NP / PA
Pertle Springs Emergency Physicians LLC
Pertle Springs Emergency Physicians LLC was paid $887K by Medicaid between Jan 2018 and Mar 2023, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 58% of everything it billed.
33Billing provider infoPERTLE SPRINGS EMERGENCY PHYSICIANS LLC
WARRENSBURG, MO 64093
WARRENSBURG, MO 64093
33aNPI1386197069assigned 07/28/2016
33bProvider typePhysician Assistant
28Total paid$887K
24GClaims12,790
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Physician Assistant providers in Missouri
Rank by total paid#7 of 136
Median peer was paid$12K
This provider vs. median76×
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 | 855 | $45K | |
| 2019 | 840 | $45K | |
| 2020 | 1,063 | $66K | |
| 2021 | 3,537 | $228K | |
| 2022 | 5,147 | $384K | |
| 2023 | 1,348 | $119K |
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 | 58% | 5,743 | 5,206 | $511K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 24% | 2,823 | 2,629 | $212K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 4,143 | 3,911 | $163K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 81 | 66 | $357.40 |
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 officialSMITH, DOUGLAS (OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Douglas J. Smith | Rexburg, ID | $109K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.