Emergency Services Corporation of America
Emergency Services Corporation of America was paid $248K by Medicaid between Jan 2018 and Sep 2021, across 17 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 29% of everything it billed.
COOKEVILLE, TN 38501
Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,255 | $80K | |
| 2019 | 1,293 | $30K | |
| 2020 | 1,912 | $72K | |
| 2021 | 1,250 | $66K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 29% | 1,274 | 672 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 1,937 | 1,336 | $58K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 19% | 957 | 801 | $47K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.6% | 459 | 414 | $24K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.7% | 613 | 341 | $22K |
| 87428 | 7.2% | 439 | 167 | $18K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.1% | 21 | 18 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 258 | 160 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | 22 | $925.36 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | 27 | $797.47 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 102 | 48 | $375.90 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 36 | 28 | $96.29 |
5 more codes
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 |
|---|---|---|
| Upper Cumberland Rural Health Clinic PLLC | Cookeville, TN | $3.60M |
| Cookeville Medical Center PC | Cookeville, TN | $1.21M |
| Upper Cumberland Rural Health Clinic PLLC | Gainesboro, TN | $110.92 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.