Physician
Tristate Wellness & Medical Care PA
Tristate Wellness & Medical Care PA was paid $398K by Medicaid between Jan 2018 and Oct 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoTRISTATE WELLNESS & MEDICAL CARE PA
WANTAGE, NJ 07461
WANTAGE, NJ 07461
33aNPI1952739476assigned 10/18/2013
33bProvider typeInternal Medicine Physician
28Total paid$398K
24GClaims26,806
24DCodes billed40
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in New Jersey
Rank by total paid#148 of 1,027
Median peer was paid$30K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 2,096 | $61K | |
| 2019 | 3,568 | $68K | |
| 2020 | 3,009 | $87K | |
| 2021 | 2,094 | $57K | |
| 2022 | 6,680 | $49K | |
| 2023 | 6,236 | $51K | |
| 2024incomplete | 3,123 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 62% | 3,476 | 2,967 | $245K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 2,684 | 2,018 | $140K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | 30 | $4K |
| 96127 | <1% | 835 | 730 | $4K | |
| 99243 | <1% | 24 | 24 | $3K | |
| 99497 | <1% | 26 | 26 | $2K | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 14 | 13 | $219.06 |
| 99406 | <1% | 23 | 14 | $80.81 | |
| 3008F | <1% | 1,140 | 1,004 | $7.00 | |
| 3074F | <1% | 829 | 739 | $7.00 | |
| 3078F | <1% | 683 | 614 | $6.00 | |
| 1123F | <1% | 2,230 | 1,436 | $2.00 |
28 more codes
| 3079F | <1% | 242 | $2.00 | |
| 3725F | 0% | 560 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 295 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,385 | $0.00 |
| 1160F | 0% | 1,388 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,505 | $0.00 |
| 3288F | 0% | 356 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 42 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,665 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 233 | $0.00 |
| 90682 | 0% | 13 | $0.00 | |
| 1124F | 0% | 35 | $0.00 | |
| 0518F | 0% | 33 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 62 | $0.00 |
| 1100F | 0% | 33 | $0.00 | |
| 1036F | 0% | 717 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 200 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 271 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,734 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 297 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 518 | $0.00 |
| 3075F | 0% | 80 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 647 | $0.00 |
| 3017F | 0% | 180 | $0.00 | |
| 1101F | 0% | 113 | $0.00 | |
| 1125F | 0% | 147 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 47 | $0.00 |
| M1207 | Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 14 | $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 officialYASIN, SAMI (PRESIDENT)