Physician
Grand View Emergency Specialists, LLC
Grand View Emergency Specialists, LLC was paid $752K by Medicaid between Dec 2019 and Nov 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 66% of everything it billed.
33Billing provider infoGRAND VIEW EMERGENCY SPECIALISTS, LLC
SELLERSVILLE, PA 18960
SELLERSVILLE, PA 18960
33aNPI1891359287assigned 05/01/2019
33bProvider typeEmergency Medicine Physician
28Total paid$752K
24GClaims13,110
24DCodes billed4
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#50 of 1,211
Median peer was paid$19K
This provider vs. median39×
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 | |
|---|---|---|---|
| 2019 | 14 | $490.00 | |
| 2020 | 336 | $13K | |
| 2021 | 3,128 | $118K | |
| 2022 | 3,438 | $122K | |
| 2023 | 3,457 | $240K | |
| 2024incomplete | 2,737 | $258K |
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 | 66% | 7,238 | 7,041 | $494K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 4,096 | 4,009 | $136K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 16% | 1,764 | 1,710 | $121K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 12 | 12 | $1K |
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 officialWATSON, THEODORE (PRESIDENT)