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

Bay Prairie Emergency Physicians PLLC

Bay Prairie Emergency Physicians PLLC was paid $296K by Medicaid between Apr 2018 and Mar 2022, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 63% of everything it billed.

33Billing provider infoBAY PRAIRIE EMERGENCY PHYSICIANS PLLC
BAY CITY, TX 77414
33aNPI1760719215assigned 11/04/2009
28Total paid$296K
24GClaims4,035
24DCodes billed3
24AFirst – last monthApr 2018 – Mar 2022
Compared with peers

Next to other Emergency Medicine Physician providers in Texas

Rank by total paid#92 of 344
Median peer was paid$25K
This provider vs. median12×

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

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
201837$865.69
201926$1K
2020462$24K
20212,867$227K
2022643$43K
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 63% 2,124 1,971 $186K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 20% 1,267 1,210 $60K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 17% 644 616 $50K

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 officialVAUGHN, KAREN (OFFICER)
Same official

Other billing entities under VAUGHN, KAREN

Full network →

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