Emergency Specialist Physicians Medical Associates, INC

Emergency Specialist Physicians Medical Associates, INC was paid $9.83M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99285, emergency room visit (most serious) — 68% of everything it billed.

33Billing provider infoEMERGENCY SPECIALIST PHYSICIANS MEDICAL ASSOCIATES, INC
TORRANCE, CA 90503

33aNPI1518917913assigned 05/10/2006

33bProvider typeEmergency Medicine Physician

28Total paid$9.83M

24GClaims186,774

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#61 of 988

Median peer was paid$32K

This provider vs. median310×

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	26,948	$1.12M
2019	31,560	$1.58M
2020	23,668	$1.33M
2021	25,922	$1.45M
2022	26,354	$1.46M
2023	28,723	$1.70M
2024incomplete	23,599	$1.20M

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	68%	86,686	84,956	$6.65M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	19%	37,589	37,169	$1.89M
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	5.0%	45,671	43,798	$487K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.3%	11,628	11,380	$425K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	3.8%	3,840	3,739	$373K
99401		<1%	599	586	$5K
99223	Prolong inpt eval add15 m	<1%	38	37	$844.06
G9744	Patient not eligible due to active diagnosis of hypertension	<1%	415	374	$86.48
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	296	264	$0.00
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	0%	12	12	$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 officialSHOJI, KENT (PRESIDENT)