Physician
Encinitas Emergency Medicine, INC.
Encinitas Emergency Medicine, INC. was paid $3.19M by Medicaid between Jan 2021 and Dec 2024, across 7 billing codes. Its largest line is 99285, emergency room visit (most serious) — 45% of everything it billed.
33Billing provider infoENCINITAS EMERGENCY MEDICINE, INC.
ENCINITAS, CA 92024
ENCINITAS, CA 92024
33aNPI1598362568assigned 10/02/2020
33bProvider typeEmergency Medicine Physician
28Total paid$3.19M
24GClaims61,211
24DCodes billed7
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in California
Rank by total paid#143 of 988
Median peer was paid$32K
This provider vs. median100×
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 | |
|---|---|---|---|
| 2021 | 14,502 | $671K | |
| 2022 | 14,264 | $707K | |
| 2023 | 16,981 | $921K | |
| 2024incomplete | 15,464 | $887K |
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 | 45% | 16,448 | 16,312 | $1.42M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 41% | 21,115 | 20,910 | $1.30M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.9% | 5,458 | 5,415 | $221K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 6.0% | 16,412 | 15,710 | $190K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.5% | 403 | 397 | $48K |
| 71045 | Radiologic examination, chest; single view | <1% | 1,347 | 1,342 | $7K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 28 | 28 | $222.29 |
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 officialACCARDI, ANDREW (CEO)