Physician
Emergency Medical Specialists, PC
Emergency Medical Specialists, PC was paid $13.25M by Medicaid between Jan 2018 and Feb 2021, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 54% of everything it billed.
33Billing provider infoEMERGENCY MEDICAL SPECIALISTS, PC
COLORADO SPRINGS, CO 80909
COLORADO SPRINGS, CO 80909
33aNPI1194708073assigned 11/23/2005
33bProvider typeEmergency Medicine Physician
28Total paid$13.25M
24GClaims189,655
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Emergency Medicine Physician providers in Colorado
Rank by total paid#4 of 115
Median peer was paid$100K
This provider vs. median133×
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 | 70,802 | $4.82M | |
| 2019 | 73,048 | $4.93M | |
| 2020 | 44,275 | $3.36M | |
| 2021 | 1,530 | $147K |
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 | 54% | 63,624 | 61,123 | $7.21M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 24% | 39,358 | 37,711 | $3.18M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 48,965 | 47,500 | $2.21M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.8% | 1,416 | 1,323 | $233K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.4% | 30,121 | 27,092 | $191K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 4,498 | 4,359 | $129K |
| 99220 | <1% | 594 | 483 | $51K | |
| 99217 | <1% | 965 | 774 | $37K | |
| 99236 | Prolong inpt eval add15 m | <1% | 114 | 88 | $13K |
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 officialHERTNER, GEORGE (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Emergency Medical Specialists, PC | Colorado Springs, CO | $762K |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $732K |
| Peak Medical Care, PLLC | Colorado Springs, CO | $566K |
| Emergency Medical Specialists, PC | Woodland Park, CO | $266K |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $165K |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.