Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NES ARIZONA INC

NPI: 1285163121 · FORT MOHAVE, AZ 86426 · Emergency Medicine Physician · NPI assigned 06/05/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BLAKEMAN, JENNIFER controls 16+ related entities in our dataset. Read more

$8.50M
Total Medicaid Paid
77,954
Total Claims
73,905
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBLAKEMAN, JENNIFER (PROVIDER ENROLLMENT)
NPI Enumeration Date06/05/2017

Related Entities

Other providers sharing the same authorized official: BLAKEMAN, JENNIFER

ProviderCityStateTotal Paid
LAKES/NATIONAL EMERGENCY PHYSICIANS INC HOLYOKE MA $10.54M
NES GEORGIA INC NEWARK NJ $6.23M
NES WESTERN GROUP, A PROFESSIONAL CORPORATION PORTERVILLE CA $5.22M
NES OKLAHOMA, INC. PONCA CITY OK $4.62M
NES LOUISIANA INC NATCHITOCHES LA $4.44M
NES MEDICAL SERVICES OF NORTHERN CONNECTICUT, P.C. PUTNAM CT $2.98M
NES SOUTHWEST MEDICAL SERVICES INC AMARILLO TX $2.37M
MEDICAL SERVICES OF SUFFOLK COUNTY PC PHILADELPHIA PA $2.34M
NES TENNESSEE INC SYLACAUGA AL $2.28M
HLES OF OHIO INC COSHOCTON OH $2.22M
NES WASHINGTON, INC. KETCHIKAN AK $2.14M
NES TENNESSEE INC ALEXANDER CITY AL $1.36M
NES WESTERN GROUP, A PROFESSIONAL CORPORATION HAYWARD CA $892K
NES MEDICAL SERVICES OF NEW YORK PC BATH NY $786K
NES MEDICAL SERVICES OF NORTHERN CONNECTICUT, P.C. STAFFORD SPRINGS CT $545K
NES TENNESSEE INC PHENIX CITY AL $512K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,652 $462K
2019 7,199 $598K
2020 5,386 $527K
2021 5,739 $642K
2022 6,605 $711K
2023 20,223 $2.33M
2024 26,150 $3.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 27,429 26,233 $4.00M
99284 Emergency department visit for the evaluation and management, high severity 33,539 32,410 $3.56M
99283 Emergency department visit for the evaluation and management, moderate severity 8,297 8,102 $466K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 879 806 $138K
99233 Prolong inpt eval add15 m 1,393 651 $112K
99223 Prolong inpt eval add15 m 707 644 $92K
99239 Hospital discharge day management, more than 30 minutes 829 774 $71K
99232 Subsequent hospital care, per day, moderate complexity 322 155 $19K
99222 Initial hospital care, per day, moderate complexity 120 116 $13K
99221 128 128 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,951 2,656 $10K
99282 Emergency department visit for the evaluation and management, low to moderate severity 128 120 $5K
99292 37 34 $4K
99406 335 325 $3K
99238 Hospital discharge day management, 30 minutes or less 40 37 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 45 31 $2K
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 338 280 $0.02
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 27 27 $0.00
G8711 Prescribed antibiotic on or within 3 days after the episode date 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 228 211 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 82 68 $0.00
4124F 25 24 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 38 37 $0.00
99053 13 12 $0.00
3210F 12 12 $0.00