Pacific Emergency Providers, a Prof. Corp.

Pacific Emergency Providers, a Prof. Corp. was paid $16.29M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99285, emergency room visit (most serious) — 53% of everything it billed.

33Billing provider infoPACIFIC EMERGENCY PROVIDERS, A PROF. CORP.
SAN DIEGO, CA 92103

33aNPI1497790539assigned 06/20/2006

33bProvider typeEmergency Medicine Physician

28Total paid$16.29M

24GClaims293,450

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#20 of 988

Median peer was paid$32K

This provider vs. median513×

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

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

Year	Claims	Paid
2018	41,115	$2.31M
2019	43,048	$2.30M
2020	38,589	$2.15M
2021	42,457	$2.28M
2022	40,908	$2.19M
2023	45,417	$2.60M
2024incomplete	41,916	$2.46M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	53%	98,846	97,236	$8.65M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	29%	79,675	78,045	$4.78M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	8.0%	33,362	32,513	$1.31M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	4.4%	6,214	6,163	$724K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	4.0%	58,045	55,475	$659K
93042		<1%	12,536	12,452	$100K
99223	Prolong inpt eval add15 m	<1%	461	457	$28K
99406		<1%	2,720	2,600	$24K
93308		<1%	320	319	$8K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	330	328	$6K
99292		<1%	48	48	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	81	75	$2K

7 more codes

76604		<1%	110	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	15	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	25	$483.57
G9744	Patient not eligible due to active diagnosis of hypertension	<1%	475	$123.96
G8783	Normal blood pressure reading documented, follow-up not required	0%	64	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	88	$0.00
G9745	Documented reason for not screening or recommending a follow-up for high blood pressure	0%	35	$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 officialLUDWIG, JON (OWNER)