Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Plover Inpatient Services LLC

Plover Inpatient Services LLC was paid $824K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 49% of everything it billed.

33Billing provider infoPLOVER INPATIENT SERVICES LLC
MONTCLAIR, NJ 07042
33aNPI1134534688assigned 06/24/2014
33bProvider typePhysician Assistant
28Total paid$824K
24GClaims48,782
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Physician Assistant providers in New Jersey

Rank by total paid#4 of 49
Median peer was paid$5K
This provider vs. median158×

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 VAUGHN, KAREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
2018103$1K
201997$3K
20203,582$73K
20217,185$132K
202213,220$221K
202313,912$220K
2024incomplete10,683$174K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 49% 26,566 11,316 $404K
99223 Prolong inpt eval add15 m 25% 8,340 6,987 $204K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 15% 8,048 3,892 $123K
99239 Hospital discharge day management, more than 30 minutes 11% 5,429 4,599 $89K
99220 <1% 86 80 $2K
99238 Hospital discharge day management, 30 minutes or less <1% 57 54 $1K
99217 <1% 44 41 $735.70
99406 <1% 79 65 $187.66
99408 <1% 92 38 $45.63
1123F 0% 41 38 $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.

From NPPES

Who's on the registration

Authorized officialVAUGHN, KAREN (OFFICER)
Same official

Other billing entities under VAUGHN, KAREN

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