Medicaid Provider Spending

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

NES TENNESSEE INC

NPI: 1437606605 · MONTGOMERY, AL 36106 · Emergency Medicine Physician · NPI assigned 09/06/2016

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

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

$1.76M
Total Medicaid Paid
41,266
Total Claims
40,106
Beneficiaries
10
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialMOORE, JENNIFER (CFO)
NPI Enumeration Date09/06/2016

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
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 MEDICAL SERVICES OF NEW ENGLAND INC BANGOR ME $348K
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
2018 21,637 $852K
2019 19,629 $913K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,447 9,135 $677K
99284 Emergency department visit for the evaluation and management, high severity 10,993 10,718 $625K
99283 Emergency department visit for the evaluation and management, moderate severity 11,370 11,087 $428K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,249 6,049 $31K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 80 78 $4K
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 1,418 1,383 $0.00
G8711 Prescribed antibiotic on or within 3 days after the episode date 76 76 $0.00
3210F 65 65 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 1,097 1,059 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 471 456 $0.00