Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

4M Emergency Systems Tod LLC

4M Emergency Systems Tod LLC was paid $2.25M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99283, emergency room visit (moderate) — 50% of everything it billed.

33Billing provider info4M EMERGENCY SYSTEMS TOD LLC
WARREN, OH 44485
33aNPI1902859556assigned 05/17/2006
28Total paid$2.25M
24GClaims83,181
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Ohio

Rank by total paid#31 of 368
Median peer was paid$13K
This provider vs. median175×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official REESE, MELISSA controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20188,539$311K
201912,153$322K
202013,912$243K
202119,556$309K
202214,328$327K
20237,709$379K
2024incomplete6,984$362K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 50% 34,509 32,805 $1.14M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 50% 20,161 19,235 $1.12M
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 14 13 $259.35
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 10,783 10,444 $0.00
4120F 0% 102 92 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 0% 4,462 4,208 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 3,685 3,444 $0.00
3210F 0% 39 34 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 0% 7,766 7,328 $0.00
G9350 Ct scan of the paranasal sinuses not ordered at the time of diagnosis or received within 28 days after date of diagnosis 0% 463 418 $0.00
G8710 Patient prescribed antibiotic 0% 240 236 $0.00
G8708 Patient not prescribed antibiotic 0% 636 634 $0.00
2 more codes
G9286 Antibiotic regimen prescribed within 10 days after onset of symptoms 0% 284 $0.00
G8711 Prescribed antibiotic on or within 3 days after the episode date 0% 37 $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 officialREESE, MELISSA (PROVIDER ENROLLMENT OFFICER)
Same official

Other billing entities under REESE, MELISSA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.