Medicaid Provider Spending

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

EPMG DOWNRIVER PLLC

NPI: 1093085441 · WYANDOTTE, MI 48192 · Emergency Medicine Physician · NPI assigned 01/03/2012

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

Authorized official KENNEDY, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$11.23M
Total Medicaid Paid
183,827
Total Claims
173,331
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKENNEDY, CHRISTOPHER (AUTHORIZED OFFICIAL)
NPI Enumeration Date01/03/2012

Related Entities

Other providers sharing the same authorized official: KENNEDY, CHRISTOPHER

ProviderCityStateTotal Paid
SHADOW EMERGENCY PHYSICIANS PLLC LAS VEGAS NV $74.96M
EMERGENCY PROFESSIONAL SERVICES PC SAN TAN VALLEY AZ $30.50M
EPMG OF MICHIGAN, P.C. LIVONIA MI $21.94M
VALLEY ANESTHESIOLOGY CONSULTANTS, INC. PHOENIX AZ $17.51M
CHANDLER EMERGENCY MEDICAL GROUP, LLC CHANDLER AZ $14.33M
QUESTCARE MEDICAL SERVICES, PLLC ARLINGTON TX $13.09M
PHOENIX EMERGENCY MEDICINE OF BROWARD LLC FT LAUDERDALE FL $13.00M
SIERRA ESTRELLAS EMERGENCY PHYSICIANS LLC YUMA AZ $9.66M
EMCARE - PNX EMERGENCY PHYSICIANS LLC PHOENIX AZ $9.60M
QUESTCARE MEDICAL SERVICES PLLC PLANO TX $9.56M
SOUTHERN BANK EMERGENCY PHYSICIANS LLC NEW BRUNSWICK NJ $9.23M
LOOP 101 EMERGENCY PHYSICIANS LLC PHOENIX AZ $9.11M
QUESTCARE MEDICAL SERVICES, PLLC DALLAS TX $8.91M
PHOENIX EMERGENCY MEDICINE OF BROWARD LLC CORAL SPRINGS FL $7.14M
NORTHSIDE EMERGENCY ASSOCIATES, P.C. ATLANTA GA $6.08M
EPMG OF OHIO INC P A PORTSMOUTH OH $5.64M
EMERGENCY PROFESSIONAL SERVICES PC PHOENIX AZ $5.58M
ARIZONA EM-I MEDICAL SERVICES PC YUMA AZ $5.52M
EMERGENCY PROFESSIONAL SERVICES PC PHOENIX AZ $5.43M
SCOTTSDALE EMERGENCY ASSOCIATES, LTD. SCOTTSDALE AZ $5.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,419 $1.71M
2019 28,147 $1.59M
2020 19,347 $1.24M
2021 22,386 $1.50M
2022 27,726 $1.73M
2023 28,790 $1.83M
2024 27,012 $1.63M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 64,915 59,554 $4.46M
99284 Emergency department visit for the evaluation and management, high severity 62,429 59,264 $3.76M
99283 Emergency department visit for the evaluation and management, moderate severity 35,705 34,473 $2.06M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,236 4,131 $522K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,657 2,618 $145K
99236 Prolong inpt eval add15 m 437 424 $55K
99223 Prolong inpt eval add15 m 478 466 $49K
12001 1,454 1,443 $38K
12011 662 657 $21K
99281 Emergency department visit for the evaluation and management, self-limited or minor 428 398 $21K
99238 Hospital discharge day management, 30 minutes or less 405 398 $19K
99220 175 174 $17K
10060 281 276 $15K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,385 3,152 $14K
12002 215 214 $7K
99217 140 140 $5K
71045 Radiologic examination, chest; single view 647 627 $3K
36556 27 27 $1K
10061 12 12 $1K
76705 Ultrasound, abdominal, real time with image documentation; limited 75 75 $1K
71046 Radiologic examination, chest; 2 views 152 151 $772.20
29125 24 24 $541.92
76937 44 44 $307.81
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15 14 $265.85
36000 69 65 $16.75
36410 146 141 $2.04
99053 4,614 4,369 $0.00