Physician
Pleasanton Emergency Medical Group
Pleasanton Emergency Medical Group was paid $2.03M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99285, emergency room visit (most serious) — 44% of everything it billed.
33Billing provider infoPLEASANTON EMERGENCY MEDICAL GROUP
PLEASANTON, CA 94588
PLEASANTON, CA 94588
33aNPI1285625509assigned 11/04/2005
33bProvider typeEmergency Medicine Physician
28Total paid$2.03M
24GClaims65,692
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in California
Rank by total paid#180 of 988
Median peer was paid$32K
This provider vs. median64×
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 | 8,761 | $260K | |
| 2019 | 9,247 | $255K | |
| 2020 | 5,652 | $177K | |
| 2021 | 8,715 | $252K | |
| 2022 | 10,176 | $308K | |
| 2023 | 11,771 | $389K | |
| 2024incomplete | 11,370 | $391K |
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 | 44% | 18,772 | 18,581 | $898K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 32% | 18,938 | 18,788 | $640K |
| 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 | 14% | 16,120 | 15,976 | $274K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.8% | 6,034 | 5,990 | $117K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.7% | 1,436 | 1,432 | $55K |
| 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% | 930 | 928 | $19K |
| 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% | 1,303 | 1,295 | $13K |
| 93042 | <1% | 2,042 | 2,023 | $8K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 93 | 93 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | 12 | $126.04 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 12 | 12 | $45.22 |
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 officialKAN, EDWARD (MANAGING PARTNER)