Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Emergency Medical Specialists, PC

Emergency Medical Specialists, PC was paid $266K by Medicaid between Feb 2021 and Nov 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 59% of everything it billed.

33Billing provider infoEMERGENCY MEDICAL SPECIALISTS, PC
WOODLAND PARK, CO 80863
33aNPI1467066787assigned 09/03/2020
28Total paid$266K
24GClaims3,399
24DCodes billed4
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers

Next to other Medical Toxicology (Emergency Medicine) Physician providers in Colorado

Rank by total paid#4 of 5
Median peer was paid$594K
This provider vs. median0.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2021909$77K
2022946$67K
20231,016$78K
2024incomplete528$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 59% 1,788 1,725 $157K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 21% 1,156 1,124 $56K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 20% 440 419 $53K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 15 15 $425.94

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)
Same official

Other billing entities under HERTNER, GEORGE

Full network →
ProviderLocationPaid
Emergency Medical Specialists, PCColorado Springs, CO$13.25M
Emergency Medical Specialists, PCColorado Springs, CO$762K
Emergency Medical Specialists, PCColorado Springs, CO$732K
Peak Medical Care, PLLCColorado Springs, CO$566K
Emergency Medical Specialists, PCColorado Springs, CO$165K
Emergency Medical Specialists, PCColorado Springs, CO$29K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.