Medicaid Provider Spending

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

ETOWAH EMERGENCY PHYSICIANS, LLC

NPI: 1306388343 · CEDARTOWN, GA 30125 · Emergency Medicine Physician · NPI assigned 11/08/2016

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

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

$10.77M
Total Medicaid Paid
140,998
Total Claims
134,411
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSEN, KIM (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date11/08/2016

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
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
PIEDMONT TRIAD PHYSICIANS, PLLC THOMASVILLE NC $3.84M
SANTA YNEZ RIVER PHYSICIANS, PC LOMPOC CA $3.79M
CENTRAL EMERGENCY PHYSICIANS, PLLC SANFORD NC $3.73M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,185 $1.80M
2019 25,704 $1.82M
2020 17,188 $1.19M
2021 17,376 $1.35M
2022 21,808 $1.69M
2023 19,689 $1.68M
2024 13,048 $1.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 58,319 55,466 $4.61M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 45,193 42,304 $4.35M
99283 Emergency department visit for the evaluation and management, moderate severity 32,809 32,012 $1.59M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,805 1,772 $102K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 760 756 $69K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 182 176 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 478 478 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 737 735 $10K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 270 270 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 164 163 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29 28 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 25 25 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 19 19 $315.27
J1100 Injection, dexamethasone sodium phosphate, 1 mg 13 13 $10.09
G8708 Patient not prescribed antibiotic 81 81 $0.00
1126F 40 40 $0.00
1125F 74 73 $0.00