Medicaid Provider Spending

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

MOUNTAIN EMERGENCY PHYSICIANS LLP

NPI: 1659710564 · WHEELING, WV 26003 · Critical Care Medicine (Internal Medicine) Physician · NPI assigned 06/25/2013

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

Authorized official KING, DERIK controls 12+ related entities in our dataset. Read more

$531K
Total Medicaid Paid
6,539
Total Claims
3,716
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialKING, DERIK (LLP MANAGING PARTNER)
NPI Enumeration Date06/25/2013

Related Entities

Other providers sharing the same authorized official: KING, DERIK

ProviderCityStateTotal Paid
MID OHIO EMERGENCY PHYSICIANS LLP MANSFIELD OH $2.32M
GATEWAY EMERGENCY PHYSICIANS, LLP JOPLIN MO $817K
SOUTHERN ALABAMA PHYSICIANS LLP DOTHAN AL $393K
RIVERSIDE EMERGENCY PHYSICIANS, LLP WILLIAMSTON NC $277K
WEST SIDE EMERGENCY PHYSICIANS, LLP KENTON OH $233K
GATEWAY EMERGENCY PHYSICIANS, LLP NEOSHO MO $92K
SOUTHERN OHIO EMERGENCY PHYSICIANS, LLP ATHENS OH $52K
DELMARVA EMERGENCY PHYSICIANS LLP DOVER DE $26K
DELMARVA EMERGENCY PHYSICIANS LLP SMYRNA DE $17K
DELMARVA EMERGENCY PHYSICIANS LLP MILFORD DE $15K
MERAMEC EMERGENCY PHYSICIANS, LLP DEXTER MO $11K
ATLANTIC HOSPITALIST PHYSICIANS, LLP WILLIAMSTON NC $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,572 $102K
2019 3,485 $257K
2020 1,482 $173K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 3,855 1,455 $288K
99223 Prolong inpt eval add15 m 774 723 $104K
99239 Hospital discharge day management, more than 30 minutes 1,079 1,021 $82K
99232 Subsequent hospital care, per day, moderate complexity 562 269 $27K
99220 132 131 $25K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 86 80 $3K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 38 25 $2K
1123F 13 12 $0.00