Shenandoah Emergency Medicine Specialists LLC

Shenandoah Emergency Medicine Specialists LLC was paid $7.57M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 60% of everything it billed.

33Billing provider infoSHENANDOAH EMERGENCY MEDICINE SPECIALISTS LLC
FISHERSVILLE, VA 22939

33aNPI1083706121assigned 09/28/2006

33bProvider typeEmergency Medicine Physician

28Total paid$7.57M

24GClaims142,103

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Virginia

Rank by total paid#9 of 447

Median peer was paid$6K

This provider vs. median1,331×

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.

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	9,447	$234K
2019	22,362	$1.07M
2020	19,658	$1.09M
2021	22,994	$1.18M
2022	23,931	$1.29M
2023	23,589	$1.40M
2024incomplete	20,122	$1.31M

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	60%	52,255	47,612	$4.57M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	30%	36,578	33,831	$2.30M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	6.9%	15,207	14,015	$525K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.0%	37,778	32,470	$154K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	261	241	$23K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	24	15	$375.36

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 officialMICHAEL, GLEN (CFO)