ER SPECIALIZED CARE LLC
NPI: 1144758814
· SAN JUAN, PR 00917
· Emergency Medical Services (Emergency Medicine) Physician
· NPI assigned 05/25/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code 99283 with only 3 total codes billed. Highly concentrated billing profile.
$1.51M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,552 |
$20K |
| 2019 |
2,105 |
$27K |
| 2020 |
1,887 |
$57K |
| 2021 |
2,712 |
$114K |
| 2022 |
5,536 |
$230K |
| 2023 |
9,159 |
$469K |
| 2024 |
11,203 |
$596K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27,190 |
22,630 |
$1.38M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,978 |
2,599 |
$90K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,986 |
3,449 |
$38K |