Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1003297888assigned 06/17/2015
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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
201954$3K
202042$2K
2021119$10K
2022644$51K
2023674$51K
2024incomplete912$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.