Physician
Emergency Medical Specialists, PC
Emergency Medical Specialists, PC was paid $732K by Medicaid between Dec 2020 and Nov 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 75% of everything it billed.
33Billing provider infoEMERGENCY MEDICAL SPECIALISTS, PC
COLORADO SPRINGS, CO 80920
COLORADO SPRINGS, CO 80920
33aNPI1114531431assigned 09/03/2020
33bProvider typeEmergency Medicine Physician
28Total paid$732K
24GClaims9,006
24DCodes billed6
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Colorado
Rank by total paid#27 of 115
Median peer was paid$100K
This provider vs. median7.3×
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 | |
|---|---|---|---|
| 2020 | 34 | $2K | |
| 2021 | 3,335 | $237K | |
| 2022 | 1,893 | $175K | |
| 2023 | 2,652 | $225K | |
| 2024incomplete | 1,092 | $95K |
Box 24 · Service lines
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 | 75% | 5,200 | 4,908 | $550K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 22% | 1,957 | 1,875 | $163K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 1,717 | 1,548 | $10K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 27 | 25 | $5K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 92 | 90 | $4K |
| 93308 | <1% | 13 | 13 | $284.58 |
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 officialHERTNER, GEORGE (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Emergency Medical Specialists, PC | Colorado Springs, CO | $13.25M |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $762K |
| Peak Medical Care, PLLC | Colorado Springs, CO | $566K |
| Emergency Medical Specialists, PC | Woodland Park, CO | $266K |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $165K |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.