Medicaid Provider Spending

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

ACS PRIMARY CARE PHYSICIANS SOUTHWEST, PA

NPI: 1538101019 · GAINESVILLE, TX 76240 · Pediatric Emergency Medicine (Pediatrics) Physician · NPI assigned 06/11/2006

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

Authorized official HARDY, SHARON controls 11+ related entities in our dataset. Read more

$11.81M
Total Medicaid Paid
220,447
Total Claims
211,047
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARDY, SHARON (PROVIDER ENROLLMENT DIRECTOR)
NPI Enumeration Date06/11/2006

Related Entities

Other providers sharing the same authorized official: HARDY, SHARON

ProviderCityStateTotal Paid
NORTHWEST EMERGENCY PHYSICIANS LLC ARLINGTON WA $79.55M
EMERGENCY PHYSICIANS SOUTHWEST, PC MESA AZ $27.00M
LONGHORN EMERGENCY MEDICAL ASSOCIATES PA AUSTIN TX $16.11M
TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC DELANO CA $15.67M
EMERGENCY SERVICES OF TEXAS PA ORANGE TX $12.19M
EMERGENCY ASSOCIATES OF CENTRAL TEXAS PA KILLEEN TX $3.78M
IDAHO EMERGENCY MEDICAL GROUP PC CALDWELL ID $1.55M
NORTHWEST PHYSICIAN ASSOCIATES PC ARLINGTON WA $162K
QUANTUM HEALTHCARE MEDICAL ASSOCIATES OF ARIZONA, PC PLEASANTON CA $45K
NORTHWEST OBSERVATION ASSOCIATES PC FEDERAL WAY WA $9K
HILL COUNTRY EMERGENCY MEDICAL ASSOCIATES PA SAN MARCOS TX $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,389 $240K
2019 6,226 $193K
2020 8,783 $320K
2021 33,500 $1.53M
2022 53,987 $2.55M
2023 54,004 $3.13M
2024 56,558 $3.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 91,501 87,898 $6.08M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 49,638 46,877 $3.02M
99283 Emergency department visit for the evaluation and management, moderate severity 59,028 57,156 $2.68M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 11,162 10,341 $35K
99282 Emergency department visit for the evaluation and management, low to moderate severity 155 148 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 14 13 $543.49
99053 8,949 8,614 $112.26