Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pineleaf Emergency Physicians LLC

Pineleaf Emergency Physicians LLC was paid $484K by Medicaid between Jan 2018 and Aug 2023, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 39% of everything it billed.

33Billing provider infoPINELEAF EMERGENCY PHYSICIANS LLC
BREWTON, AL 36426
33aNPI1144279993assigned 05/09/2006
28Total paid$484K
24GClaims10,758
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers

Next to other Emergency Medicine Physician providers in Alabama

Rank by total paid#38 of 105
Median peer was paid$247K
This provider vs. median2.0×

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$20K2018201920202021202220232024
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
20181,980$64K
20192,670$93K
20201,242$54K
20211,285$77K
20221,946$108K
20231,635$88K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 39% 2,790 2,587 $187K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 34% 5,248 4,908 $165K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 2,667 2,482 $132K
93042 <1% 53 48 $156.53

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

Full network →

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