Physician
LA Jolla Emergency Specialists
LA Jolla Emergency Specialists was paid $3.93M by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99285, emergency room visit (most serious) — 58% of everything it billed.
33Billing provider infoLA JOLLA EMERGENCY SPECIALISTS
LA JOLLA, CA 92037
LA JOLLA, CA 92037
33aNPI1710315353assigned 10/16/2013
33bProvider typeEmergency Medicine Physician
28Total paid$3.93M
24GClaims72,031
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in California
Rank by total paid#128 of 988
Median peer was paid$32K
This provider vs. median124×
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 | 6,604 | $389K | |
| 2019 | 6,734 | $373K | |
| 2020 | 7,754 | $411K | |
| 2021 | 11,343 | $596K | |
| 2022 | 12,096 | $649K | |
| 2023 | 12,713 | $681K | |
| 2024incomplete | 14,787 | $830K |
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 | 58% | 27,410 | 27,027 | $2.29M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 28% | 18,540 | 18,339 | $1.10M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 5.9% | 5,966 | 5,873 | $233K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.8% | 14,554 | 13,988 | $149K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.1% | 1,119 | 1,111 | $120K |
| 93042 | <1% | 2,695 | 2,668 | $22K | |
| 93308 | <1% | 480 | 480 | $11K | |
| 99406 | <1% | 910 | 891 | $8K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 186 | 185 | $2K |
| 76604 | <1% | 64 | 63 | $694.24 | |
| 71045 | Radiologic examination, chest; single view | <1% | 52 | 52 | $276.21 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 25 | 24 | $0.00 |
2 more codes
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 officialCARDALL, TAYLOR (PARTNER)