Medicaid Provider Spending

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

MIDHUDSON EMERGENCY PHYSICIAN SERVICES, PLLC

NPI: 1063891844 · POUGHKEEPSIE, NY 12601 · Emergency Medicine Physician · NPI assigned 05/26/2015

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

Authorized official VAUGHN, KAREN controls 20+ related entities in our dataset. Read more

$3.31M
Total Medicaid Paid
48,945
Total Claims
48,044
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialVAUGHN, KAREN (OFFICER)
NPI Enumeration Date05/26/2015

Related Entities

Other providers sharing the same authorized official: VAUGHN, KAREN

ProviderCityStateTotal Paid
RENAISSANCE IMAGING MEDICAL ASSOCIATES, INC. AUSTIN TX $68.47M
OXBOW EMERGENCY PHYSICIANS PLLC LAKE JACKSON TX $14.88M
DESERT VIEW EMERGENCY PHYSICIANS, A MEDICAL CORPORATION PALMDALE CA $13.60M
MANNING EMERGENCY MEDICAL ASSOCIATES PLLC ALBANY NY $12.87M
AUGUSTINE EMERGENCY PHYSICIANS LLC PENSACOLA FL $9.58M
F&S RADIOLOGY, P.C. SEBRING FL $7.65M
MIDDLE CT EMERGENCY PHYSICIANS LLC WATERBURY CT $6.79M
SHERIDAN CHILDRENS HEALTHCARE SERVICES INC SUNRISE FL $6.64M
EMERGENCY MEDICAL ASSOCIATION WESTCHESTER PLLC VALHALLA NY $5.69M
NORTH TEXAS PERINATAL ASSOCIATES, P.A. IRVING TX $5.53M
RAIL JUNCTION EMERGENCY PHYSICIANS LLC ALAMOGORDO NM $4.39M
MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, INC IDAHO FALLS ID $4.15M
STARLIGHT INPATIENT SERVICES, A MEDICAL CORPORATION PALMDALE CA $4.09M
PATRIOT EMERGENCY PHYSICIANS PLLC EL PASO TX $3.71M
KINGSTON EMERGENCY MEDICAL ASSOCIATES PLLC KINGSTON NY $3.31M
COCONUT CREEK EMERGENCY PHYSICIANS, LLC MARGATE FL $3.19M
AFFILION OF COBRE VALLEY PLLC GLOBE AZ $3.03M
CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION LAKEWOOD CA $2.77M
TIGERTAIL EMERGENCY PHYSICIANS, LLC MIAMI FL $2.61M
NICHOLS PARK EMERGENCY PHYSICIANS LLC DYERSBURG TN $2.32M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,949 $156K
2019 4,904 $318K
2020 6,689 $442K
2021 9,724 $603K
2022 10,291 $713K
2023 10,537 $771K
2024 3,851 $308K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 16,672 16,427 $1.48M
99284 Emergency department visit for the evaluation and management, high severity 17,483 17,125 $1.16M
99283 Emergency department visit for the evaluation and management, moderate severity 12,433 12,170 $470K
99236 Prolong inpt eval add15 m 1,086 1,074 $135K
99235 257 254 $29K
99223 Prolong inpt eval add15 m 279 272 $18K
99238 Hospital discharge day management, 30 minutes or less 271 268 $8K
99220 71 70 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 41 41 $3K
99222 Initial hospital care, per day, moderate complexity 27 27 $2K
99217 27 27 $934.20
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 127 123 $909.97
99053 171 166 $4.98