NP / PA
Southwest Emergency Physicians, PC
Southwest Emergency Physicians, PC was paid $112K by Medicaid between Jan 2018 and Mar 2018, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 56% of everything it billed.
33Billing provider infoSOUTHWEST EMERGENCY PHYSICIANS, PC
DURANGO, CO 81301
DURANGO, CO 81301
33aNPI1568495653assigned 07/09/2006
33bProvider typeNurse Practitioner
28Total paid$112K
24GClaims1,619
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers
Next to other Nurse Practitioner providers in Colorado
Rank by total paid#10 of 46
Median peer was paid$6K
This provider vs. median18×
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 | 1,619 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 56% | 636 | 601 | $63K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 29% | 495 | 446 | $32K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 372 | 325 | $16K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 104 | 95 | $597.11 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 12 | 12 | $378.96 |
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 officialGRAHAM, SUSAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Douglas Education Service District | Roseburg, OR | $689K |
| Hometown Healthcare Solution, LLC. | Henryetta, OK | $449K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.