Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Middle CT Emergency Physicians LLC

Middle CT Emergency Physicians LLC was paid $6.79M by Medicaid between Jan 2018 and Aug 2021, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 57% of everything it billed.

33Billing provider infoMIDDLE CT EMERGENCY PHYSICIANS LLC
WATERBURY, CT 06706
33aNPI1144585357assigned 07/13/2012
33bProvider typePhysician Assistant
28Total paid$6.79M
24GClaims157,007
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers

Next to other Physician Assistant providers in Connecticut

Rank by total paid#2 of 34
Median peer was paid$2K
This provider vs. median2,883×

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$100K$200K$300K2018201920202021202220232024
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
201850,217$2.23M
201946,008$2.09M
202032,341$1.46M
202128,441$1.01M
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 57% 56,023 49,661 $3.90M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 20% 28,249 24,332 $1.37M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 44,395 37,430 $1.19M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3.2% 2,791 2,622 $219K
99053 1.3% 16,334 14,045 $89K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 9,177 8,508 $29K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 13 13 $292.37
71046 Radiologic examination, chest; 2 views <1% 12 12 $60.75
71045 Radiologic examination, chest; single view <1% 13 13 $51.12

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.