Nichter, Edmund

Nichter, Edmund was paid $87K by Medicaid between Jan 2018 and Aug 2020, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 46% of everything it billed.

33Billing provider infoNICHTER, EDMUND
WEST COVINA, CA 91790

33aNPI1184897910assigned 04/13/2008

33bProvider typeEmergency Medicine Physician

28Total paid$87K

24GClaims952

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#385 of 988

Median peer was paid$32K

This provider vs. median2.7×

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

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

Year	Claims	Paid
2018	358	$32K
2019	464	$41K
2020	130	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	46%	418	403	$40K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	42%	380	371	$36K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	12%	111	108	$11K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	43	42	$46.80

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.