Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Emergency Medical Association Westchester PLLC

Emergency Medical Association Westchester PLLC was paid $5.69M by Medicaid between Jan 2018 and Jun 2024, across 15 billing codes. Its largest line is 99285, emergency room visit (most serious) — 42% of everything it billed.

33Billing provider infoEMERGENCY MEDICAL ASSOCIATION WESTCHESTER PLLC
VALHALLA, NY 10595
33aNPI1124058508assigned 07/03/2006
28Total paid$5.69M
24GClaims67,519
24DCodes billed15
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#24 of 2,113
Median peer was paid$5K
This provider vs. median1,255×

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 VAUGHN, KAREN 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
20185,159$314K
20197,028$531K
20207,772$763K
202112,105$999K
202214,877$1.17M
202314,326$1.21M
2024incomplete6,252$713K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 42% 22,448 22,220 $2.39M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 19,162 18,941 $1.53M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 15,937 15,824 $720K
99236 Prolong inpt eval add15 m 12% 5,413 5,336 $673K
99235 3.3% 1,327 1,311 $186K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.5% 755 739 $87K
99223 Prolong inpt eval add15 m 1.1% 690 680 $60K
99238 Hospital discharge day management, 30 minutes or less <1% 853 843 $29K
99222 Initial hospital care, per day, moderate complexity <1% 166 166 $11K
99220 <1% 89 89 $6K
99234 <1% 52 52 $3K
99217 <1% 53 53 $2K
3 more codes
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 232 $1K
99221 <1% 14 $423.00
99053 <1% 328 $24.90

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 officialVAUGHN, KAREN (OFFICER)
Same official

Other billing entities under VAUGHN, KAREN

Full network →

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