Physician
Island Medical SP LLC
Island Medical SP LLC was paid $4.43M by Medicaid between Jan 2018 and May 2021, across 17 billing codes. Its largest line is 99285, emergency room visit (most serious) — 53% of everything it billed.
33Billing provider infoISLAND MEDICAL SP LLC
MONROE, LA 71201
MONROE, LA 71201
33aNPI1295080869assigned 07/19/2012
33bProvider typeEmergency Medicine Physician
28Total paid$4.43M
24GClaims166,012
24DCodes billed17
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Emergency Medicine Physician providers in Louisiana
Rank by total paid#18 of 101
Median peer was paid$227K
This provider vs. median20×
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 CHARLEY, AMY controls 16+ related entities in our dataset. Read more
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 | 31,243 | $1.17M | |
| 2019 | 53,583 | $1.45M | |
| 2020 | 60,484 | $1.31M | |
| 2021 | 20,702 | $503K |
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 | 53% | 34,790 | 29,080 | $2.36M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 32% | 24,724 | 21,141 | $1.40M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 16,279 | 14,197 | $532K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.3% | 2,705 | 2,313 | $58K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 17,313 | 14,174 | $50K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 482 | 408 | $31K |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 21,981 | 16,033 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 9,873 | 6,576 | $0.00 |
| 99053 | 0% | 3,432 | 2,506 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 658 | 533 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 502 | 357 | $0.00 |
| 4004F | 0% | 184 | 167 | $0.00 |
5 more codes
| 3210F | 0% | 86 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 15,115 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 14,312 | $0.00 |
| 1036F | 0% | 3,464 | $0.00 | |
| G8711 | Prescribed antibiotic on or within 3 days after the episode date | 0% | 112 | $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 officialCHARLEY, AMY (CHIEF LEGAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Physicians Link Center LLC | Elyria, OH | $9.62M |
| Ues Ahuja LLC | Beachwood, OH | $5.06M |
| Magis Emergency Medicine LLC | Parma, OH | $2.63M |
| University Emergency Specialists of Bedford LLC | Bedford, OH | $2.02M |
| Ues Richmond Heights LLC | Richmond Heights, OH | $1.76M |
| Island Medical Winnsboro LLC | Winnsboro, LA | $1.46M |
| Port Emergency Medical Services, P.C. | Port Jefferson, NY | $1.40M |
| Island Medical RTR LLC | Decatur, AL | $1.17M |
| Immh Scottsboro LLC | Scottsboro, AL | $1.04M |
| Island Medical Hillsdale PLLC | Hillsdale, MI | $1.02M |
| University Emergency Specialists LLC | Conneaut, OH | $819K |
| Siena Emergency Medical Services, P.C. | Smithtown, NY | $594K |
| Island Medical Van Wert LLC | Van Wert, OH | $542K |
| 4M Emergency Systems Andover LLC | Andover, OH | $118K |
| Island Medical Perseus LLC | Cullman, AL | $79K |
| Metropolitan Patient Services | Lanham, MD | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.