Duval Emergency Group LLC

Duval Emergency Group LLC was paid $4.92M by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 56% of everything it billed.

33Billing provider infoDUVAL EMERGENCY GROUP LLC
NORTH MIAMI BEACH, FL 33169

33aNPI1053645465assigned 10/01/2009

33bProvider typeMedical Physician Assistant

28Total paid$4.92M

24GClaims84,759

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Medical Physician Assistant providers in Florida

Rank by total paid#2 of 22

Median peer was paid$8K

This provider vs. median647×

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 FALK, LISHA controls 20+ related entities in our dataset. Read more

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	4,223	$230K
2019	12,590	$686K
2020	8,887	$417K
2021	10,754	$575K
2022	17,088	$1.04M
2023	20,525	$1.30M
2024incomplete	10,692	$674K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	56%	33,211	29,256	$2.73M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	34%	22,795	20,208	$1.65M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	7.9%	7,976	7,671	$389K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	2.3%	1,564	1,297	$113K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	19,213	16,547	$36K

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 officialFALK, LISHA (VP OF CONTRACTING)

Same official

Other billing entities under FALK, LISHA

Full network →

Provider	Location	Paid
Belle Chasse Emergency Group LLC	New Orleans, LA	$20.02M
Southern Medical Partners, LLC	Hazard, KY	$15.59M
Foucher Emergency Group LLC	New Orleans, LA	$15.03M
Kenner Emergency Group LLC	Kenner, LA	$12.10M
Independence Emergency Group LLC	Metairie, LA	$11.45M
Congress Emergency Group LLC	Lafayette, LA	$11.41M
Coolidge Emergency Group LLC	Lafayette, LA	$11.05M
Red Stick Emergency Group LLC	Baton Rouge, LA	$10.27M
Main Street Emergency Group LLC	New Iberia, LA	$9.31M
United Emergency Services of Mississippi	Columbus, MS	$7.79M
Calcasieu Emergency Group LLC	Lake Charles, LA	$7.42M
Ed Physicians of West Louisiana, LLC	West Monroe, LA	$7.33M
ST Mary Emergency Group LLC	Morgan City, LA	$6.46M
Beckley Emergency Physicians LLC	Beckley, WV	$6.13M
United Emergency Services, INC.	Booneville, MS	$5.78M
Williamson Emergency Physicians LLC	South Williamson, KY	$5.21M
Ambassador Emergency Group LLC	Lafayette, LA	$4.98M
ST. John Emergency Group LLC	La Place, LA	$4.97M
Webster Emergency Group LLC	Minden, LA	$4.72M
Abbeville Emergency Group LLC	Abbeville, LA	$4.54M

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