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

Emergency Medicine Services of FL, LLC

Emergency Medicine Services of FL, LLC was paid $37.59M by Medicaid between Apr 2023 and Dec 2024, across 16 billing codes. Its largest line is 99284, emergency room visit (serious) — 58% of everything it billed.

33Billing provider infoEMERGENCY MEDICINE SERVICES OF FL, LLC
AVENTURA, FL 33180
33aNPI1043917180assigned 02/09/2023
28Total paid$37.59M
24GClaims907,859
24DCodes billed16
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Florida

Rank by total paid#4 of 391
Median peer was paid$61K
This provider vs. median616×

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$1.0M$2.0M$3.0M2018201920202021202220232024
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
2023617,609$20.52M
2024incomplete290,250$17.07M
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 58% 516,863 363,239 $21.74M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 22% 146,346 105,740 $8.21M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 20% 208,120 147,489 $7.35M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 4,831 3,383 $204K
99053 <1% 26,164 13,710 $48K
99292 <1% 359 219 $18K
G8711 Prescribed antibiotic on or within 3 days after the episode date <1% 1,951 1,063 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 802 600 $6K
93042 <1% 1,158 620 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 736 532 $2K
12011 <1% 115 87 $563.69
12001 <1% 166 119 $468.91
4 more codes
99406 <1% 172 $395.99
31500 <1% 37 $158.20
12002 0% 15 $0.00
99221 0% 24 $0.00

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

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