Physician
Lafayette Emergency Care, P.C.
Lafayette Emergency Care, P.C. was paid $3.78M by Medicaid between Jan 2018 and Jun 2022, across 11 billing codes. Its largest line is 99285, emergency room visit (most serious) — 57% of everything it billed.
33Billing provider infoLAFAYETTE EMERGENCY CARE, P.C.
LAFAYETTE, IN 47905
LAFAYETTE, IN 47905
33aNPI1861447211assigned 05/24/2006
33bProvider typeEmergency Medicine Physician
28Total paid$3.78M
24GClaims89,521
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Emergency Medicine Physician providers in Indiana
Rank by total paid#21 of 191
Median peer was paid$126K
This provider vs. median30×
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 | 21,492 | $421K | |
| 2019 | 17,746 | $837K | |
| 2020 | 16,020 | $907K | |
| 2021 | 25,587 | $1.25M | |
| 2022 | 8,676 | $366K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 57% | 32,562 | 28,097 | $2.17M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 29% | 22,520 | 18,834 | $1.10M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 15,828 | 13,380 | $455K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.3% | 16,421 | 14,393 | $50K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 123 | 112 | $4K |
| 99406 | <1% | 40 | 31 | $174.18 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 730 | 678 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 691 | 550 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 418 | 267 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 124 | 100 | $0.00 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 0% | 64 | 56 | $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 officialO'BRIEN, ERIKA (COO-CFO)
| Provider | Location | Paid |
|---|---|---|
| Monticello Emergency Care, LLC | Bloomington, IN | $1.89M |
| Bloomington Emergency Care LLC | Bloomington, IN | $846K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.