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

Integrative Emergency Services Physician Group PA

Integrative Emergency Services Physician Group PA was paid $4.23M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99285, emergency room visit (most serious) — 58% of everything it billed.

33Billing provider infoINTEGRATIVE EMERGENCY SERVICES PHYSICIAN GROUP PA
FORT WORTH, TX 76104
33aNPI1285922542assigned 07/20/2011
28Total paid$4.23M
24GClaims107,558
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Texas

Rank by total paid#24 of 344
Median peer was paid$25K
This provider vs. median169×

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 ZENAROSA, NESTOR controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
2018468$12K
2019235$712.03
20205,722$109K
202131,187$796K
202230,554$1.21M
202325,571$1.28M
2024incomplete13,821$821K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 58% 35,422 30,555 $2.47M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 23% 16,447 13,913 $960K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 9.6% 2,994 2,752 $404K
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 4.2% 11,410 9,168 $176K
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 2.2% 3,339 2,803 $94K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.2% 26,198 21,829 $93K
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% 835 749 $12K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 382 306 $11K
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% 323 305 $7K
99406 <1% 16 15 $100.06
99053 <1% 5,831 4,549 $64.52
36415 Collection of venous blood by venipuncture <1% 350 314 $2.15
5 more codes
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 0% 320 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 323 $0.00
G9745 Documented reason for not screening or recommending a follow-up for high blood pressure 0% 32 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 3,102 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 234 $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 officialZENAROSA, NESTOR (OWNER)
Same official

Other billing entities under ZENAROSA, NESTOR

Full network →
ProviderLocationPaid
Century Integrated Partners, INCDallas, TX$27.91M
Ies Arizona PLLCTucson, AZ$12.59M
Integrative Emergency Services Physician Group-Houston PLLCPasadena, TX$8.02M
Ies Missouri LLCWest Plains, MO$1.48M
Ies Central Texas PLLCHillsboro, TX$913K
Ies South Carolina LLCHartsville, SC$807K
Ies Arkansas PLLCDallas, TX$735K
Ies Carrollton PLLCCarrollton, TX$640K
Ies Alabama PLLCFoley, AL$458K
Ies Florida PLLCVenice, FL$441K
Ies Colorado PLLCDenver, CO$368K
Ias Arizona PLLCTucson, AZ$273K
Ies HSP Missouri LLCWest Plains, MO$239K
Ies Obs Arizona PLLCTucson, AZ$215K
Ies Oklahoma LLCLawton, OK$80K
Ies HSP Arkansas PLLCDallas, TX$12K
Ias Oklahoma LLCLawton, OK$10K
Mydas PAFt Worth, TX$6K
Ies Hospitalists PLLCDallas, TX$2K
Ies Mobile Medicine PLLCDallas, TX$613.70

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