Elmer, Mark

Elmer, Mark was paid $281K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 55% of everything it billed.

33Billing provider infoELMER, MARK
CAMBRIDGE, MA 02139

33aNPI1245597137assigned 04/16/2012

33bProvider typeEmergency Medicine Physician

28Total paid$281K

24GClaims3,330

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Massachusetts

Rank by total paid#53 of 618

Median peer was paid$8K

This provider vs. median34×

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	646	$54K
2019	640	$54K
2020	202	$22K
2021	480	$42K
2022	666	$48K
2023	411	$35K
2024incomplete	285	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	55%	1,762	1,747	$155K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	28%	616	613	$80K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	15%	915	905	$43K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	13	$1K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	12	12	$887.10
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$700.92

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.