Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH CAROLINA EMERGENCY PHYSICIANS, PLLC

NPI: 1003861386 · LAURINBURG, NC 28352 · Emergency Medicine Physician · NPI assigned 05/24/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LARSEN, KIM controls 20+ related entities in our dataset. Read more

$10.60M
Total Medicaid Paid
149,034
Total Claims
127,193
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSEN, KIM (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date05/24/2006

Related Entities

Other providers sharing the same authorized official: LARSEN, KIM

ProviderCityStateTotal Paid
THE CAROLINAS EMERGENCY GROUP, PLLC DUNN NC $20.49M
GASTONIA PHYSICIAN SERVICES, PLLC GASTONIA NC $15.73M
SANTA ANA PHYSICIANS GROUP, PC INDIO CA $12.38M
ETOWAH EMERGENCY PHYSICIANS, LLC CEDARTOWN GA $10.77M
ROBESON EMERGENCY PHYSICIANS, PLLC LUMBERTON NC $9.80M
CENTRAL GEORGIA EMERGENCY GROUP, LLC MACON GA $8.75M
DES MOINES RIVER PHYSICIANS, LLC DES MOINES IA $8.16M
KINSTON PHYSICIANS GROUP, PLLC KINSTON NC $8.05M
PASSAIC RIVER PHYSICIANS, LLC PATERSON NJ $6.70M
TENNESSEE EMERGENCY PHYSICIANS, PLLC MEMPHIS TN $6.27M
GEORGIA EMERGENCY GROUP, LLC GRIFFIN GA $6.27M
HOUSTON COUNTY EMERGENCY GROUP, LLC WARNER ROBINS GA $5.30M
BULL CITY PHYSICIANS, PLLC HENDERSON NC $4.65M
PENSACOLA EMERGENCY PHYSICIANS, LLC PENSACOLA FL $4.59M
WESTERN CAROLINA EMERGENCY PHYSICIANS, PLLC ALBEMARLE NC $4.24M
BRUNSWICK PHYSICIAN PARTNERS, PLLC BOLIVIA NC $4.21M
TENNESSEE RIVER PHYSICIANS, PLLC CHATTANOOGA TN $3.87M
PIEDMONT TRIAD PHYSICIANS, PLLC THOMASVILLE NC $3.84M
SANTA YNEZ RIVER PHYSICIANS, PC LOMPOC CA $3.79M
CENTRAL EMERGENCY PHYSICIANS, PLLC SANFORD NC $3.73M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,194 $1.51M
2019 19,460 $1.44M
2020 14,050 $1.22M
2021 20,228 $1.56M
2022 27,062 $1.82M
2023 23,014 $1.60M
2024 21,026 $1.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 49,226 42,010 $4.92M
99284 Emergency department visit for the evaluation and management, high severity 55,868 48,217 $4.42M
99283 Emergency department visit for the evaluation and management, moderate severity 25,910 22,716 $1.11M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17,140 13,584 $75K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 541 436 $64K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 196 124 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 56 35 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 17 14 $2K
G8709 Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) 40 27 $0.00
G8708 Patient not prescribed antibiotic 40 30 $0.00