Western Medical Associates, PLLC

Western Medical Associates, PLLC was paid $2.63M by Medicaid between Mar 2019 and Dec 2021, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 53% of everything it billed.

33Billing provider infoWESTERN MEDICAL ASSOCIATES, PLLC
COEUR D ALENE, ID 83814

33aNPI1649734922assigned 01/30/2019

33bProvider typeEmergency Medicine Physician

28Total paid$2.63M

24GClaims28,485

24DCodes billed5

24AFirst – last monthMar 2019 – Dec 2021

Compared with peers

Next to other Emergency Medicine Physician providers in Idaho

Rank by total paid#5 of 26

Median peer was paid$143K

This provider vs. median18×

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
2019	8,347	$670K
2020	10,497	$1.04M
2021	9,641	$921K

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	53%	13,083	12,670	$1.39M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	46%	14,577	14,188	$1.20M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	1.1%	691	665	$30K
99220		<1%	71	67	$8K
93042		<1%	63	59	$229.80

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 officialNICKOL, THOMAS (MANAGER)