Medicaid Provider Spending

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

SOUTHERN MEDICAL PARTNERS, LLC

NPI: 1538109962 · HAZARD, KY 41701 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 06/07/2006

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

Authorized official FALK, LISHA controls 20+ related entities in our dataset. Read more

$15.59M
Total Medicaid Paid
303,432
Total Claims
270,465
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALK, LISHA (VP OF CONTRACTING)
NPI Enumeration Date06/07/2006

Related Entities

Other providers sharing the same authorized official: FALK, LISHA

ProviderCityStateTotal Paid
BELLE CHASSE EMERGENCY GROUP LLC NEW ORLEANS LA $20.02M
FOUCHER EMERGENCY GROUP LLC NEW ORLEANS LA $15.03M
KENNER EMERGENCY GROUP LLC KENNER LA $12.10M
INDEPENDENCE EMERGENCY GROUP LLC METAIRIE LA $11.45M
CONGRESS EMERGENCY GROUP LLC LAFAYETTE LA $11.41M
COOLIDGE EMERGENCY GROUP LLC LAFAYETTE LA $11.05M
RED STICK EMERGENCY GROUP LLC BATON ROUGE LA $10.27M
MAIN STREET EMERGENCY GROUP LLC NEW IBERIA LA $9.31M
UNITED EMERGENCY SERVICES OF MISSISSIPPI COLUMBUS MS $7.79M
CALCASIEU EMERGENCY GROUP LLC LAKE CHARLES LA $7.42M
ED PHYSICIANS OF WEST LOUISIANA, LLC WEST MONROE LA $7.33M
ST MARY EMERGENCY GROUP LLC MORGAN CITY LA $6.46M
BECKLEY EMERGENCY PHYSICIANS LLC BECKLEY WV $6.13M
UNITED EMERGENCY SERVICES, INC. BOONEVILLE MS $5.78M
WILLIAMSON EMERGENCY PHYSICIANS LLC SOUTH WILLIAMSON KY $5.21M
AMBASSADOR EMERGENCY GROUP LLC LAFAYETTE LA $4.98M
ST. JOHN EMERGENCY GROUP LLC LA PLACE LA $4.97M
DUVAL EMERGENCY GROUP LLC NORTH MIAMI BEACH FL $4.92M
WEBSTER EMERGENCY GROUP LLC MINDEN LA $4.72M
ABBEVILLE EMERGENCY GROUP LLC ABBEVILLE LA $4.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,980 $2.54M
2019 49,590 $2.35M
2020 42,499 $1.98M
2021 44,752 $2.19M
2022 42,499 $2.14M
2023 41,446 $2.38M
2024 33,666 $2.01M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 108,588 95,605 $8.10M
99284 Emergency department visit for the evaluation and management, high severity 87,885 81,486 $4.95M
99283 Emergency department visit for the evaluation and management, moderate severity 36,756 33,703 $1.35M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 8,813 7,517 $838K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 61,300 52,080 $345K
31500 16 12 $1K
99292 15 12 $1K
99238 Hospital discharge day management, 30 minutes or less 46 38 $818.95
M1207 Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety 13 12 $0.00