Medicaid Provider Spending

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

TRI-STATE SPECIALISTS, LLP

NPI: 1902134406 · SIOUX CITY, IA 51104 · Orthopaedic Hand Surgery Physician · NPI assigned 11/23/2009

$739K
Total Medicaid Paid
21,436
Total Claims
14,677
Beneficiaries
31
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialNELSON, DUANE (PRESIDENT)
NPI Enumeration Date11/23/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,490 $150K
2019 5,459 $177K
2020 4,687 $158K
2021 6,800 $254K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,670 4,980 $178K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 5,128 1,801 $133K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,971 1,709 $99K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,549 1,462 $98K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,955 1,026 $67K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 584 552 $27K
11102 705 631 $27K
17110 542 473 $20K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 212 192 $18K
11100 324 282 $13K
43775 13 12 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 498 444 $11K
10040 140 134 $9K
97161 136 130 $8K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 28 26 $3K
20610 70 63 $3K
73630 152 119 $3K
11101 60 52 $2K
73610 86 67 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 124 106 $1K
17000 63 59 $1K
97803 100 88 $794.52
73130 34 24 $740.48
J1040 Injection, methylprednisolone acetate, 80 mg 73 64 $576.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 28 12 $386.73
11103 14 13 $278.19
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 119 107 $197.38
97802 12 12 $123.85
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 16 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15 12 $0.00
99024 15 13 $0.00