Lakes/National Emergency Physicians INC
Lakes/National Emergency Physicians INC was paid $10.54M by Medicaid between Mar 2018 and Nov 2024, across 14 billing codes. Its largest line is 99285, emergency room visit (most serious) — 54% of everything it billed.
HOLYOKE, MA 01040
Next to other Emergency Medicine Physician providers in Massachusetts
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 | 22,423 | $1.26M | |
| 2019 | 30,625 | $1.83M | |
| 2020 | 23,482 | $1.59M | |
| 2021 | 21,758 | $1.50M | |
| 2022 | 21,147 | $1.47M | |
| 2023 | 25,674 | $1.80M | |
| 2024incomplete | 15,149 | $1.08M |
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 | 54% | 61,861 | 60,431 | $5.74M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 33% | 46,710 | 45,929 | $3.53M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.9% | 19,791 | 19,448 | $835K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.3% | 2,477 | 2,432 | $244K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 27,292 | 25,849 | $111K |
| 99220 | <1% | 346 | 331 | $32K | |
| 99223 | Prolong inpt eval add15 m | <1% | 262 | 257 | $26K |
| 99217 | <1% | 273 | 265 | $11K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 230 | 226 | $6K |
| 99236 | Prolong inpt eval add15 m | <1% | 26 | 25 | $4K |
| 99292 | <1% | 16 | 16 | $1K | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 687 | 664 | $0.00 |
2 more codes
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
| Provider | Location | Paid |
|---|---|---|
| Nes Arizona INC | Fort Mohave, AZ | $8.50M |
| Nes Georgia INC | Newark, NJ | $6.23M |
| Nes Western Group, a Professional Corporation | Porterville, CA | $5.22M |
| Nes Oklahoma, INC. | Ponca City, OK | $4.62M |
| Nes Louisiana INC | Natchitoches, LA | $4.44M |
| Nes Medical Services of Northern Connecticut, P.C. | Putnam, CT | $2.98M |
| Nes Southwest Medical Services INC | Amarillo, TX | $2.37M |
| Medical Services of Suffolk County PC | Philadelphia, PA | $2.34M |
| Nes Tennessee INC | Sylacauga, AL | $2.28M |
| Hles of Ohio INC | Coshocton, OH | $2.22M |
| Nes Washington, INC. | Ketchikan, AK | $2.14M |
| Nes Tennessee INC | Alexander City, AL | $1.36M |
| Nes Western Group, a Professional Corporation | Hayward, CA | $892K |
| Nes Medical Services of New York PC | Bath, NY | $786K |
| Nes Medical Services of Northern Connecticut, P.C. | Stafford Springs, CT | $545K |
| Nes Tennessee INC | Phenix City, AL | $512K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.