Physician
Emergency Medicine Group of Encinitas, INC
Emergency Medicine Group of Encinitas, INC was paid $1.38M by Medicaid between Jan 2018 and Dec 2020, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 55% of everything it billed.
33Billing provider infoEMERGENCY MEDICINE GROUP OF ENCINITAS, INC
ENCINITAS, CA 92024
ENCINITAS, CA 92024
33aNPI1902805179assigned 07/19/2005
33bProvider typeEmergency Medicine Physician
28Total paid$1.38M
24GClaims31,830
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Emergency Medicine Physician providers in California
Rank by total paid#203 of 988
Median peer was paid$32K
This provider vs. median43×
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 | 8,606 | $383K | |
| 2019 | 11,104 | $471K | |
| 2020 | 12,120 | $526K |
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 | 55% | 12,849 | 12,566 | $755K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 21% | 3,580 | 3,495 | $289K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 6,448 | 6,333 | $235K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 5.6% | 7,447 | 6,987 | $78K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.1% | 139 | 139 | $15K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 680 | 668 | $4K |
| 71045 | Radiologic examination, chest; single view | <1% | 687 | 676 | $3K |
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 officialMACCORMICK, RONALD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| North County Inpatient Medical Alliance, a Medical Group, INC | Encinitas, CA | $1.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.