Medicaid Provider Spending

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

TENNESSEE RIVER PHYSICIANS, PLLC

NPI: 1396282463 · CHATTANOOGA, TN 37403 · Emergency Medicine Physician · NPI assigned 01/26/2017

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

Authorized official LARSEN, KIM controls 20+ related entities in our dataset. Read more

$3.87M
Total Medicaid Paid
76,586
Total Claims
62,614
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSEN, KIM (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date01/26/2017

Related Entities

Other providers sharing the same authorized official: LARSEN, KIM

ProviderCityStateTotal Paid
THE CAROLINAS EMERGENCY GROUP, PLLC DUNN NC $20.49M
GASTONIA PHYSICIAN SERVICES, PLLC GASTONIA NC $15.73M
SANTA ANA PHYSICIANS GROUP, PC INDIO CA $12.38M
ETOWAH EMERGENCY PHYSICIANS, LLC CEDARTOWN GA $10.77M
NORTH CAROLINA EMERGENCY PHYSICIANS, PLLC LAURINBURG NC $10.60M
ROBESON EMERGENCY PHYSICIANS, PLLC LUMBERTON NC $9.80M
CENTRAL GEORGIA EMERGENCY GROUP, LLC MACON GA $8.75M
DES MOINES RIVER PHYSICIANS, LLC DES MOINES IA $8.16M
KINSTON PHYSICIANS GROUP, PLLC KINSTON NC $8.05M
PASSAIC RIVER PHYSICIANS, LLC PATERSON NJ $6.70M
TENNESSEE EMERGENCY PHYSICIANS, PLLC MEMPHIS TN $6.27M
GEORGIA EMERGENCY GROUP, LLC GRIFFIN GA $6.27M
HOUSTON COUNTY EMERGENCY GROUP, LLC WARNER ROBINS GA $5.30M
BULL CITY PHYSICIANS, PLLC HENDERSON NC $4.65M
PENSACOLA EMERGENCY PHYSICIANS, LLC PENSACOLA FL $4.59M
WESTERN CAROLINA EMERGENCY PHYSICIANS, PLLC ALBEMARLE NC $4.24M
BRUNSWICK PHYSICIAN PARTNERS, PLLC BOLIVIA NC $4.21M
PIEDMONT TRIAD PHYSICIANS, PLLC THOMASVILLE NC $3.84M
SANTA YNEZ RIVER PHYSICIANS, PC LOMPOC CA $3.79M
CENTRAL EMERGENCY PHYSICIANS, PLLC SANFORD NC $3.73M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,722 $575K
2019 13,011 $645K
2020 10,073 $526K
2021 10,752 $612K
2022 11,398 $600K
2023 13,020 $612K
2024 5,610 $303K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 36,044 29,461 $2.17M
99284 Emergency department visit for the evaluation and management, high severity 25,242 20,999 $1.42M
99283 Emergency department visit for the evaluation and management, moderate severity 4,950 4,224 $157K
59025 Fetal non-stress test 8,805 6,556 $127K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 159 134 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 79 70 $2K
99053 1,307 1,170 $0.00