Sprouse, Brian

Sprouse, Brian was paid $166K by Medicaid between Aug 2018 and Oct 2021, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 41% of everything it billed.

33Billing provider infoSPROUSE, BRIAN
BARTLESVILLE, OK 74006

33aNPI1326429804assigned 06/10/2015

33bProvider typeEmergency Medicine Physician

28Total paid$166K

24GClaims3,833

24DCodes billed5

24AFirst – last monthAug 2018 – Oct 2021

Compared with peers

Next to other Emergency Medicine Physician providers in Oklahoma

Rank by total paid#39 of 81

Median peer was paid$154K

This provider vs. median1.1×

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.

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	373	$18K
2019	1,364	$59K
2020	996	$41K
2021	1,100	$48K

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	41%	970	887	$68K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	34%	958	868	$56K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	18%	806	736	$30K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	4.8%	926	770	$8K
99282	Emergency department visit for the evaluation and management, low to moderate severity	2.8%	173	130	$5K

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.