Durham Emergency Physicians, PA
Durham Emergency Physicians, PA was paid $1.18M by Medicaid between Jan 2018 and Feb 2019, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
33Billing provider infoDURHAM EMERGENCY PHYSICIANS, PA
DURHAM, NC 27704
DURHAM, NC 27704
33aNPI1831158245assigned 03/23/2006
33bProvider typeSpecialist
28Total paid$1.18M
24GClaims22,897
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#35 of 172
Median peer was paid$83K
This provider vs. median14×
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 | 19,852 | $1.01M | |
| 2019 | 3,045 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 44% | 9,522 | 9,274 | $516K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 29% | 8,874 | 8,695 | $337K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 27% | 4,501 | 4,381 | $323K |
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 officialMITCHELL, RACHEL (BILLING/CODING DIRECTOR)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.