Physician
Tri-State Specialists, LLP
Tri-State Specialists, LLP was paid $739K by Medicaid between Jan 2018 and Dec 2021, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoTRI-STATE SPECIALISTS, LLP
SIOUX CITY, IA 51104
SIOUX CITY, IA 51104
33aNPI1902134406assigned 11/23/2009
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$739K
24GClaims21,436
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2021
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 | 4,490 | $150K | |
| 2019 | 5,459 | $177K | |
| 2020 | 4,687 | $158K | |
| 2021 | 6,800 | $254K |
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 | 24% | 5,670 | 4,980 | $178K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 18% | 5,128 | 1,801 | $133K |
| 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 | 13% | 1,971 | 1,709 | $99K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 1,549 | 1,462 | $98K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 9.1% | 2,955 | 1,026 | $67K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.7% | 584 | 552 | $27K |
| 11102 | 3.7% | 705 | 631 | $27K | |
| 17110 | 2.8% | 542 | 473 | $20K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.4% | 212 | 192 | $18K |
| 11100 | 1.7% | 324 | 282 | $13K | |
| 43775 | 1.7% | 13 | 12 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 498 | 444 | $11K |
19 more codes
| 10040 | 1.2% | 140 | $9K | |
| 97161 | 1.1% | 136 | $8K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 28 | $3K |
| 20610 | <1% | 70 | $3K | |
| 73630 | <1% | 152 | $3K | |
| 11101 | <1% | 60 | $2K | |
| 73610 | <1% | 86 | $2K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 124 | $1K |
| 17000 | <1% | 63 | $1K | |
| 97803 | <1% | 100 | $794.52 | |
| 73130 | <1% | 34 | $740.48 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 73 | $576.00 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 28 | $386.73 |
| 11103 | <1% | 14 | $278.19 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 119 | $197.38 |
| 97802 | <1% | 12 | $123.85 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 16 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 15 | $0.00 |
| 99024 | 0% | 15 | $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 officialNELSON, DUANE (PRESIDENT)