Medicaid Provider Spending

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

TRI-STATE ORTHOPAEDICS, LLC

NPI: 1871531426 · MEMPHIS, TN 38116 · Orthopaedic Surgery Physician · NPI assigned 06/04/2006

$6.87M
Total Medicaid Paid
127,065
Total Claims
65,590
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDALAL, APURVA (OWNER)
NPI Enumeration Date06/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,343 $1.49M
2019 27,206 $1.75M
2020 28,408 $1.63M
2021 22,148 $1.28M
2022 11,670 $428K
2023 7,856 $34K
2024 9,434 $241K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J3300 Injection, triamcinolone acetonide, preservative free, 1 mg 7,595 4,317 $1.04M
20611 23,572 10,282 $892K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 7,797 1,583 $769K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,710 9,620 $638K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,777 6,513 $507K
93970 3,780 2,568 $366K
L0650 Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf 688 454 $316K
93925 2,917 2,048 $314K
L1833 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf 1,328 711 $272K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 2,731 966 $235K
L1851 Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf 647 339 $218K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,400 1,719 $216K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 3,792 890 $199K
73562 7,881 3,806 $114K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose 2,476 522 $113K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,498 1,044 $100K
97161 1,157 893 $89K
J1040 Injection, methylprednisolone acetate, 80 mg 8,491 5,315 $73K
76881 971 649 $60K
20610 2,417 955 $55K
73521 2,802 2,012 $50K
72100 2,878 2,038 $48K
20606 980 619 $43K
73030 2,167 1,340 $28K
72040 1,702 1,146 $28K
27096 142 89 $17K
73560 954 343 $17K
73564 514 206 $10K
73565 496 338 $10K
73130 376 209 $7K
L3809 Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type 80 40 $7K
J1010 Injection, methylprednisolone acetate, 1 mg 1,018 634 $4K
97162 41 35 $3K
73630 121 67 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 76 12 $2K
97760 63 45 $2K
73501 111 65 $1K
76882 60 44 $1K
J7322 Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg 34 15 $1K
99401 53 43 $951.10
97535 Self-care/home management training, each 15 minutes 16 15 $278.22
73610 16 12 $135.97
99024 1,740 1,029 $84.93