Medicaid Provider Spending

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

4M MONROE MEDICAL SERVICES PLLC

NPI: 1477962199 · ADRIAN, MI 49221 · Emergency Medicine Physician · NPI assigned 08/06/2014

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

Authorized official REESE, MELISSA controls 16+ related entities in our dataset. Read more

$6.44M
Total Medicaid Paid
176,074
Total Claims
159,554
Beneficiaries
33
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialREESE, MELISSA (PROVIDER ENROLLMENT OFFICER)
NPI Enumeration Date08/06/2014

Related Entities

Other providers sharing the same authorized official: REESE, MELISSA

ProviderCityStateTotal Paid
ALTEON HEALTH NEW MEXICO LLC HOBBS NM $11.93M
ALTEON HEALTH ALABAMA, LLC TALLADEGA AL $8.36M
MAHONING VALLEY EMERGENCY SPECIALISTS LLC YOUNGSTOWN OH $7.69M
ISLAND EMERGENCY MEDICAL SERVICES, P.C. FAR ROCKAWAY NY $7.30M
MVES BOARDMAN LLC YOUNGSTOWN OH $5.99M
MVES AUSTINTOWN LLC AUSTINTOWN OH $3.29M
ISLAND MEDICAL ALABAMA LLC CULLMAN AL $3.05M
JMH EMERGENCY PHYSICIANS RANSON WV $2.60M
4M EMERGENCY SYSTEMS TOD LLC WARREN OH $2.25M
ALTEON HEALTH NEW JERSEY PC HOLMDEL NJ $1.48M
MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC. LAGUNA BEACH CA $881K
ALTEON HEALTH INDIANA LLC FRANKFORT IN $756K
ISLAND MEDICAL HOSPITALIST LEA LLC HOBBS NM $128K
ALTEON HEALTH NEW JERSEY HM PC HOLMDEL NJ $99K
UTAH REGIONAL HOSPITALISTS LLC IDAHO FALLS ID $10K
USACS OBSERVATION MEDICINE SERVICES OF COLORADO, INC GOLDEN CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44,134 $2.14M
2019 49,656 $1.71M
2020 33,687 $936K
2021 25,392 $629K
2022 16,456 $606K
2023 6,749 $415K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 42,578 39,093 $2.54M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 26,235 23,551 $2.08M
99283 Emergency department visit for the evaluation and management, moderate severity 34,556 32,185 $1.39M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,343 2,245 $261K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,667 1,634 $54K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 11,932 10,585 $52K
12001 1,037 1,008 $27K
10060 214 209 $12K
12011 306 289 $10K
12002 169 165 $6K
10061 12 12 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 24 24 $778.62
29125 33 29 $652.16
G8783 Normal blood pressure reading documented, follow-up not required 4,864 4,554 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 9,048 7,348 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 561 543 $0.00
G8785 Blood pressure reading not documented, reason not given 1,278 1,249 $0.00
4004F 925 755 $0.00
3210F 175 174 $0.00
G9593 Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules 13 13 $0.00
4124F 65 64 $0.00
99053 2,024 1,908 $0.00
3046F 115 103 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 15 15 $0.00
G8711 Prescribed antibiotic on or within 3 days after the episode date 185 184 $0.00
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 989 963 $0.00
1036F 834 658 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 19,235 17,098 $0.00
G8708 Patient not prescribed antibiotic 354 350 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 14,043 12,304 $0.00
G9532 Patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma 99 98 $0.00
G9529 Patient with minor blunt head trauma had an appropriate indication(s) for a head ct 100 99 $0.00
G9530 Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider 46 45 $0.00