Medicaid Provider Spending

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

NPI: 1841637865 · EAST STROUDSBURG, PA 18301 · Nurse Practitioner · NPI assigned 05/31/2013

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

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

$812K
Total Medicaid Paid
18,177
Total Claims
9,035
Beneficiaries
8
Codes Billed
2019-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialISTVAN, DAVID (PRESIDENT)
NPI Enumeration Date05/31/2013

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
MIDDLESEX EMERGENCY PHYSICIANS, P.A. EDISON NJ $6.72M
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
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
2019 13 $0.00
2020 46 $1K
2021 365 $16K
2022 2,982 $107K
2023 8,228 $383K
2024 6,543 $304K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 12,752 4,870 $493K
99223 Prolong inpt eval add15 m 1,895 1,823 $161K
99239 Hospital discharge day management, more than 30 minutes 1,422 1,369 $80K
99233 Prolong inpt eval add15 m 1,825 781 $73K
99238 Hospital discharge day management, 30 minutes or less 105 97 $3K
99217 115 58 $661.47
99220 50 25 $568.02
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 13 12 $0.00