Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Emergency Medicine Services of Mo, LLC

Emergency Medicine Services of Mo, LLC was paid $7.05M by Medicaid between Apr 2023 and Dec 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 55% of everything it billed.

33Billing provider infoEMERGENCY MEDICINE SERVICES OF MO, LLC
INDEPENDENCE, MO 64057
33aNPI1023715182assigned 02/09/2023
28Total paid$7.05M
24GClaims88,894
24DCodes billed7
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Missouri

Rank by total paid#4 of 571
Median peer was paid$14K
This provider vs. median499×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DEROUEN, VYVYAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
202344,905$3.11M
2024incomplete43,989$3.94M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 55% 46,559 43,590 $3.89M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 26% 16,417 15,308 $1.82M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 22,625 21,570 $1.22M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.2% 546 507 $87K
99406 <1% 1,070 857 $12K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 405 360 $12K
99053 <1% 1,272 1,089 $9K

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 officialDEROUEN, VYVYAN (PRESIDENT)
Same official

Other billing entities under DEROUEN, VYVYAN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.