Emergency Medicine Associates P.A., P.C.
Emergency Medicine Associates P.A., P.C. was paid $85.87M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99285, emergency room visit (most serious) — 40% of everything it billed.
FALLS CHURCH, VA 22042
Next to other Emergency Medicine Physician providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 199,895 | $15.83M |
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 | 40% | 354,340 | 312,165 | $34.48M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 40% | 510,587 | 459,185 | $34.46M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.2% | 161,786 | 148,274 | $6.17M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.3% | 93,641 | 27,662 | $3.66M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.0% | 26,563 | 21,625 | $2.57M |
| 99223 | Prolong inpt eval add15 m | 1.4% | 18,313 | 16,250 | $1.24M |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 17,509 | 15,466 | $659K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 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 | <1% | 171,558 | 146,633 | $333K |
| 99220 | <1% | 4,319 | 3,644 | $251K | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 101,345 | 83,026 | $159K |
| 1123F | <1% | 12,771 | 5,656 | $155K |
60 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 19,810 | $129K |
| 99292 | <1% | 1,941 | $109K | |
| 99221 | <1% | 2,757 | $92K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 1,766 | $89K |
| 10061 | <1% | 733 | $84K | |
| 99217 | <1% | 3,203 | $72K | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | <1% | 68,309 | $58K |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 20,022 | $53K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,809 | $47K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 1,639 | $45K |
| 99226 | <1% | 1,605 | $40K | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | <1% | 66,291 | $39K |
| 12001 | <1% | 1,032 | $33K | |
| 99053 | <1% | 40,351 | $28K | |
| 12011 | <1% | 649 | $27K | |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 27,841 | $27K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 798 | $22K |
| 10060 | <1% | 300 | $20K | |
| 31500 | <1% | 406 | $17K | |
| 3046F | <1% | 1,125 | $16K | |
| 99406 | <1% | 3,234 | $15K | |
| 99219 | <1% | 381 | $15K | |
| 1124F | <1% | 2,342 | $14K | |
| 12002 | <1% | 240 | $10K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 657 | $10K |
| 99218 | <1% | 506 | $9K | |
| 99460 | <1% | 119 | $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 | <1% | 183 | $6K |
| 93042 | <1% | 991 | $4K | |
| 36556 | <1% | 159 | $3K | |
| 6030F | <1% | 72 | $2K | |
| G8602 | Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given | <1% | 90 | $2K |
| 99225 | <1% | 35 | $1K | |
| G9530 | Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | <1% | 777 | $1K |
| 99464 | <1% | 29 | $1K | |
| G8785 | Blood pressure reading not documented, reason not given | <1% | 384 | $995.18 |
| 4124F | <1% | 257 | $781.71 | |
| 99497 | <1% | 55 | $769.02 | |
| G8710 | Patient prescribed antibiotic | <1% | 225 | $704.99 |
| G8708 | Patient not prescribed antibiotic | <1% | 740 | $665.56 |
| G9533 | Patient with minor blunt head trauma did not have an appropriate indication(s) for a head ct | <1% | 227 | $659.06 |
| 4120F | <1% | 289 | $613.66 | |
| G9529 | Patient with minor blunt head trauma had an appropriate indication(s) for a head ct | <1% | 335 | $555.40 |
| 76937 | <1% | 57 | $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 | <1% | 32 | $308.85 |
| 3044F | <1% | 17 | $244.74 | |
| 29125 | <1% | 13 | $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 | <1% | 112 | $194.91 |
| 99407 | <1% | 29 | $136.34 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $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) | <1% | 54 | $67.60 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | <1% | 14 | $54.19 |
| 4004F | <1% | 2,846 | $40.09 | |
| G8806 | Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented | <1% | 50 | $32.27 |
| G9286 | Antibiotic regimen prescribed within 10 days after onset of symptoms | <1% | 48 | $17.38 |
| 1036F | <1% | 11,523 | $7.64 | |
| 3210F | 0% | 41 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 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 | 0% | 131 | $0.00 |
| G8711 | Prescribed antibiotic on or within 3 days after the episode date | 0% | 37 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.