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

Ies Missouri LLC

Ies Missouri LLC was paid $1.48M by Medicaid between Jun 2023 and Jun 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 45% of everything it billed.

33Billing provider infoIES MISSOURI LLC
WEST PLAINS, MO 65775
33aNPI1336849249assigned 03/08/2023
28Total paid$1.48M
24GClaims25,641
24DCodes billed5
24AFirst – last monthJun 2023 – Jun 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Missouri

Rank by total paid#17 of 571
Median peer was paid$14K
This provider vs. median105×

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 ZENAROSA, NESTOR 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
202315,989$833K
2024incomplete9,652$650K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 45% 12,159 9,835 $663K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 41% 7,907 6,182 $606K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 3,154 2,936 $156K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3.5% 478 379 $52K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,943 1,552 $6K

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 officialZENAROSA, NESTOR (OWNER)
Same official

Other billing entities under ZENAROSA, NESTOR

Full network →
ProviderLocationPaid
Century Integrated Partners, INCDallas, TX$27.91M
Ies Arizona PLLCTucson, AZ$12.59M
Integrative Emergency Services Physician Group-Houston PLLCPasadena, TX$8.02M
Integrative Emergency Services Physician Group PAFort Worth, TX$4.23M
Ies Central Texas PLLCHillsboro, TX$913K
Ies South Carolina LLCHartsville, SC$807K
Ies Arkansas PLLCDallas, TX$735K
Ies Carrollton PLLCCarrollton, TX$640K
Ies Alabama PLLCFoley, AL$458K
Ies Florida PLLCVenice, FL$441K
Ies Colorado PLLCDenver, CO$368K
Ias Arizona PLLCTucson, AZ$273K
Ies HSP Missouri LLCWest Plains, MO$239K
Ies Obs Arizona PLLCTucson, AZ$215K
Ies Oklahoma LLCLawton, OK$80K
Ies HSP Arkansas PLLCDallas, TX$12K
Ias Oklahoma LLCLawton, OK$10K
Mydas PAFt Worth, TX$6K
Ies Hospitalists PLLCDallas, TX$2K
Ies Mobile Medicine PLLCDallas, TX$613.70

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