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

Ne Virginia Emergency Physicians LLC

Ne Virginia Emergency Physicians LLC was paid $15.51M by Medicaid between Jan 2018 and Dec 2023, across 14 billing codes. Its largest line is 99285, emergency room visit (most serious) — 55% of everything it billed.

33Billing provider infoNE VIRGINIA EMERGENCY PHYSICIANS LLC
FALLS CHURCH, VA 22042
33aNPI1689095523assigned 12/19/2013
33bProvider typePhysician Assistant
28Total paid$15.51M
24GClaims242,163
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Physician Assistant providers in Virginia

Rank by total paid#2 of 69
Median peer was paid$2K
This provider vs. median7,521×

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$200K$400K2018201920202021202220232024
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
201829,716$1.66M
201937,593$2.21M
202025,471$1.69M
202140,292$2.63M
202253,010$3.53M
202356,081$3.79M
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 55% 87,794 81,997 $8.61M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 65,339 62,156 $4.23M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 16% 67,207 62,063 $2.44M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.1% 1,814 1,702 $175K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 11,119 10,342 $39K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 847 838 $24K
12001 <1% 85 85 $3K
12011 <1% 55 54 $2K
93042 <1% 1,103 1,031 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 51 29 $776.48
71046 Radiologic examination, chest; 2 views <1% 1,395 1,360 $743.75
71045 Radiologic examination, chest; single view <1% 269 262 $234.59
2 more codes
99053 <1% 4,851 $150.55
74018 <1% 234 $58.98

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 (AUTHORIZED OFFICIAL)
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.