Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Emergency Medicine Services of TN, PC

Emergency Medicine Services of TN, PC was paid $12.98M by Medicaid between Apr 2023 and Dec 2024, across 9 billing codes. Its largest line is 99284, emergency room visit (serious) — 72% of everything it billed.

33Billing provider infoEMERGENCY MEDICINE SERVICES OF TN, PC
NASHVILLE, TN 37203
33aNPI1720785884assigned 02/09/2023
28Total paid$12.98M
24GClaims289,857
24DCodes billed9
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in Tennessee

Rank by total paid#1 of 687
Median peer was paid$15K
This provider vs. median889×

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

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
2023150,264$5.47M
2024incomplete139,593$7.51M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 72% 190,145 167,818 $9.37M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 16% 40,907 34,874 $2.12M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 11% 48,255 42,158 $1.46M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 582 481 $36K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 276 227 $576.18
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 20 13 $413.94
93042 <1% 133 113 $180.71
99053 <1% 9,284 7,920 $59.75
G8711 Prescribed antibiotic on or within 3 days after the episode date 0% 255 226 $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 officialDEROUEN, VYVYAN (PRESIDENT)
Same official

Other billing entities under DEROUEN, VYVYAN

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