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

Emergency Medicine Services of TX, PLLC

Emergency Medicine Services of TX, PLLC was paid $14.96M by Medicaid between Apr 2023 and Dec 2024, across 8 billing codes. Its largest line is 99284, emergency room visit (serious) — 78% of everything it billed.

33Billing provider infoEMERGENCY MEDICINE SERVICES OF TX, PLLC
SAN ANTONIO, TX 78229
33aNPI1245938729assigned 02/23/2023
28Total paid$14.96M
24GClaims362,709
24DCodes billed8
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Texas

Rank by total paid#4 of 344
Median peer was paid$25K
This provider vs. median598×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DEROUEN, VYVYAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2023165,760$5.35M
2024incomplete196,949$9.61M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 78% 261,496 189,038 $11.74M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 65,535 47,861 $1.64M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 10% 28,617 20,567 $1.51M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 840 585 $69K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 16 15 $574.16
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 15 12 $38.18
G8711 Prescribed antibiotic on or within 3 days after the episode date 0% 991 688 $0.00
99053 0% 5,199 3,298 $0.00

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 officialDEROUEN, VYVYAN (PRESIDENT)
Same official

Other billing entities under DEROUEN, VYVYAN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.