Physician
Emergency Medical Specialists, PC
Emergency Medical Specialists, PC was paid $762K by Medicaid between Dec 2020 and Dec 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 77% of everything it billed.
33Billing provider infoEMERGENCY MEDICAL SPECIALISTS, PC
COLORADO SPRINGS, CO 80922
COLORADO SPRINGS, CO 80922
33aNPI1427662709assigned 09/03/2020
33bProvider typeMedical Toxicology (Emergency Medicine) Physician
28Total paid$762K
24GClaims10,142
24DCodes billed4
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Medical Toxicology (Emergency Medicine) Physician providers in Colorado
Rank by total paid#2 of 5
Median peer was paid$594K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2020 | 13 | $512.80 | |
| 2021 | 1,349 | $76K | |
| 2022 | 2,594 | $161K | |
| 2023 | 3,549 | $303K | |
| 2024incomplete | 2,637 | $222K |
Box 24 · Service lines
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 | 77% | 6,641 | 6,384 | $586K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 20% | 3,142 | 3,033 | $151K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.6% | 150 | 146 | $19K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 209 | 198 | $6K |
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 officialHERTNER, GEORGE (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Emergency Medical Specialists, PC | Colorado Springs, CO | $13.25M |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $732K |
| Peak Medical Care, PLLC | Colorado Springs, CO | $566K |
| Emergency Medical Specialists, PC | Woodland Park, CO | $266K |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $165K |
| Emergency Medical Specialists, PC | Colorado Springs, CO | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.