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

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.

33Billing provider infoEMERGENCY SERVICES CORPORATION OF AMERICA
COOKEVILLE, TN 38501
33aNPI1841338753assigned 02/02/2007
28Total paid$248K
24GClaims7,710
24DCodes billed17
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Tennessee

Rank by total paid#4 of 15
Median peer was paid$70K
This provider vs. median3.5×

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

$0$10K$20K$30K2018201920202021202220232024
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
20183,255$80K
20191,293$30K
20201,912$72K
20211,250$66K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 29 $87.43
36415 Collection of venous blood by venipuncture <1% 13 $10.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 50 $10.87
3008F <1% 1,194 $10.00
99050 0% 257 $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.

From NPPES

Who's on the registration

Authorized officialJAIN, PUSHPENDRA (CEO)
Same official

Other billing entities under JAIN, PUSHPENDRA

Full network →
ProviderLocationPaid
Upper Cumberland Rural Health Clinic PLLCCookeville, TN$3.60M
Cookeville Medical Center PCCookeville, TN$1.21M
Upper Cumberland Rural Health Clinic PLLCGainesboro, TN$110.92

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