Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Epmg Southern Michigan PLLC

Epmg Southern Michigan PLLC was paid $4.07M by Medicaid between Jul 2019 and Dec 2024, across 12 billing codes. Its largest line is 99283, emergency room visit (moderate) — 36% of everything it billed.

33Billing provider infoEPMG SOUTHERN MICHIGAN PLLC
COLDWATER, MI 49036
33aNPI1336607126assigned 03/11/2019
33bProvider typePhysician Assistant
28Total paid$4.07M
24GClaims76,576
24DCodes billed12
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers

Next to other Physician Assistant providers in Michigan

Rank by total paid#5 of 80
Median peer was paid$36K
This provider vs. median114×

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$100K2018201920202021202220232024
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
20198,389$384K
202011,722$652K
202116,466$894K
202219,161$989K
202314,150$747K
2024incomplete6,688$407K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 36% 24,295 22,933 $1.47M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 33% 23,014 21,626 $1.34M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 26% 16,153 14,850 $1.04M
99282 Emergency department visit for the evaluation and management, low to moderate severity 2.6% 1,982 1,890 $108K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.4% 495 484 $58K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 6,126 5,687 $25K
12001 <1% 719 708 $18K
12011 <1% 69 67 $2K
12002 <1% 53 44 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 21 14 $629.06
71045 Radiologic examination, chest; single view <1% 13 13 $53.30
99053 <1% 3,636 3,485 $20.75

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.