Physician
Madison County Emergency Services PC
Madison County Emergency Services PC was paid $482K by Medicaid between Jan 2018 and Dec 2018, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 57% of everything it billed.
33Billing provider infoMADISON COUNTY EMERGENCY SERVICES PC
ANDERSON, IN 46016
ANDERSON, IN 46016
33aNPI1861730111assigned 01/22/2013
33bProvider typeEmergency Medicine Physician
28Total paid$482K
24GClaims19,793
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Emergency Medicine Physician providers in Indiana
Rank by total paid#55 of 191
Median peer was paid$126K
This provider vs. median3.8×
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 | 19,793 | $482K |
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 | 57% | 10,624 | 9,083 | $276K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 27% | 4,441 | 3,894 | $130K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 3,401 | 3,038 | $75K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 159 | 150 | $472.11 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,099 | 925 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 69 | 53 | $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 officialPINEGAR, PHILIP (PRESIDENT)