Physician
Santa Clarita Emergency Medical Group INC
Santa Clarita Emergency Medical Group INC was paid $5.21M by Medicaid between Jan 2018 and May 2023, across 12 billing codes. Its largest line is 99285, emergency room visit (most serious) — 51% of everything it billed.
33Billing provider infoSANTA CLARITA EMERGENCY MEDICAL GROUP INC
VALENCIA, CA 91355
VALENCIA, CA 91355
33aNPI1750318119assigned 06/28/2006
33bProvider typeEmergency Medicine Physician
28Total paid$5.21M
24GClaims108,027
24DCodes billed12
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Emergency Medicine Physician providers in California
Rank by total paid#109 of 988
Median peer was paid$32K
This provider vs. median164×
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 | 19,625 | $739K | |
| 2019 | 24,599 | $1.15M | |
| 2020 | 15,788 | $773K | |
| 2021 | 18,174 | $940K | |
| 2022 | 21,545 | $1.12M | |
| 2023 | 8,296 | $494K |
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 | 51% | 38,407 | 37,666 | $2.67M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 31% | 36,879 | 36,411 | $1.63M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 25,172 | 24,834 | $750K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.0% | 1,102 | 1,086 | $104K |
| 93042 | <1% | 5,931 | 5,794 | $49K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 98 | 96 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 22 | 22 | $1K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | 12 | $128.57 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 16 | 15 | $82.46 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 306 | 273 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 12 | 12 | $0.00 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 70 | 67 | $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 officialHENRY, DAVID (OWNER)
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|---|---|---|
| Access Healthcare PC | Hartford, CT | $800K |
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.