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

Midhudson Emergency Physician Services, PLLC

Midhudson Emergency Physician Services, PLLC was paid $3.31M by Medicaid between Jan 2018 and Jun 2024, across 13 billing codes. Its largest line is 99285, emergency room visit (most serious) — 45% of everything it billed.

33Billing provider infoMIDHUDSON EMERGENCY PHYSICIAN SERVICES, PLLC
POUGHKEEPSIE, NY 12601
33aNPI1063891844assigned 05/26/2015
28Total paid$3.31M
24GClaims48,945
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#39 of 2,113
Median peer was paid$5K
This provider vs. median730×

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 VAUGHN, KAREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
20182,949$156K
20194,904$318K
20206,689$442K
20219,724$603K
202210,291$713K
202310,537$771K
2024incomplete3,851$308K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 45% 16,672 16,427 $1.48M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 35% 17,483 17,125 $1.16M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 14% 12,433 12,170 $470K
99236 Prolong inpt eval add15 m 4.1% 1,086 1,074 $135K
99235 <1% 257 254 $29K
99223 Prolong inpt eval add15 m <1% 279 272 $18K
99238 Hospital discharge day management, 30 minutes or less <1% 271 268 $8K
99220 <1% 71 70 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 41 41 $3K
99222 Initial hospital care, per day, moderate complexity <1% 27 27 $2K
99217 <1% 27 27 $934.20
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 127 123 $909.97
1 more codes
99053 <1% 171 $4.98

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 officialVAUGHN, KAREN (OFFICER)
Same official

Other billing entities under VAUGHN, KAREN

Full network →

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