | $84K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.4% | 4,710 | 1,985 | $40K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 956 | 788 | $39K |
| 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 | 1.2% | 762 | 670 | $35K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 2,160 | 2,012 | $31K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,314 | 1,250 | $26K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 417 | 332 | $24K |
24 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 500 | $18K |
| 96127 | <1% | 13,381 | $16K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,047 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 275 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,107 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 67 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 158 | $1K |
| 87807 | <1% | 117 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 51 | $1K |
| 99172 | <1% | 163 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 23 | $1K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 15 | $840.34 |
| 99406 | <1% | 124 | $714.82 | |
| 99173 | <1% | 29 | $675.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $538.72 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 19 | $378.04 |
| G0466 | Community health center visit, new patient | <1% | 25 | $310.88 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 28 | $304.29 |
| 81003 | <1% | 216 | $152.41 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 14 | $124.00 |
| 82962 | <1% | 12 | $22.90 | |
| 36416 | <1% | 13 | $6.54 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | 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 officialCRAFT, ADAM (CHIEF EXECUTIVE OFFICER)