Medicaid Provider Spending

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

TRI-STATE EMERGENCY PHYSICIANS LLP

NPI: 1508313719 · WHEELING, WV 26003 · Emergency Medicine Physician · NPI assigned 09/06/2016

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

Authorized official KING, DERIK controls 13+ related entities in our dataset. Read more

$5.29M
Total Medicaid Paid
21,744
Total Claims
20,560
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-04
Last Month

Provider Details

Authorized OfficialKING, DERIK (MANAGING PARTNER)
NPI Enumeration Date09/06/2016

Related Entities

Other providers sharing the same authorized official: KING, DERIK

ProviderCityStateTotal Paid
MID OHIO EMERGENCY PHYSICIANS LLP MANSFIELD OH $2.32M
GATEWAY EMERGENCY PHYSICIANS, LLP JOPLIN MO $817K
MOUNTAIN EMERGENCY PHYSICIANS LLP WHEELING WV $531K
SOUTHERN ALABAMA PHYSICIANS LLP DOTHAN AL $393K
RIVERSIDE EMERGENCY PHYSICIANS, LLP WILLIAMSTON NC $277K
WEST SIDE EMERGENCY PHYSICIANS, LLP KENTON OH $233K
GATEWAY EMERGENCY PHYSICIANS, LLP NEOSHO MO $92K
SOUTHERN OHIO EMERGENCY PHYSICIANS, LLP ATHENS OH $52K
DELMARVA EMERGENCY PHYSICIANS LLP DOVER DE $26K
DELMARVA EMERGENCY PHYSICIANS LLP SMYRNA DE $17K
DELMARVA EMERGENCY PHYSICIANS LLP MILFORD DE $15K
MERAMEC EMERGENCY PHYSICIANS, LLP DEXTER MO $11K
ATLANTIC HOSPITALIST PHYSICIANS, LLP WILLIAMSTON NC $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,373 $1.75M
2019 9,303 $2.18M
2020 4,068 $1.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,333 9,755 $3.24M
99284 Emergency department visit for the evaluation and management, high severity 3,910 3,759 $1.16M
99283 Emergency department visit for the evaluation and management, moderate severity 3,185 3,064 $482K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,285 3,953 $384K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 31 29 $15K