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

Nes Western Group, a Professional Corporation

Nes Western Group, a Professional Corporation was paid $5.22M by Medicaid between Jan 2019 and Oct 2024, across 17 billing codes. Its largest line is 99285, emergency room visit (most serious) — 53% of everything it billed.

33Billing provider infoNES WESTERN GROUP, A PROFESSIONAL CORPORATION
PORTERVILLE, CA 93257
33aNPI1487125019assigned 12/07/2018
28Total paid$5.22M
24GClaims140,341
24DCodes billed17
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#108 of 988
Median peer was paid$32K
This provider vs. median164×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BLAKEMAN, JENNIFER controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
201921,466$683K
202018,601$676K
202119,308$761K
202225,119$927K
202334,242$1.32M
2024incomplete21,605$855K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 53% 53,386 52,342 $2.79M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 35% 51,055 50,423 $1.81M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.7% 14,931 14,769 $352K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.8% 17,154 16,474 $148K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 569 568 $40K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 1,218 635 $24K
99236 Prolong inpt eval add15 m <1% 301 299 $21K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 959 953 $12K
99239 Hospital discharge day management, more than 30 minutes <1% 367 357 $12K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 103 55 $3K
99223 Prolong inpt eval add15 m <1% 51 51 $2K
99238 Hospital discharge day management, 30 minutes or less <1% 57 57 $711.31
5 more codes
99222 Initial hospital care, per day, moderate complexity <1% 13 $525.93
99053 <1% 109 $98.55
3210F 0% 28 $0.00
G8806 Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented 0% 12 $0.00
G8711 Prescribed antibiotic on or within 3 days after the episode date 0% 28 $0.00

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 officialBLAKEMAN, JENNIFER (PROVIDER ENROLLMENT)
Same official

Other billing entities under BLAKEMAN, JENNIFER

Full network →
ProviderLocationPaid
Lakes/National Emergency Physicians INCHolyoke, MA$10.54M
Nes Arizona INCFort Mohave, AZ$8.50M
Nes Georgia INCNewark, NJ$6.23M
Nes Oklahoma, INC.Ponca City, OK$4.62M
Nes Louisiana INCNatchitoches, LA$4.44M
Nes Medical Services of Northern Connecticut, P.C.Putnam, CT$2.98M
Nes Southwest Medical Services INCAmarillo, TX$2.37M
Medical Services of Suffolk County PCPhiladelphia, PA$2.34M
Nes Tennessee INCSylacauga, AL$2.28M
Hles of Ohio INCCoshocton, OH$2.22M
Nes Washington, INC.Ketchikan, AK$2.14M
Nes Tennessee INCAlexander City, AL$1.36M
Nes Western Group, a Professional CorporationHayward, CA$892K
Nes Medical Services of New York PCBath, NY$786K
Nes Medical Services of Northern Connecticut, P.C.Stafford Springs, CT$545K
Nes Tennessee INCPhenix City, AL$512K

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