Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIEDMONT TRIAD PHYSICIANS, PLLC

NPI: 1295206464 · THOMASVILLE, NC 27360 · Emergency Medicine Physician · NPI assigned 12/16/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LARSEN, KIM controls 20+ related entities in our dataset. Read more

$3.84M
Total Medicaid Paid
50,508
Total Claims
40,355
Beneficiaries
5
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSEN, KIM (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date12/16/2018

Related Entities

Other providers sharing the same authorized official: LARSEN, KIM

ProviderCityStateTotal Paid
THE CAROLINAS EMERGENCY GROUP, PLLC DUNN NC $20.49M
GASTONIA PHYSICIAN SERVICES, PLLC GASTONIA NC $15.73M
SANTA ANA PHYSICIANS GROUP, PC INDIO CA $12.38M
ETOWAH EMERGENCY PHYSICIANS, LLC CEDARTOWN GA $10.77M
NORTH CAROLINA EMERGENCY PHYSICIANS, PLLC LAURINBURG NC $10.60M
ROBESON EMERGENCY PHYSICIANS, PLLC LUMBERTON NC $9.80M
CENTRAL GEORGIA EMERGENCY GROUP, LLC MACON GA $8.75M
DES MOINES RIVER PHYSICIANS, LLC DES MOINES IA $8.16M
KINSTON PHYSICIANS GROUP, PLLC KINSTON NC $8.05M
PASSAIC RIVER PHYSICIANS, LLC PATERSON NJ $6.70M
TENNESSEE EMERGENCY PHYSICIANS, PLLC MEMPHIS TN $6.27M
GEORGIA EMERGENCY GROUP, LLC GRIFFIN GA $6.27M
HOUSTON COUNTY EMERGENCY GROUP, LLC WARNER ROBINS GA $5.30M
BULL CITY PHYSICIANS, PLLC HENDERSON NC $4.65M
PENSACOLA EMERGENCY PHYSICIANS, LLC PENSACOLA FL $4.59M
WESTERN CAROLINA EMERGENCY PHYSICIANS, PLLC ALBEMARLE NC $4.24M
BRUNSWICK PHYSICIAN PARTNERS, PLLC BOLIVIA NC $4.21M
TENNESSEE RIVER PHYSICIANS, PLLC CHATTANOOGA TN $3.87M
SANTA YNEZ RIVER PHYSICIANS, PC LOMPOC CA $3.79M
CENTRAL EMERGENCY PHYSICIANS, PLLC SANFORD NC $3.73M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 8,641 $490K
2020 6,139 $474K
2021 9,518 $774K
2022 10,311 $834K
2023 8,258 $624K
2024 7,641 $643K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 24,500 19,818 $1.98M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,986 11,102 $1.49M
99283 Emergency department visit for the evaluation and management, moderate severity 7,088 5,606 $304K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 235 212 $37K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,699 3,617 $24K