Emergency Care Specialists PC

Emergency Care Specialists PC was paid $5.45M by Medicaid between Jan 2018 and Sep 2018, across 28 billing codes. Its largest line is 99283, emergency room visit (moderate) — 38% of everything it billed.

33Billing provider infoEMERGENCY CARE SPECIALISTS PC
GRAND RAPIDS, MI 49503

33aNPI1093766958assigned 05/15/2006

33bProvider typeAnesthesiology Physician

28Total paid$5.45M

24GClaims123,944

24DCodes billed28

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Anesthesiology Physician providers in Michigan

Rank by total paid#6 of 85

Median peer was paid$103K

This provider vs. median53×

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	123,944	$5.45M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	38%	43,971	40,307	$2.04M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	31%	34,987	31,417	$1.69M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	19%	16,258	14,153	$1.03M
99282	Emergency department visit for the evaluation and management, low to moderate severity	5.5%	6,379	6,101	$299K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	3.3%	1,624	1,538	$182K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.1%	14,113	11,891	$62K
12001		<1%	870	850	$23K
10061		<1%	286	263	$21K
12011		<1%	625	588	$20K
64400		<1%	393	358	$15K
10060		<1%	347	332	$15K
12002		<1%	402	388	$14K

16 more codes

31500		<1%	140	$10K
99292		<1%	106	$7K
29125		<1%	205	$4K
62270		<1%	71	$3K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	153	$3K
29515		<1%	79	$2K
12013		<1%	56	$2K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	82	$2K
43760		<1%	26	$1K
24640		<1%	29	$930.11
41800		<1%	13	$924.27
30300		<1%	20	$778.51
99053		<1%	283	$23.60
G9744	Patient not eligible due to active diagnosis of hypertension	0%	1,358	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	735	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	333	$0.00

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 officialLANPHEAR, WARREN (PRESIDENT)