Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MIDDLESEX EMERGENCY PHYSICIANS, P.A.

NPI: 1811921760 · EDISON, NJ 08820 · Pediatric Emergency Medicine (Pediatrics) Physician · NPI assigned 07/10/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ISTVAN, DAVID controls 20+ related entities in our dataset. Read more

$6.72M
Total Medicaid Paid
138,144
Total Claims
131,746
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialISTVAN, DAVID (DIRECTOR)
NPI Enumeration Date07/10/2006

Related Entities

Other providers sharing the same authorized official: ISTVAN, DAVID

ProviderCityStateTotal Paid
EMERGENCY PHYSICIAN ASSOCIATES OF SOUTH JERSEY P C VOORHEES NJ $30.80M
BUFFALO EMERGENCY ASSOCIATES LLP WILLIAMSVILLE NY $23.97M
CHILDRENS EMERGENCY SERVICES INC DAYTON OH $8.74M
OHIO EMERGENCY CARE SERVICES, INC DELAWARE OH $7.77M
EMERGENCY CARE SERVICES OF NEW JERSEY, PA WOODBURY NJ $7.34M
EMERGENCY MEDICINE SERVICES OF MAINE, LLC ELLSWORTH ME $5.39M
EMERGENCY CARE SERVICES OF CONNECTICUT, P.C. MANCHESTER CT $3.42M
EMERGENCY PHYSICIAN ASSOCIATES OF MASSACHUSETTS PC WORCESTER MA $2.37M
INPATIENT CONSULTANTS OF DELAWARE, LLC WILMINGTON DE $1.51M
NEW YORK GENERAL MEDICAL SERVICES PC NEW YORK NY $1.04M
DELAWARE POST ACUTE MEDICAL SERVICES 1 WILMINGTON DE $911K
PENNSYLVANIA HM ASSOCIATES PC EAST STROUDSBURG PA $812K
HOSPITALIST PHYSICIANS OF NEW JERSEY PA EDISON NJ $748K
HILTON HEAD EMERGENCY PHYSICIANS, LLC HILTON HEAD ISLAND SC $349K
HOSPITAL MEDICINE SERVICES OF MAINE LLC ELLSWORTH ME $311K
INPATIENT CONSULTANTS OF PENNSYLVANIA PC NEWTOWN SQUARE PA $272K
NJ ACUTE CARE SPECIALISTS PROFESSIONAL CORPORATION EAST ORANGE NJ $253K
NEW HAMPSHIRE EMERGENCY PHYSICIAN ASSOCIATES PC WOLFEBORO NH $191K
ATLANTIC PROFESSIONAL SERVICES OF RHODE ISLAND INCORPORATED WAKEFIELD RI $140K
NEW JERSEY POST ACUTE MEDICAL SERVICES 1 PA RED BANK NJ $83K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,363 $971K
2019 16,906 $905K
2020 11,329 $594K
2021 19,060 $969K
2022 26,718 $1.27M
2023 26,760 $1.18M
2024 18,008 $821K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 49,263 47,121 $3.03M
99284 Emergency department visit for the evaluation and management, high severity 51,527 49,674 $2.88M
99283 Emergency department visit for the evaluation and management, moderate severity 19,271 18,769 $721K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 823 776 $64K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 17,165 15,313 $24K
99406 80 80 $398.76
99282 Emergency department visit for the evaluation and management, low to moderate severity 15 13 $316.24