Emergency Physicians Integrated Care, LLC

Emergency Physicians Integrated Care, LLC was paid $31.13M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99285, emergency room visit (most serious) — 53% of everything it billed.

33Billing provider infoEMERGENCY PHYSICIANS INTEGRATED CARE, LLC
SALT LAKE CITY, UT 84102

33aNPI1578598199assigned 07/12/2006

33bProvider typeHospitalist Physician

28Total paid$31.13M

24GClaims437,664

24DCodes billed27

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Hospitalist Physician providers in Utah

Rank by total paid#1 of 26

Median peer was paid$42K

This provider vs. median750×

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	41,886	$2.24M
2019	48,890	$2.79M
2020	31,338	$2.29M
2021	65,150	$4.62M
2022	85,905	$6.01M
2023	86,693	$6.59M
2024incomplete	77,802	$6.60M

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	53%	173,944	153,172	$16.45M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	34%	139,753	126,723	$10.50M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	9.9%	67,198	60,946	$3.07M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	2.4%	5,483	5,047	$733K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	43,155	36,371	$109K
12001		<1%	1,056	1,022	$56K
12011		<1%	671	640	$44K
10061		<1%	316	303	$37K
12002		<1%	606	580	$36K
29125		<1%	397	382	$16K
99292		<1%	184	182	$15K
31500		<1%	227	218	$15K

15 more codes

10060		<1%	155	$12K
99213	Doctor's office visit, returning patient (routine)	<1%	376	$11K
99223	Prolong inpt eval add15 m	<1%	108	$9K
12013		<1%	134	$9K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	528	$7K
64400		<1%	59	$4K
99238	Hospital discharge day management, 30 minutes or less	<1%	34	$2K
99236	Prolong inpt eval add15 m	<1%	18	$2K
93042		<1%	826	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	81	$958.45
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	27	$389.98
93308		<1%	12	$205.50
99053		<1%	2,007	$97.23
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	186	$0.00
G8484	Influenza immunization was not administered, reason not given	0%	123	$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 officialSTOUT, CRAIG (CEO)