Nes Arizona INC
Nes Arizona INC was paid $8.50M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99285, emergency room visit (most serious) — 47% of everything it billed.
FORT MOHAVE, AZ 86426
Next to other Emergency Medicine Physician providers in Arizona
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 26,150 | $3.23M |
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 | 47% | 27,429 | 26,233 | $4.00M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 42% | 33,539 | 32,410 | $3.56M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.5% | 8,297 | 8,102 | $466K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.6% | 879 | 806 | $138K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.3% | 1,393 | 651 | $112K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 707 | 644 | $92K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 829 | 774 | $71K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 322 | 155 | $19K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 120 | 116 | $13K |
| 99221 | <1% | 128 | 128 | $11K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,951 | 2,656 | $10K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 128 | 120 | $5K |
13 more codes
| 99292 | <1% | 37 | $4K | |
| 99406 | <1% | 335 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 40 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 45 | $2K |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | <1% | 338 | $0.02 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 27 | $0.00 |
| G8711 | Prescribed antibiotic on or within 3 days after the episode date | 0% | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 228 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 82 | $0.00 |
| 4124F | 0% | 25 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 38 | $0.00 |
| 99053 | 0% | 13 | $0.00 | |
| 3210F | 0% | 12 | $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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.