Emergency Medicine Associates, P.A.,P.C.
Emergency Medicine Associates, P.A.,P.C. was paid $3.23M by Medicaid between Jan 2018 and Dec 2023, across 18 billing codes. Its largest line is 99284, emergency room visit (serious) — 57% of everything it billed.
DULLES, VA 20166
Next to other Internal Medicine Physician providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 22,972 | $1.19M | |
| 2019 | 14,920 | $706K | |
| 2020 | 14,496 | $437K | |
| 2021 | 12,460 | $203K | |
| 2022 | 7,944 | $230K | |
| 2023 | 6,683 | $469K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 57% | 29,125 | 26,280 | $1.86M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 29% | 12,666 | 10,514 | $937K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 10,409 | 9,609 | $381K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.0% | 354 | 322 | $33K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 474 | 457 | $13K |
| 10061 | <1% | 45 | 43 | $7K | |
| 99053 | <1% | 2,110 | 1,918 | $1K | |
| 12001 | <1% | 32 | 32 | $1K | |
| 99406 | <1% | 178 | 156 | $1K | |
| 12011 | <1% | 14 | 12 | $587.51 | |
| 29125 | <1% | 12 | 12 | $423.57 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 15 | 14 | $184.39 |
6 more codes
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | <1% | 551 | $17.45 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 4,762 | $0.00 |
| G8708 | Patient not prescribed antibiotic | 0% | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13,826 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 4,385 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 505 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.