Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Athens Emergency Group, LLC

Athens Emergency Group, LLC was paid $1.08M by Medicaid between Feb 2018 and Nov 2019, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 62% of everything it billed.

33Billing provider infoATHENS EMERGENCY GROUP, LLC
ATHENS, OH 45701
33aNPI1639696404assigned 08/23/2017
33bProvider typePhysician Assistant
28Total paid$1.08M
24GClaims21,653
24DCodes billed4
24AFirst – last monthFeb 2018 – Nov 2019
Compared with peers

Next to other Physician Assistant providers in Ohio

Rank by total paid#28 of 176
Median peer was paid$13K
This provider vs. median84×

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
201811,418$560K
201910,235$524K
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 62% 10,994 10,598 $675K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 26% 6,216 6,072 $281K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 4,327 4,261 $124K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 116 112 $4K

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.