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

Puhr, Joshua

Puhr, Joshua was paid $45K by Medicaid between Jan 2018 and Oct 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.

33Billing provider infoPUHR, JOSHUA
JOHNSON CITY, TN 37604
33aNPI1184645277assigned 07/22/2006
28Total paid$45K
24GClaims1,050
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#176 of 332
Median peer was paid$56K
This provider vs. median0.8×

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.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018807$34K
2019218$10K
202025$1K
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 50% 347 308 $23K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 27% 315 291 $12K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 179 151 $10K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.0% 209 167 $466.39

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.