Medicaid Provider Spending

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

NES WESTERN GROUP, A PROFESSIONAL CORPORATION

NPI: 1487125019 · PORTERVILLE, CA 93257 · Emergency Medicine Physician · NPI assigned 12/07/2018

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

Authorized official BLAKEMAN, JENNIFER controls 16+ related entities in our dataset. Read more

$5.22M
Total Medicaid Paid
140,341
Total Claims
137,172
Beneficiaries
17
Codes Billed
2019-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBLAKEMAN, JENNIFER (PROVIDER ENROLLMENT)
NPI Enumeration Date12/07/2018

Related Entities

Other providers sharing the same authorized official: BLAKEMAN, JENNIFER

ProviderCityStateTotal Paid
LAKES/NATIONAL EMERGENCY PHYSICIANS INC HOLYOKE MA $10.54M
NES ARIZONA INC FORT MOHAVE AZ $8.50M
NES GEORGIA INC NEWARK NJ $6.23M
NES OKLAHOMA, INC. PONCA CITY OK $4.62M
NES LOUISIANA INC NATCHITOCHES LA $4.44M
NES MEDICAL SERVICES OF NORTHERN CONNECTICUT, P.C. PUTNAM CT $2.98M
NES SOUTHWEST MEDICAL SERVICES INC AMARILLO TX $2.37M
MEDICAL SERVICES OF SUFFOLK COUNTY PC PHILADELPHIA PA $2.34M
NES TENNESSEE INC SYLACAUGA AL $2.28M
HLES OF OHIO INC COSHOCTON OH $2.22M
NES WASHINGTON, INC. KETCHIKAN AK $2.14M
NES TENNESSEE INC ALEXANDER CITY AL $1.36M
NES WESTERN GROUP, A PROFESSIONAL CORPORATION HAYWARD CA $892K
NES MEDICAL SERVICES OF NEW YORK PC BATH NY $786K
NES MEDICAL SERVICES OF NORTHERN CONNECTICUT, P.C. STAFFORD SPRINGS CT $545K
NES TENNESSEE INC PHENIX CITY AL $512K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 21,466 $683K
2020 18,601 $676K
2021 19,308 $761K
2022 25,119 $927K
2023 34,242 $1.32M
2024 21,605 $855K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 53,386 52,342 $2.79M
99284 Emergency department visit for the evaluation and management, high severity 51,055 50,423 $1.81M
99283 Emergency department visit for the evaluation and management, moderate severity 14,931 14,769 $352K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17,154 16,474 $148K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 569 568 $40K
99232 Subsequent hospital care, per day, moderate complexity 1,218 635 $24K
99236 Prolong inpt eval add15 m 301 299 $21K
99282 Emergency department visit for the evaluation and management, low to moderate severity 959 953 $12K
99239 Hospital discharge day management, more than 30 minutes 367 357 $12K
99233 Prolong inpt eval add15 m 103 55 $3K
99223 Prolong inpt eval add15 m 51 51 $2K
99238 Hospital discharge day management, 30 minutes or less 57 57 $711.31
99222 Initial hospital care, per day, moderate complexity 13 13 $525.93
99053 109 108 $98.55
3210F 28 28 $0.00
G8806 Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented 12 12 $0.00
G8711 Prescribed antibiotic on or within 3 days after the episode date 28 28 $0.00