TRI-STATE SPECIALISTS, LLP
NPI: 1902134406
· SIOUX CITY, IA 51104
· 207XS0106X
$739K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,490 |
$150K |
| 2019 |
5,459 |
$177K |
| 2020 |
4,687 |
$158K |
| 2021 |
6,800 |
$254K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
5,670 |
4,980 |
$178K |
| 97110 |
|
5,128 |
1,801 |
$133K |
| 99214 |
|
1,971 |
1,709 |
$99K |
| 99203 |
|
1,549 |
1,462 |
$98K |
| 97140 |
|
2,955 |
1,026 |
$67K |
| 99202 |
|
584 |
552 |
$27K |
| 11102 |
|
705 |
631 |
$27K |
| 17110 |
|
542 |
473 |
$20K |
| 99204 |
|
212 |
192 |
$18K |
| 11100 |
|
324 |
282 |
$13K |
| 43775 |
|
13 |
12 |
$12K |
| 99212 |
|
498 |
444 |
$11K |
| 10040 |
|
140 |
134 |
$9K |
| 97161 |
|
136 |
130 |
$8K |
| 43239 |
|
28 |
26 |
$3K |
| 20610 |
|
70 |
63 |
$3K |
| 73630 |
|
152 |
119 |
$3K |
| 11101 |
|
60 |
52 |
$2K |
| 73610 |
|
86 |
67 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
124 |
106 |
$1K |
| 17000 |
|
63 |
59 |
$1K |
| 97803 |
|
100 |
88 |
$794.52 |
| 73130 |
|
34 |
24 |
$740.48 |
| J1040 |
Methylprednisolone 80 mg inj |
73 |
64 |
$576.00 |
| 97112 |
|
28 |
12 |
$386.73 |
| 11103 |
|
14 |
13 |
$278.19 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
119 |
107 |
$197.38 |
| 97802 |
|
12 |
12 |
$123.85 |
| G8417 |
Calc bmi abv up param f/u |
16 |
12 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
15 |
12 |
$0.00 |
| 99024 |
|
15 |
13 |
$0.00 |