Medical Services of Suffolk County PC
Medical Services of Suffolk County PC was paid $2.34M by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.
PHILADELPHIA, PA 19128
Next to other Emergency Medicine Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,387 | $120K | |
| 2019 | 3,184 | $144K | |
| 2020 | 2,416 | $126K | |
| 2021 | 2,822 | $157K | |
| 2022 | 3,526 | $190K | |
| 2023 | 8,524 | $655K | |
| 2024incomplete | 10,625 | $950K |
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 | 50% | 12,945 | 12,369 | $1.18M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 45% | 16,015 | 15,536 | $1.06M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.9% | 2,655 | 2,583 | $67K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 143 | 139 | $17K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,940 | 1,874 | $12K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 140 | 133 | $4K |
| 99292 | <1% | 13 | 13 | $1K | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 329 | 310 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 156 | 135 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 135 | 120 | $0.00 |
| 99053 | 0% | 13 | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lakes/National Emergency Physicians INC | Holyoke, MA | $10.54M |
| Nes Arizona INC | Fort Mohave, AZ | $8.50M |
| Nes Georgia INC | Newark, NJ | $6.23M |
| Nes Western Group, a Professional Corporation | Porterville, CA | $5.22M |
| Nes Oklahoma, INC. | Ponca City, OK | $4.62M |
| Nes Louisiana INC | Natchitoches, LA | $4.44M |
| Nes Medical Services of Northern Connecticut, P.C. | Putnam, CT | $2.98M |
| Nes Southwest Medical Services INC | Amarillo, TX | $2.37M |
| Nes Tennessee INC | Sylacauga, AL | $2.28M |
| Hles of Ohio INC | Coshocton, OH | $2.22M |
| Nes Washington, INC. | Ketchikan, AK | $2.14M |
| Nes Tennessee INC | Alexander City, AL | $1.36M |
| Nes Western Group, a Professional Corporation | Hayward, CA | $892K |
| Nes Medical Services of New York PC | Bath, NY | $786K |
| Nes Medical Services of Northern Connecticut, P.C. | Stafford Springs, CT | $545K |
| Nes Tennessee INC | Phenix City, AL | $512K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.