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

Lumberton Emergency Medical Associates PC

Lumberton Emergency Medical Associates PC was paid $961K by Medicaid between Jan 2018 and Aug 2018, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 54% of everything it billed.

33Billing provider infoLUMBERTON EMERGENCY MEDICAL ASSOCIATES PC
LUMBERTON, NC 28358
33aNPI1326337163assigned 04/01/2011
28Total paid$961K
24GClaims20,667
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other Emergency Medicine Physician providers in North Carolina

Rank by total paid#54 of 196
Median peer was paid$120K
This provider vs. median8.0×

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$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
201820,667$961K
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 54% 9,256 7,521 $519K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 25% 4,854 4,081 $242K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 21% 6,380 5,398 $197K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 35 31 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 142 98 $163.48

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 (OFFICER)
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.