Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pemberton, Jay

Pemberton, Jay was paid $39K by Medicaid between Jan 2018 and Mar 2020, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 45% of everything it billed.

33Billing provider infoPEMBERTON, JAY
BLUE SPRINGS, MO 64014
33aNPI1700878907assigned 08/16/2005
28Total paid$39K
24GClaims699
24DCodes billed3
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Emergency Medicine Physician providers in Missouri

Rank by total paid#144 of 571
Median peer was paid$14K
This provider vs. median2.8×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018407$23K
2019239$14K
202053$2K
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 45% 179 179 $18K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 44% 458 450 $17K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 11% 62 62 $4K

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.