Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WESTERN VIRGINIA REGIONAL EMERGENCY PHYSICIANS, LLC

NPI: 1386183028 · NORTON, VA 24273 · Physician Assistant · NPI assigned 02/14/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FALK, LISHA controls 20+ related entities in our dataset. Read more

$15.96M
Total Medicaid Paid
277,542
Total Claims
256,827
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALK, LISHA (VP OF CONTRACTING)
NPI Enumeration Date02/14/2017

Related Entities

Other providers sharing the same authorized official: FALK, LISHA

ProviderCityStateTotal Paid
BELLE CHASSE EMERGENCY GROUP LLC NEW ORLEANS LA $20.02M
SOUTHERN MEDICAL PARTNERS, LLC HAZARD KY $15.59M
FOUCHER EMERGENCY GROUP LLC NEW ORLEANS LA $15.03M
KENNER EMERGENCY GROUP LLC KENNER LA $12.10M
INDEPENDENCE EMERGENCY GROUP LLC METAIRIE LA $11.45M
CONGRESS EMERGENCY GROUP LLC LAFAYETTE LA $11.41M
COOLIDGE EMERGENCY GROUP LLC LAFAYETTE LA $11.05M
RED STICK EMERGENCY GROUP LLC BATON ROUGE LA $10.27M
MAIN STREET EMERGENCY GROUP LLC NEW IBERIA LA $9.31M
UNITED EMERGENCY SERVICES OF MISSISSIPPI COLUMBUS MS $7.79M
CALCASIEU EMERGENCY GROUP LLC LAKE CHARLES LA $7.42M
ED PHYSICIANS OF WEST LOUISIANA, LLC WEST MONROE LA $7.33M
ST MARY EMERGENCY GROUP LLC MORGAN CITY LA $6.46M
BECKLEY EMERGENCY PHYSICIANS LLC BECKLEY WV $6.13M
UNITED EMERGENCY SERVICES, INC. BOONEVILLE MS $5.78M
WILLIAMSON EMERGENCY PHYSICIANS LLC SOUTH WILLIAMSON KY $5.21M
AMBASSADOR EMERGENCY GROUP LLC LAFAYETTE LA $4.98M
ST. JOHN EMERGENCY GROUP LLC LA PLACE LA $4.97M
DUVAL EMERGENCY GROUP LLC NORTH MIAMI BEACH FL $4.92M
WEBSTER EMERGENCY GROUP LLC MINDEN LA $4.72M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,189 $715K
2019 44,147 $2.42M
2020 33,955 $1.92M
2021 41,121 $2.15M
2022 49,406 $2.52M
2023 49,687 $3.21M
2024 42,037 $3.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 86,331 79,907 $7.72M
99284 Emergency department visit for the evaluation and management, high severity 105,509 99,485 $6.40M
99283 Emergency department visit for the evaluation and management, moderate severity 48,359 45,292 $1.59M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 35,754 30,733 $122K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,340 1,221 $122K
99281 Emergency department visit for the evaluation and management, self-limited or minor 148 112 $2K
12001 29 25 $998.22
99233 Prolong inpt eval add15 m 33 14 $901.66
M1208 Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 25 24 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14 14 $0.00