Petaluma Emergency Physicians Medical Corporation

Petaluma Emergency Physicians Medical Corporation was paid $2.40M by Medicaid between Jan 2018 and Oct 2023, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.

33Billing provider infoPETALUMA EMERGENCY PHYSICIANS MEDICAL CORPORATION
PETALUMA, CA 94954

33aNPI1649201898assigned 07/06/2006

33bProvider typeCritical Access Hospital

28Total paid$2.40M

24GClaims34,465

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Critical Access Hospital providers in California

Rank by total paid#18 of 30

Median peer was paid$3.14M

This provider vs. median0.8×

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
2018	6,277	$377K
2019	5,694	$347K
2020	4,116	$299K
2021	5,551	$390K
2022	7,430	$525K
2023	5,397	$466K

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	50%	11,603	11,268	$1.19M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	24%	11,132	10,821	$582K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	24%	7,640	7,321	$579K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.0%	3,994	3,742	$47K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	96	94	$3K

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 officialFONG, HENRY (MEDICAL DIRECTOR)