Medicaid Provider Spending

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

LAKES/NATIONAL EMERGENCY PHYSICIANS INC

NPI: 1114426772 · HOLYOKE, MA 01040 · Emergency Medicine Physician · NPI assigned 02/08/2018

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

Authorized official BLAKEMAN, JENNIFER controls 16+ related entities in our dataset. Read more

$10.54M
Total Medicaid Paid
160,258
Total Claims
156,154
Beneficiaries
14
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBLAKEMAN, JENNIFER (PROVIDER ENROLLMENT)
NPI Enumeration Date02/08/2018

Related Entities

Other providers sharing the same authorized official: BLAKEMAN, JENNIFER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 15,149 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 61,861 60,431 $5.74M
99284 Emergency department visit for the evaluation and management, high severity 46,710 45,929 $3.53M
99283 Emergency department visit for the evaluation and management, moderate severity 19,791 19,448 $835K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,477 2,432 $244K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 27,292 25,849 $111K
99220 346 331 $32K
99223 Prolong inpt eval add15 m 262 257 $26K
99217 273 265 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity 230 226 $6K
99236 Prolong inpt eval add15 m 26 25 $4K
99292 16 16 $1K
G9744 Patient not eligible due to active diagnosis of hypertension 687 664 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 81 79 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 206 202 $0.00