NP / PA
Qualified Emergency Specialists INC
Qualified Emergency Specialists INC was paid $18.98M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.
33Billing provider infoQUALIFIED EMERGENCY SPECIALISTS INC
CINCINNATI, OH 45242
CINCINNATI, OH 45242
33aNPI1700872728assigned 09/26/2005
33bProvider typePhysician Assistant
28Total paid$18.98M
24GClaims360,401
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Ohio
Rank by total paid#5 of 176
Median peer was paid$13K
This provider vs. median1,469×
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 | 67,796 | $3.13M | |
| 2019 | 56,768 | $2.82M | |
| 2020 | 45,154 | $2.32M | |
| 2021 | 50,535 | $2.72M | |
| 2022 | 48,896 | $2.69M | |
| 2023 | 50,150 | $2.70M | |
| 2024incomplete | 41,102 | $2.58M |
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% | 140,127 | 128,424 | $9.56M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 37% | 143,964 | 131,834 | $7.09M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 11% | 71,759 | 67,117 | $2.15M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 3,680 | 3,497 | $162K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 326 | 305 | $6K |
| 99406 | <1% | 229 | 217 | $1K | |
| 10061 | <1% | 14 | 14 | $735.65 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 273 | 228 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 29 | 23 | $0.00 |
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 officialBAIN, MICHAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Cincinnati Observation and Professional Staffing INC | Cincinnati, OH | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.