MMC Emergency Physicians Medical Group, INC

MMC Emergency Physicians Medical Group, INC was paid $3.76M by Medicaid between Jan 2018 and Jul 2020, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 42% of everything it billed.

33Billing provider infoMMC EMERGENCY PHYSICIANS MEDICAL GROUP, INC
SANTA MARIA, CA 93454

33aNPI1285670406assigned 06/22/2006

33bProvider typeEmergency Medicine Physician

28Total paid$3.76M

24GClaims103,532

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#133 of 988

Median peer was paid$32K

This provider vs. median118×

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	45,307	$1.62M
2019	42,677	$1.53M
2020	15,548	$602K

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	42%	20,841	20,364	$1.57M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	32%	26,756	26,481	$1.19M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	22%	40,302	40,008	$809K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	3.5%	13,048	11,573	$132K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.2%	1,119	1,084	$43K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	1,466	1,463	$15K

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 officialCOTE, MATTHEW (CHIEF EXECUTIVE OFFICER)