Mission Viejo Emergency Medical Associates, INC.
Mission Viejo Emergency Medical Associates, INC. was paid $881K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99285, emergency room visit (most serious) — 43% of everything it billed.
LAGUNA BEACH, CA 92651
Next to other Emergency Medicine Physician providers in California
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 | 1,546 | $73K | |
| 2019 | 1,214 | $82K | |
| 2020 | 1,065 | $59K | |
| 2021 | 1,201 | $72K | |
| 2022 | 1,457 | $88K | |
| 2023 | 2,154 | $160K | |
| 2024incomplete | 6,564 | $348K |
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 | 43% | 5,526 | 5,300 | $379K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 41% | 5,962 | 5,799 | $363K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 1,499 | 1,420 | $107K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.0% | 193 | 185 | $17K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 1,740 | 1,618 | $14K |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 132 | 101 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 149 | 118 | $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
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.