Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ISLAND EMERGENCY MEDICAL SERVICES, P.C.

NPI: 1639160385 · FAR ROCKAWAY, NY 11691 · Emergency Medicine Physician · NPI assigned 11/02/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official REESE, MELISSA controls 16+ related entities in our dataset. Read more

$7.30M
Total Medicaid Paid
166,718
Total Claims
161,645
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREESE, MELISSA (PROVIDER ENROLLMENT OFFICER)
NPI Enumeration Date11/02/2005

Related Entities

Other providers sharing the same authorized official: REESE, MELISSA

ProviderCityStateTotal Paid
ALTEON HEALTH NEW MEXICO LLC HOBBS NM $11.93M
ALTEON HEALTH ALABAMA, LLC TALLADEGA AL $8.36M
MAHONING VALLEY EMERGENCY SPECIALISTS LLC YOUNGSTOWN OH $7.69M
4M MONROE MEDICAL SERVICES PLLC ADRIAN MI $6.44M
MVES BOARDMAN LLC YOUNGSTOWN OH $5.99M
MVES AUSTINTOWN LLC AUSTINTOWN OH $3.29M
ISLAND MEDICAL ALABAMA LLC CULLMAN AL $3.05M
JMH EMERGENCY PHYSICIANS RANSON WV $2.60M
4M EMERGENCY SYSTEMS TOD LLC WARREN OH $2.25M
ALTEON HEALTH NEW JERSEY PC HOLMDEL NJ $1.48M
MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC. LAGUNA BEACH CA $881K
ALTEON HEALTH INDIANA LLC FRANKFORT IN $756K
ISLAND MEDICAL HOSPITALIST LEA LLC HOBBS NM $128K
ALTEON HEALTH NEW JERSEY HM PC HOLMDEL NJ $99K
UTAH REGIONAL HOSPITALISTS LLC IDAHO FALLS ID $10K
USACS OBSERVATION MEDICINE SERVICES OF COLORADO, INC GOLDEN CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,441 $60K
2019 17,933 $510K
2020 20,409 $445K
2021 33,181 $748K
2022 25,839 $1.08M
2023 30,047 $1.97M
2024 37,868 $2.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 61,117 59,747 $3.78M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 27,097 26,402 $2.23M
99283 Emergency department visit for the evaluation and management, moderate severity 33,845 33,022 $1.21M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 748 737 $68K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 253 252 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 137 136 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 141 141 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40 40 $969.90
12001 13 13 $847.77
99053 1,041 1,005 $201.56
G9744 Patient not eligible due to active diagnosis of hypertension 8,172 7,553 $25.26
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 5,453 5,277 $0.21
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 18,666 17,707 $0.04
G8950 Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented 5,537 5,353 $0.03
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 843 806 $0.01
G8708 Patient not prescribed antibiotic 117 114 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 3,419 3,286 $0.00
G8785 Blood pressure reading not documented, reason not given 24 24 $0.00
99080 55 30 $0.00