Physician
Estes, Avram
Estes, Avram was paid $198K by Medicaid between May 2019 and Nov 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 71% of everything it billed.
33Billing provider infoESTES, AVRAM
MUNSTER, IN 46321
MUNSTER, IN 46321
33aNPI1003297888assigned 06/17/2015
33bProvider typeEmergency Medicine Physician
28Total paid$198K
24GClaims2,445
24DCodes billed4
24AFirst – last monthMay 2019 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Indiana
Rank by total paid#83 of 191
Median peer was paid$126K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2019 | 54 | $3K | |
| 2020 | 42 | $2K | |
| 2021 | 119 | $10K | |
| 2022 | 644 | $51K | |
| 2023 | 674 | $51K | |
| 2024incomplete | 912 | $81K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 71% | 1,529 | 1,402 | $139K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 29% | 825 | 761 | $56K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 12 | 12 | $2K |
| 93042 | <1% | 79 | 66 | $242.26 |
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.