Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PINE MOUNTAIN EMERGENCY GROUP LIMITED LIABILITY COMPANY

NPI: 1568010064 · HARLAN, KY 40831 · Physician Assistant · NPI assigned 08/28/2019

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

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

$2.76M
Total Medicaid Paid
56,293
Total Claims
46,602
Beneficiaries
5
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALK, LISHA (VP OF CONTRACTING)
NPI Enumeration Date08/28/2019

Related Entities

Other providers sharing the same authorized official: FALK, LISHA

ProviderCityStateTotal Paid
BELLE CHASSE EMERGENCY GROUP LLC NEW ORLEANS LA $20.02M
SOUTHERN MEDICAL PARTNERS, LLC HAZARD KY $15.59M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14,616 $461K
2021 11,320 $557K
2022 10,726 $587K
2023 10,889 $615K
2024 8,742 $540K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 22,838 18,747 $1.67M
99284 Emergency department visit for the evaluation and management, high severity 14,338 12,832 $815K
99283 Emergency department visit for the evaluation and management, moderate severity 3,152 2,744 $111K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 14,845 11,396 $83K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,120 883 $83K