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

Bear Mountain Medical Services, a Medical Corporation

Bear Mountain Medical Services, a Medical Corporation was paid $1.75M by Medicaid between Jan 2018 and May 2024, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 58% of everything it billed.

33Billing provider infoBEAR MOUNTAIN MEDICAL SERVICES, A MEDICAL CORPORATION
BIG BEAR LAKE, CA 92315
33aNPI1316352867assigned 06/24/2014
28Total paid$1.75M
24GClaims28,331
24DCodes billed6
24AFirst – last monthJan 2018 – May 2024
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#189 of 988
Median peer was paid$32K
This provider vs. median55×

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

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20181,968$113K
20192,657$144K
20206,083$366K
20217,522$472K
20225,449$345K
20233,338$218K
2024incomplete1,314$96K
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% 12,151 11,763 $1.02M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 6,647 6,482 $393K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 7,795 7,601 $293K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.5% 277 269 $27K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.1% 1,437 1,394 $19K
99053 <1% 24 24 $229.44

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 officialVAUGHN, KAREN (VP PROVIDER ENROLLMENT)
Same official

Other billing entities under VAUGHN, KAREN

Full network →

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