Southern Emergency Medical Specialists, P.S.C.

Southern Emergency Medical Specialists, P.S.C. was paid $17.62M by Medicaid between Jan 2018 and Aug 2023, across 8 billing codes. Its largest line is 99285, emergency room visit (most serious) — 62% of everything it billed.

33Billing provider infoSOUTHERN EMERGENCY MEDICAL SPECIALISTS, P.S.C.
LOUISVILLE, KY 40217

33aNPI1194704866assigned 01/11/2006

33bProvider typeMedical Physician Assistant

28Total paid$17.62M

24GClaims314,867

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Medical Physician Assistant providers in Kentucky

Rank by total paid#2 of 45

Median peer was paid$258K

This provider vs. median68×

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	58,759	$2.69M
2019	61,850	$3.10M
2020	56,107	$3.05M
2021	58,279	$3.37M
2022	53,759	$3.17M
2023	26,113	$2.24M

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	62%	117,899	107,685	$10.95M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	28%	74,113	69,413	$5.01M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	5.8%	24,549	22,900	$1.02M
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.9%	91,150	64,894	$514K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	861	781	$101K
71045	Radiologic examination, chest; single view	<1%	5,856	4,810	$19K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	425	388	$10K
71046	Radiologic examination, chest; 2 views	<1%	14	12	$94.87

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 officialOSBORNE, DEBBIE (CREDENTIALING MANAGER)