Medicaid Provider Spending

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

MAHONING VALLEY EMERGENCY SPECIALISTS LLC

NPI: 1003869652 · YOUNGSTOWN, OH 44504 · Emergency Medicine Physician · NPI assigned 05/17/2006

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

Authorized official REESE, MELISSA controls 16+ related entities in our dataset. Read more

$7.69M
Total Medicaid Paid
281,213
Total Claims
262,981
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialREESE, MELISSA (PROVIDER ENROLLMENT OFFICER)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: REESE, MELISSA

ProviderCityStateTotal Paid
ALTEON HEALTH NEW MEXICO LLC HOBBS NM $11.93M
ALTEON HEALTH ALABAMA, LLC TALLADEGA AL $8.36M
ISLAND EMERGENCY MEDICAL SERVICES, P.C. FAR ROCKAWAY NY $7.30M
4M MONROE MEDICAL SERVICES PLLC ADRIAN MI $6.44M
MVES BOARDMAN LLC YOUNGSTOWN OH $5.99M
MVES AUSTINTOWN LLC AUSTINTOWN OH $3.29M
ISLAND MEDICAL ALABAMA LLC CULLMAN AL $3.05M
JMH EMERGENCY PHYSICIANS RANSON WV $2.60M
4M EMERGENCY SYSTEMS TOD LLC WARREN OH $2.25M
ALTEON HEALTH NEW JERSEY PC HOLMDEL NJ $1.48M
MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC. LAGUNA BEACH CA $881K
ALTEON HEALTH INDIANA LLC FRANKFORT IN $756K
ISLAND MEDICAL HOSPITALIST LEA LLC HOBBS NM $128K
ALTEON HEALTH NEW JERSEY HM PC HOLMDEL NJ $99K
UTAH REGIONAL HOSPITALISTS LLC IDAHO FALLS ID $10K
USACS OBSERVATION MEDICINE SERVICES OF COLORADO, INC GOLDEN CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,152 $1.14M
2019 57,462 $1.51M
2020 57,833 $1.23M
2021 65,150 $1.14M
2022 42,607 $996K
2023 16,244 $916K
2024 11,765 $758K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 76,296 71,270 $4.91M
99284 Emergency department visit for the evaluation and management, high severity 37,339 35,185 $1.79M
99283 Emergency department visit for the evaluation and management, moderate severity 16,426 15,339 $474K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,994 5,662 $299K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 43,311 39,662 $218K
99282 Emergency department visit for the evaluation and management, low to moderate severity 15 15 $202.46
99281 Emergency department visit for the evaluation and management, self-limited or minor 23 23 $190.02
G9744 Patient not eligible due to active diagnosis of hypertension 22,159 20,323 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 37,354 35,856 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 7,636 7,197 $0.00
99053 3,422 3,226 $0.00
4004F 350 297 $0.00
G8785 Blood pressure reading not documented, reason not given 14 14 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 26,925 25,237 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 2,743 2,586 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 168 167 $0.00
1036F 1,000 886 $0.00
G9529 Patient with minor blunt head trauma had an appropriate indication(s) for a head ct 14 12 $0.00
G9530 Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider 24 24 $0.00