Acs Primary Care Physicians Southwest, PA

Acs Primary Care Physicians Southwest, PA was paid $11.81M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 51% of everything it billed.

33Billing provider infoACS PRIMARY CARE PHYSICIANS SOUTHWEST, PA
GAINESVILLE, TX 76240

33aNPI1538101019assigned 06/11/2006

33bProvider typePediatric Emergency Medicine (Pediatrics) Physician

28Total paid$11.81M

24GClaims220,447

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in Texas

Rank by total paid#2 of 12

Median peer was paid$18K

This provider vs. median646×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

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

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	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
2024incomplete	56,558	$3.86M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	51%	91,501	87,898	$6.08M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	26%	49,638	46,877	$3.02M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	23%	59,028	57,156	$2.68M
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	11,162	10,341	$35K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	155	148	$4K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	14	13	$543.49
99053		<1%	8,949	8,614	$112.26

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 officialHARDY, SHARON (PROVIDER ENROLLMENT DIRECTOR)

Same official

Other billing entities under HARDY, SHARON

Full network →

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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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.