Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Spence, Robert

Spence, Robert was paid $204K by Medicaid between Jan 2018 and Dec 2018, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 46% of everything it billed.

33Billing provider infoSPENCE, ROBERT
LAS VEGAS, NV 89149
33aNPI1588653125assigned 10/17/2005
28Total paid$204K
24GClaims2,808
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Emergency Medicine Physician providers in Nevada

Rank by total paid#37 of 216
Median peer was paid$63K
This provider vs. median3.2×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,808$204K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 46% 693 668 $94K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 36% 746 719 $74K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 623 603 $36K
99053 <1% 746 716 $10.39

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.