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

Banning Medical Services, a Medical Corporation

Banning Medical Services, a Medical Corporation was paid $7.77M by Medicaid between Jan 2018 and Jun 2024, across 8 billing codes. Its largest line is 99285, emergency room visit (most serious) — 45% of everything it billed.

33Billing provider infoBANNING MEDICAL SERVICES, A MEDICAL CORPORATION
BANNING, CA 92220
33aNPI1164897849assigned 12/07/2015
28Total paid$7.77M
24GClaims127,836
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#72 of 988
Median peer was paid$32K
This provider vs. median245×

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$50K$100K$150K2018201920202021202220232024
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
201822,165$1.41M
201923,421$1.40M
202015,825$924K
202117,836$1.02M
202220,831$1.18M
202319,881$1.22M
2024incomplete7,877$620K
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 45% 36,278 34,677 $3.46M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 31% 37,335 36,602 $2.43M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 21% 37,869 36,799 $1.61M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.7% 15,357 14,689 $206K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 522 500 $49K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 383 363 $9K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 79 73 $1K
12001 <1% 13 13 $1K

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.