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

Palomar Emergency Physicians, INC

Palomar Emergency Physicians, INC was paid $8.40M by Medicaid between Aug 2021 and Dec 2024, across 13 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.

33Billing provider infoPALOMAR EMERGENCY PHYSICIANS, INC
ESCONDIDO, CA 92029
33aNPI1124698139assigned 06/30/2021
28Total paid$8.40M
24GClaims146,100
24DCodes billed13
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#68 of 988
Median peer was paid$32K
This provider vs. median265×

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 EDWARDS, IRV controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
202116,591$851K
202244,606$2.26M
202344,292$2.65M
2024incomplete40,611$2.64M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 44% 61,073 60,751 $3.67M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 41% 40,582 40,352 $3.44M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 5.2% 11,423 11,353 $433K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4.3% 25,645 25,048 $359K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3.2% 2,331 2,315 $267K
99223 Prolong inpt eval add15 m 2.4% 2,606 2,599 $203K
99222 Initial hospital care, per day, moderate complexity <1% 120 120 $10K
99220 <1% 141 138 $9K
71045 Radiologic examination, chest; single view <1% 727 726 $5K
99053 <1% 1,227 1,219 $4K
99239 Hospital discharge day management, more than 30 minutes <1% 45 45 $2K
99406 <1% 162 161 $2K
1 more codes
99218 <1% 18 $244.48

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 officialEDWARDS, IRV (PRESIDENT)
Same official

Other billing entities under EDWARDS, IRV

Full network →

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