Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Combs Mountain Emergency Group, LLC

Combs Mountain Emergency Group, LLC was paid $2.31M by Medicaid between May 2020 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 51% of everything it billed.

33Billing provider infoCOMBS MOUNTAIN EMERGENCY GROUP, LLC
PAINTSVILLE, KY 41240
33aNPI1629603527assigned 03/11/2020
33bProvider typePhysician Assistant
28Total paid$2.31M
24GClaims43,976
24DCodes billed5
24AFirst – last monthMay 2020 – Nov 2024
Compared with peers

Next to other Physician Assistant providers in Kentucky

Rank by total paid#24 of 214
Median peer was paid$134K
This provider vs. median17×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FALK, LISHA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20208,191$299K
20219,923$488K
20229,277$479K
20239,239$562K
2024incomplete7,346$477K
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 51% 14,861 13,051 $1.18M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 35% 14,242 12,860 $813K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.0% 3,879 3,510 $139K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4.9% 1,314 1,110 $113K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.5% 9,680 7,853 $57K

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 officialFALK, LISHA (VP OF CONTRACTING)
Same official

Other billing entities under FALK, LISHA

Full network →
ProviderLocationPaid
Belle Chasse Emergency Group LLCNew Orleans, LA$20.02M
Southern Medical Partners, LLCHazard, KY$15.59M
Foucher Emergency Group LLCNew Orleans, LA$15.03M
Kenner Emergency Group LLCKenner, LA$12.10M
Independence Emergency Group LLCMetairie, LA$11.45M
Congress Emergency Group LLCLafayette, LA$11.41M
Coolidge Emergency Group LLCLafayette, LA$11.05M
Red Stick Emergency Group LLCBaton Rouge, LA$10.27M
Main Street Emergency Group LLCNew Iberia, LA$9.31M
United Emergency Services of MississippiColumbus, MS$7.79M
Calcasieu Emergency Group LLCLake Charles, LA$7.42M
Ed Physicians of West Louisiana, LLCWest Monroe, LA$7.33M
ST Mary Emergency Group LLCMorgan City, LA$6.46M
Beckley Emergency Physicians LLCBeckley, WV$6.13M
United Emergency Services, INC.Booneville, MS$5.78M
Williamson Emergency Physicians LLCSouth Williamson, KY$5.21M
Ambassador Emergency Group LLCLafayette, LA$4.98M
ST. John Emergency Group LLCLa Place, LA$4.97M
Duval Emergency Group LLCNorth Miami Beach, FL$4.92M
Webster Emergency Group LLCMinden, LA$4.72M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.