Medicaid Provider Spending

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

NES MEDICAL SERVICES OF NEW ENGLAND INC

NPI: 1396401907 · BANGOR, ME 04401 · Emergency Medicine Physician · NPI assigned 11/09/2021

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

Authorized official MOORE, JENNIFER controls 20+ related entities in our dataset. Read more

$348K
Total Medicaid Paid
9,688
Total Claims
5,556
Beneficiaries
17
Codes Billed
2022-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialMOORE, JENNIFER (CEO)
NPI Enumeration Date11/09/2021

Related Entities

Other providers sharing the same authorized official: MOORE, JENNIFER

ProviderCityStateTotal Paid
EMERGENCY MEDICAL SERVICES OF LORAIN, INC. LORAIN OH $6.88M
ULTIMATE HOME CARE LLC, DBA OAK VIEW HEALTH SERVICES IDABEL OK $4.68M
NES GEORGIA INC ELIZABETH NJ $4.66M
NES OF SANDUSKY INC LOGANSPORT IN $2.72M
NES TENNESSEE INC MONTGOMERY AL $1.76M
WHITAKER NATIONAL CORPORATION JACKSON KY $1.69M
WHITAKER NATIONAL CORPORATION PAINTSVILLE KY $1.62M
EMERGENCY MEDICAL SERVICES OF LORAIN, INC. OBERLIN OH $1.58M
COMMONWEALTH OF KENTUCKY LOUISVILLE KY $1.51M
WHITAKER NATIONAL CORPORATION LOUISA KY $1.19M
NES TENNESSEE INC MONROEVILLE AL $915K
JENNIFER C MOORE MSW LCSW INC LAS VEGAS NV $620K
NES KENTUCKY INC NASHVILLE AR $617K
HLES OF OHIO INC EAST LIVERPOOL OH $553K
COMMONWEALTH OF KENTUCKY SOMERSET KY $451K
COMMONWEALTH OF KENTUCKY LEXINGTON KY $435K
NES LOUISIANA INC SPRINGHILL LA $257K
HLES OF OHIO, INC. WAUSEON OH $229K
ULTIMATE HOME CARE LLC, DBA OAK VIEW HELATH SERVICES IDABEL OK $181K
COMMONWEALTH OF KENTUCKY HOPKINSVILLE KY $151K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,763 $53K
2023 7,925 $295K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 3,585 1,339 $153K
99223 Prolong inpt eval add15 m 897 807 $70K
99232 Subsequent hospital care, per day, moderate complexity 2,078 805 $65K
99239 Hospital discharge day management, more than 30 minutes 788 720 $36K
99309 Subsequent nursing facility care, per day, low to moderate complexity 447 288 $10K
99310 Prolong nursin fac eval 15m 151 141 $5K
99308 Subsequent nursing facility care, per day, straightforward 134 117 $2K
99222 Initial hospital care, per day, moderate complexity 27 24 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 69 26 $1K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 18 12 $947.85
99307 87 65 $874.50
99316 13 12 $762.68
99221 14 14 $701.05
99497 25 25 $361.75
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 1,278 1,098 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 43 39 $0.00
1123F 34 24 $0.00