Medicaid Provider Spending

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

TRI-STATE PULMONARY ASSOCIATES, INC.

NPI: 1891731261 · CINCINNATI, OH 45219 · Pulmonary Disease Physician · NPI assigned 06/22/2006

$260K
Total Medicaid Paid
9,452
Total Claims
5,273
Beneficiary Records
14
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialORR, MARILYN (PRACTICE MANAGER/ADMINISTRATOR)
NPI Enumeration Date06/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,199 $75K
2019 3,107 $81K
2020 1,954 $76K
2021 1,192 $29K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,459 716 $115K
99232 Subsequent hospital care, per day, moderate complexity 2,599 1,002 $41K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,171 1,776 $40K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 932 765 $26K
95811 242 209 $12K
95810 Polysomnography; sleep staging with 4 or more additional parameters 228 202 $10K
99233 Prolong inpt eval add15 m 367 180 $9K
99244 Office or other outpatient consultation, moderate to high complexity 44 41 $3K
94060 103 92 $2K
94729 105 95 $943.07
94726 74 70 $739.32
3074F 47 46 $0.00
3066F 49 48 $0.00
3078F 32 31 $0.00