Medicaid Provider Spending

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

NPI: 1134534688 · MONTCLAIR, NJ 07042 · Physician Assistant · NPI assigned 06/24/2014

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

Authorized official VAUGHN, KAREN controls 20+ related entities in our dataset. Read more

$824K
Total Medicaid Paid
48,782
Total Claims
27,110
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialVAUGHN, KAREN (OFFICER)
NPI Enumeration Date06/24/2014

Related Entities

Other providers sharing the same authorized official: VAUGHN, KAREN

ProviderCityStateTotal Paid
RENAISSANCE IMAGING MEDICAL ASSOCIATES, INC. AUSTIN TX $68.47M
OXBOW EMERGENCY PHYSICIANS PLLC LAKE JACKSON TX $14.88M
DESERT VIEW EMERGENCY PHYSICIANS, A MEDICAL CORPORATION PALMDALE CA $13.60M
MANNING EMERGENCY MEDICAL ASSOCIATES PLLC ALBANY NY $12.87M
AUGUSTINE EMERGENCY PHYSICIANS LLC PENSACOLA FL $9.58M
F&S RADIOLOGY, P.C. SEBRING FL $7.65M
MIDDLE CT EMERGENCY PHYSICIANS LLC WATERBURY CT $6.79M
SHERIDAN CHILDRENS HEALTHCARE SERVICES INC SUNRISE FL $6.64M
EMERGENCY MEDICAL ASSOCIATION WESTCHESTER PLLC VALHALLA NY $5.69M
NORTH TEXAS PERINATAL ASSOCIATES, P.A. IRVING TX $5.53M
RAIL JUNCTION EMERGENCY PHYSICIANS LLC ALAMOGORDO NM $4.39M
MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS, INC IDAHO FALLS ID $4.15M
STARLIGHT INPATIENT SERVICES, A MEDICAL CORPORATION PALMDALE CA $4.09M
PATRIOT EMERGENCY PHYSICIANS PLLC EL PASO TX $3.71M
KINGSTON EMERGENCY MEDICAL ASSOCIATES PLLC KINGSTON NY $3.31M
COCONUT CREEK EMERGENCY PHYSICIANS, LLC MARGATE FL $3.19M
AFFILION OF COBRE VALLEY PLLC GLOBE AZ $3.03M
CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION LAKEWOOD CA $2.77M
TIGERTAIL EMERGENCY PHYSICIANS, LLC MIAMI FL $2.61M
NICHOLS PARK EMERGENCY PHYSICIANS LLC DYERSBURG TN $2.32M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 103 $1K
2019 97 $3K
2020 3,582 $73K
2021 7,185 $132K
2022 13,220 $221K
2023 13,912 $220K
2024 10,683 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 26,566 11,316 $404K
99223 Prolong inpt eval add15 m 8,340 6,987 $204K
99232 Subsequent hospital care, per day, moderate complexity 8,048 3,892 $123K
99239 Hospital discharge day management, more than 30 minutes 5,429 4,599 $89K
99220 86 80 $2K
99238 Hospital discharge day management, 30 minutes or less 57 54 $1K
99217 44 41 $735.70
99406 79 65 $187.66
99408 92 38 $45.63
1123F 41 38 $0.00