Physician
Emergency Medicine Specialists, S.C.
Emergency Medicine Specialists, S.C. was paid $35.13M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99284, emergency room visit (serious) — 51% of everything it billed.
33Billing provider infoEMERGENCY MEDICINE SPECIALISTS, S.C.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
33aNPI1568413524assigned 05/15/2006
33bProvider typeEmergency Medicine Physician
28Total paid$35.13M
24GClaims1,188,492
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Wisconsin
Rank by total paid#1 of 230
Median peer was paid$7K
This provider vs. median4,883×
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 | 262,592 | $4.96M | |
| 2019 | 132,100 | $4.59M | |
| 2020 | 120,830 | $2.83M | |
| 2021 | 138,919 | $3.48M | |
| 2022 | 171,851 | $5.44M | |
| 2023 | 214,814 | $6.45M | |
| 2024incomplete | 147,386 | $7.37M |
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% | 378,847 | 341,910 | $18.01M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 23% | 188,043 | 169,367 | $8.07M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.6% | 111,961 | 99,602 | $3.37M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.7% | 50,907 | 45,439 | $2.72M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.9% | 18,231 | 16,460 | $1.02M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.3% | 8,746 | 7,830 | $796K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.8% | 111,481 | 94,408 | $643K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 5,980 | 5,268 | $220K |
| H0049 | Alcohol and/or drug screening | <1% | 8,887 | 5,774 | $175K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 904 | 779 | $60K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 209 | 195 | $11K |
| 99236 | Prolong inpt eval add15 m | <1% | 92 | 82 | $10K |
22 more codes
| 93308 | <1% | 301 | $6K | |
| 99223 | Prolong inpt eval add15 m | <1% | 75 | $3K |
| 99053 | <1% | 164,108 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 76 | $2K |
| 97597 | <1% | 94 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 32 | $758.74 |
| 99292 | <1% | 19 | $489.28 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $341.73 |
| 99217 | <1% | 14 | $331.92 | |
| 93042 | <1% | 14 | $72.99 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 5,136 | $39.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 29,339 | $0.00 |
| 99406 | 0% | 456 | $0.00 | |
| G8708 | Patient not prescribed antibiotic | 0% | 1,468 | $0.00 |
| 1036F | 0% | 2,180 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 472 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 71,096 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 17,341 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 11,479 | $0.00 |
| 4004F | 0% | 458 | $0.00 | |
| G8709 | Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) | 0% | 15 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 14 | $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 officialWILSON, CORY (MANAGER)