Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Alice › NPI 1114425220
NP / PA

Guadalupe Emergency Medicine Associates, PA

Guadalupe Emergency Medicine Associates, PA was paid $2.90M by Medicaid between Apr 2018 and Aug 2023, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 52% of everything it billed.

33Billing provider infoGUADALUPE EMERGENCY MEDICINE ASSOCIATES, PA
ALICE, TX 78332
33aNPI1114425220assigned 01/24/2018
33bProvider typePhysician Assistant
28Total paid$2.90M
24GClaims56,577
24DCodes billed5
24AFirst – last monthApr 2018 – Aug 2023
Compared with peers

Next to other Physician Assistant providers in Texas

Rank by total paid#18 of 161
Median peer was paid$43K
This provider vs. median67×

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

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20181,091$12K
20192,050$27K
20205,379$185K
202116,142$778K
202218,828$1.02M
202313,087$884K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 52% 22,821 21,354 $1.51M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 32% 16,341 15,677 $924K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 15% 11,166 10,880 $436K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 6,016 5,712 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 233 227 $14K

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 officialPAWLOWSKI, MICHAEL (PRESIDENT)
Same official

Other billing entities under PAWLOWSKI, MICHAEL

Full network →

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