Medicaid Provider Spending

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

EMERGENCY MEDICINE ASSOCIATES P.A., P.C.

NPI: 1134117393 · FALLS CHURCH, VA 22042 · Emergency Medicine Physician · NPI assigned 10/12/2005

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

Authorized official CHASTAIN, JENNIFER controls 20+ related entities in our dataset. Read more

$85.87M
Total Medicaid Paid
1,784,191
Total Claims
1,495,724
Beneficiaries
72
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHASTAIN, JENNIFER (PROVIDER ENROLLMENT OFFICER)
NPI Enumeration Date10/12/2005

Related Entities

Other providers sharing the same authorized official: CHASTAIN, JENNIFER

ProviderCityStateTotal Paid
MEP HEALTH, LLC ROCKVILLE MD $105.87M
ALEXANDRIA SPRINGFIELD EMERGENCY PHYSICIANS PC FRANKLIN VA $21.82M
USACS INTEGRATED ACUTE CARE SERVICES OF MARYLAND, LLC ELKTON MD $7.73M
MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES MISSION VIEJO CA $3.79M
EMERGENCY MEDICINE ASSOCIATES, P.A.,P.C. DULLES VA $3.23M
USACS INTEGRATED ACUTE CARE SERVICES OF NEVADA BAGNOLI P C CARSON CITY NV $2.58M
MEP OBSERVATION SERVICES LLC CUMBERLAND MD $1.11M
TRANSITIONCARE LLC CUMBERLAND MD $571K
EMERGENCY MEDICINE ASSOCIATES, PA CAMBRIDGE MD $274K
EMERGENCY MEDICINE ASSOCIATES, PA LARGO MD $261K
EMERGENCY MEDICINE ASSOCIATES, PA BEL AIR MD $253K
EMERGENCY MEDICINE ASSOCIATES, PA EASTON MD $233K
EMERGENCY MEDICINE ASSOCIATES, PA ABERDEEN MD $127K
EMERGENCY MEDICINE ASSOCIATES, PA BOWIE MD $111K
EMERGENCY MEDICINE ASSOCIATES, PA LAUREL MD $99K
EMERGENCY MEDICINE ASSOCIATES, PA QUEENSTOWN MD $97K
EMERGENCY MEDICINE ASSOCIATES PA ALEXANDRIA VA $18K
USACS OBSERVATION MEDICINE SERVICES OF OKLAHOMA, LLC TULSA OK $3K
TRANSITIONCARE LLC FROSTBURG MD $3K
TRANSITIONCARE LLC CUMBERLAND MD $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 120,367 $6.42M
2019 319,483 $12.58M
2020 318,781 $12.64M
2021 361,293 $12.02M
2022 272,141 $12.61M
2023 192,231 $13.77M
2024 199,895 $15.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 354,340 312,165 $34.48M
99284 Emergency department visit for the evaluation and management, high severity 510,587 459,185 $34.46M
99283 Emergency department visit for the evaluation and management, moderate severity 161,786 148,274 $6.17M
99233 Prolong inpt eval add15 m 93,641 27,662 $3.66M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 26,563 21,625 $2.57M
99223 Prolong inpt eval add15 m 18,313 16,250 $1.24M
99239 Hospital discharge day management, more than 30 minutes 17,509 15,466 $659K
99232 Subsequent hospital care, per day, moderate complexity 21,710 7,925 $584K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 171,558 146,633 $333K
99220 4,319 3,644 $251K
G9744 Patient not eligible due to active diagnosis of hypertension 101,345 83,026 $159K
1123F 12,771 5,656 $155K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 19,810 17,096 $129K
99292 1,941 1,688 $109K
99221 2,757 2,454 $92K
99222 Initial hospital care, per day, moderate complexity 1,766 1,558 $89K
10061 733 638 $84K
99217 3,203 2,693 $72K
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 68,309 58,007 $58K
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 20,022 17,552 $53K
99238 Hospital discharge day management, 30 minutes or less 1,809 1,607 $47K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,639 1,533 $45K
99226 1,605 1,045 $40K
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 66,291 57,227 $39K
12001 1,032 972 $33K
99053 40,351 35,987 $28K
12011 649 624 $27K
G8783 Normal blood pressure reading documented, follow-up not required 27,841 23,353 $27K
99231 Subsequent hospital care, per day, straightforward or low complexity 798 516 $22K
10060 300 266 $20K
31500 406 348 $17K
3046F 1,125 655 $16K
99406 3,234 2,864 $15K
99219 381 325 $15K
1124F 2,342 1,145 $14K
12002 240 232 $10K
99281 Emergency department visit for the evaluation and management, self-limited or minor 657 470 $10K
99218 506 443 $9K
99460 119 109 $7K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 183 168 $6K
93042 991 874 $4K
36556 159 134 $3K
6030F 72 62 $2K
G8602 Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given 90 56 $2K
99225 35 25 $1K
G9530 Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider 777 662 $1K
99464 29 28 $1K
G8785 Blood pressure reading not documented, reason not given 384 336 $995.18
4124F 257 218 $781.71
99497 55 46 $769.02
G8710 Patient prescribed antibiotic 225 220 $704.99
G8708 Patient not prescribed antibiotic 740 680 $665.56
G9533 Patient with minor blunt head trauma did not have an appropriate indication(s) for a head ct 227 188 $659.06
4120F 289 259 $613.66
G9529 Patient with minor blunt head trauma had an appropriate indication(s) for a head ct 335 302 $555.40
76937 57 50 $478.16
G2096 Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy was not prescribed, reason not given 32 27 $308.85
3044F 17 13 $244.74
29125 13 12 $218.29
G9350 Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis 112 100 $194.91
99407 29 24 $136.34
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 13 $113.56
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 54 46 $67.60
G9745 Documented reason for not screening or recommending a follow-up for high blood pressure 14 14 $54.19
4004F 2,846 2,355 $40.09
G8806 Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented 50 44 $32.27
G9286 Antibiotic regimen prescribed within 10 days after onset of symptoms 48 45 $17.38
1036F 11,523 9,605 $7.64
3210F 41 28 $0.00
71046 Radiologic examination, chest; 2 views 17 17 $0.00
G9532 Patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma 131 129 $0.00
G8711 Prescribed antibiotic on or within 3 days after the episode date 37 26 $0.00