Medicaid Provider Spending

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

EMERGENCY MEDICAL ASSOCIATION WESTCHESTER PLLC

NPI: 1124058508 · VALHALLA, NY 10595 · Emergency Medicine Physician · NPI assigned 07/03/2006

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

Authorized official VAUGHN, KAREN controls 20+ related entities in our dataset. Read more

$5.69M
Total Medicaid Paid
67,519
Total Claims
66,816
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialVAUGHN, KAREN (OFFICER)
NPI Enumeration Date07/03/2006

Related Entities

Other providers sharing the same authorized official: VAUGHN, KAREN

ProviderCityStateTotal Paid
RENAISSANCE IMAGING MEDICAL ASSOCIATES, INC. AUSTIN TX $68.47M
OXBOW EMERGENCY PHYSICIANS PLLC LAKE JACKSON TX $14.88M
DESERT VIEW EMERGENCY PHYSICIANS, A MEDICAL CORPORATION PALMDALE CA $13.60M
MANNING EMERGENCY MEDICAL ASSOCIATES PLLC ALBANY NY $12.87M
AUGUSTINE EMERGENCY PHYSICIANS LLC PENSACOLA FL $9.58M
F&S RADIOLOGY, P.C. SEBRING FL $7.65M
MIDDLE CT EMERGENCY PHYSICIANS LLC WATERBURY CT $6.79M
SHERIDAN CHILDRENS HEALTHCARE SERVICES INC SUNRISE FL $6.64M
NORTH TEXAS PERINATAL ASSOCIATES, P.A. IRVING TX $5.53M
RAIL JUNCTION EMERGENCY PHYSICIANS LLC ALAMOGORDO NM $4.39M
MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, INC IDAHO FALLS ID $4.15M
STARLIGHT INPATIENT SERVICES, A MEDICAL CORPORATION PALMDALE CA $4.09M
PATRIOT EMERGENCY PHYSICIANS PLLC EL PASO TX $3.71M
KINGSTON EMERGENCY MEDICAL ASSOCIATES PLLC KINGSTON NY $3.31M
COCONUT CREEK EMERGENCY PHYSICIANS, LLC MARGATE FL $3.19M
AFFILION OF COBRE VALLEY PLLC GLOBE AZ $3.03M
CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION LAKEWOOD CA $2.77M
TIGERTAIL EMERGENCY PHYSICIANS, LLC MIAMI FL $2.61M
NICHOLS PARK EMERGENCY PHYSICIANS LLC DYERSBURG TN $2.32M
SHERIDAN EMERGENCY PHYSICIAN SERVICES, INC OCALA FL $1.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,159 $314K
2019 7,028 $531K
2020 7,772 $763K
2021 12,105 $999K
2022 14,877 $1.17M
2023 14,326 $1.21M
2024 6,252 $713K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 22,448 22,220 $2.39M
99284 Emergency department visit for the evaluation and management, high severity 19,162 18,941 $1.53M
99283 Emergency department visit for the evaluation and management, moderate severity 15,937 15,824 $720K
99236 Prolong inpt eval add15 m 5,413 5,336 $673K
99235 1,327 1,311 $186K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 755 739 $87K
99223 Prolong inpt eval add15 m 690 680 $60K
99238 Hospital discharge day management, 30 minutes or less 853 843 $29K
99222 Initial hospital care, per day, moderate complexity 166 166 $11K
99220 89 89 $6K
99234 52 52 $3K
99217 53 53 $2K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 232 226 $1K
99221 14 14 $423.00
99053 328 322 $24.90