Medicaid Provider Spending

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

MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC.

NPI: 1134355597 · LAGUNA BEACH, CA 92651 · Emergency Medicine Physician · NPI assigned 05/29/2009

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

Authorized official REESE, MELISSA controls 16+ related entities in our dataset. Read more

$881K
Total Medicaid Paid
15,201
Total Claims
14,541
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialREESE, MELISSA (DIRECTOR OF PROVIDER ENROLLMENT)
NPI Enumeration Date05/29/2009

Related Entities

Other providers sharing the same authorized official: REESE, MELISSA

ProviderCityStateTotal Paid
ALTEON HEALTH NEW MEXICO LLC HOBBS NM $11.93M
ALTEON HEALTH ALABAMA, LLC TALLADEGA AL $8.36M
MAHONING VALLEY EMERGENCY SPECIALISTS LLC YOUNGSTOWN OH $7.69M
ISLAND EMERGENCY MEDICAL SERVICES, P.C. FAR ROCKAWAY NY $7.30M
4M MONROE MEDICAL SERVICES PLLC ADRIAN MI $6.44M
MVES BOARDMAN LLC YOUNGSTOWN OH $5.99M
MVES AUSTINTOWN LLC AUSTINTOWN OH $3.29M
ISLAND MEDICAL ALABAMA LLC CULLMAN AL $3.05M
JMH EMERGENCY PHYSICIANS RANSON WV $2.60M
4M EMERGENCY SYSTEMS TOD LLC WARREN OH $2.25M
ALTEON HEALTH NEW JERSEY PC HOLMDEL NJ $1.48M
ALTEON HEALTH INDIANA LLC FRANKFORT IN $756K
ISLAND MEDICAL HOSPITALIST LEA LLC HOBBS NM $128K
ALTEON HEALTH NEW JERSEY HM PC HOLMDEL NJ $99K
UTAH REGIONAL HOSPITALISTS LLC IDAHO FALLS ID $10K
USACS OBSERVATION MEDICINE SERVICES OF COLORADO, INC GOLDEN CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,546 $73K
2019 1,214 $82K
2020 1,065 $59K
2021 1,201 $72K
2022 1,457 $88K
2023 2,154 $160K
2024 6,564 $348K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 5,526 5,300 $379K
99284 Emergency department visit for the evaluation and management, high severity 5,962 5,799 $363K
99283 Emergency department visit for the evaluation and management, moderate severity 1,499 1,420 $107K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 193 185 $17K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,740 1,618 $14K
G9744 Patient not eligible due to active diagnosis of hypertension 132 101 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 149 118 $0.00