Physician
Tri-State Hospitalists LLC
Tri-State Hospitalists LLC was paid $1.43M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 59% of everything it billed.
33Billing provider infoTRI-STATE HOSPITALISTS LLC
CINCINNATI, OH 45243
CINCINNATI, OH 45243
33aNPI1952740359assigned 06/19/2013
33bProvider typeInternal Medicine Physician
28Total paid$1.43M
24GClaims64,215
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Ohio
Rank by total paid#33 of 663
Median peer was paid$17K
This provider vs. median82×
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 | 6,279 | $86K | |
| 2019 | 8,555 | $191K | |
| 2020 | 8,568 | $212K | |
| 2021 | 7,976 | $211K | |
| 2022 | 11,272 | $301K | |
| 2023 | 11,496 | $214K | |
| 2024incomplete | 10,069 | $218K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 59% | 36,321 | 20,337 | $842K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 21% | 18,786 | 16,444 | $306K |
| 99306 | Prolong nursin fac eval 15m | 14% | 4,969 | 4,502 | $197K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.9% | 1,550 | 379 | $27K |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 1.4% | 418 | 182 | $21K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 412 | 275 | $9K |
| 99318 | <1% | 338 | 295 | $8K | |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | <1% | 205 | 185 | $6K |
| 99305 | <1% | 156 | 152 | $5K | |
| 99406 | <1% | 747 | 678 | $4K | |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | <1% | 52 | 47 | $3K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 79 | 65 | $2K |
4 more codes
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 officialCASTELLANOS, ANDREW (PRESIDENT)