Seton Emergency Physicians INC
Seton Emergency Physicians INC was paid $1.04M by Medicaid between May 2018 and Jan 2022, across 8 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.
DALY CITY, CA 94015
Next to other Emergency Medicine Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,217 | $198K | |
| 2019 | 7,928 | $339K | |
| 2020 | 5,841 | $255K | |
| 2021 | 5,315 | $229K | |
| 2022 | 447 | $21K |
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 | 50% | 8,009 | 7,914 | $523K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 23% | 6,132 | 6,037 | $241K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 21% | 4,076 | 4,047 | $221K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 4.0% | 5,323 | 5,103 | $42K |
| 99223 | Prolong inpt eval add15 m | <1% | 103 | 101 | $8K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 53 | 53 | $4K |
| 99236 | Prolong inpt eval add15 m | <1% | 24 | 24 | $3K |
| 99220 | <1% | 28 | 28 | $890.66 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.