Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › BROWNSVILLE › HERALD EMERGENCY PHYSICIANS PLLC

HERALD EMERGENCY PHYSICIANS PLLC

NPI: 1164910956 · BROWNSVILLE, TX 78526 · Emergency Medicine Physician · NPI assigned 04/26/2018

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

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

$4.94M
Total Medicaid Paid
80,737
Total Claims
66,132
Beneficiaries
5
Codes Billed
2018-10
First Month
2023-07
Last Month

Provider Details

Authorized OfficialVAUGHN, KAREN (OFFICER)
NPI Enumeration Date04/26/2018

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 30 $1K
2019 266 $11K
2020 3,934 $237K
2021 22,929 $1.85M
2022 33,191 $1.71M
2023 20,387 $1.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 32,386 26,393 $2.42M
99284 Emergency department visit for the evaluation and management, high severity 25,862 20,817 $1.51M
99283 Emergency department visit for the evaluation and management, moderate severity 20,697 17,534 $833K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,765 1,376 $183K
99282 Emergency department visit for the evaluation and management, low to moderate severity 27 12 $223.66