Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Maccorkle Emergency Physicians PLLC

Maccorkle Emergency Physicians PLLC was paid $4.44M by Medicaid between Jan 2019 and Apr 2023, across 8 billing codes. Its largest line is 99285, emergency room visit (most serious) — 74% of everything it billed.

33Billing provider infoMACCORKLE EMERGENCY PHYSICIANS PLLC
SOUTH CHARLESTON, WV 25309
33aNPI1659856383assigned 09/28/2018
33bProvider typePhysician Assistant
28Total paid$4.44M
24GClaims31,453
24DCodes billed8
24AFirst – last monthJan 2019 – Apr 2023
Compared with peers

Next to other Physician Assistant providers in West Virginia

Rank by total paid#5 of 25
Median peer was paid$151K
This provider vs. median29×

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 VAUGHN, KAREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
20194,506$1.46M
20206,893$1.39M
20217,555$612K
20229,555$742K
20232,944$233K
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 74% 16,195 14,539 $3.30M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 14% 5,248 4,799 $638K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.8% 4,926 4,539 $390K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.3% 401 383 $57K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 2,565 2,381 $36K
99053 <1% 2,064 1,957 $11K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 40 39 $1K
12001 <1% 14 14 $379.96

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 officialVAUGHN, KAREN (OFFICER)
Same official

Other billing entities under VAUGHN, KAREN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.