Physician
Tri-State Allergy, INC
Tri-State Allergy, INC was paid $1.77M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 95165, Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials — 23% of everything it billed.
33Billing provider infoTRI-STATE ALLERGY, INC
HUNTINGTON, WV 25703
HUNTINGTON, WV 25703
33aNPI1902906019assigned 09/25/2006
33bProvider typeAllergy Physician
28Total paid$1.77M
24GClaims55,015
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
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 | 6,558 | $313K | |
| 2019 | 5,101 | $195K | |
| 2020 | 6,194 | $217K | |
| 2021 | 7,841 | $228K | |
| 2022 | 9,477 | $253K | |
| 2023 | 9,990 | $285K | |
| 2024incomplete | 9,854 | $280K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 23% | 4,889 | 4,677 | $399K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 19% | 2,082 | 1,878 | $339K |
| 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 | 17% | 5,142 | 4,760 | $296K |
| 95115 | 12% | 27,657 | 10,206 | $205K | |
| 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 | 10% | 2,015 | 1,852 | $180K |
| 95024 | 9.7% | 1,903 | 1,713 | $171K | |
| 94375 | 5.1% | 3,959 | 3,685 | $90K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 1,329 | 1,275 | $49K |
| 94010 | 1.1% | 664 | 630 | $20K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 504 | 432 | $10K |
| 94760 | <1% | 4,683 | 4,382 | $8K | |
| 94664 | <1% | 188 | 176 | $3K |
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 officialWILSON, MATTHEW (PRESIDENT OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lone Star HCS, INC. | Willis, TX | $5.62M |
| Wilson Chiropractic PLLC | West Des Moines, IA | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.