Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

4M EMERGENCY SYSTEMS TOD LLC

NPI: 1902859556 · WARREN, OH 44485 · Emergency Medicine Physician · NPI assigned 05/17/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official REESE, MELISSA controls 16+ related entities in our dataset. Read more

$2.25M
Total Medicaid Paid
83,181
Total Claims
79,203
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREESE, MELISSA (PROVIDER ENROLLMENT OFFICER)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: REESE, MELISSA

ProviderCityStateTotal Paid
ALTEON HEALTH NEW MEXICO LLC HOBBS NM $11.93M
ALTEON HEALTH ALABAMA, LLC TALLADEGA AL $8.36M
MAHONING VALLEY EMERGENCY SPECIALISTS LLC YOUNGSTOWN OH $7.69M
ISLAND EMERGENCY MEDICAL SERVICES, P.C. FAR ROCKAWAY NY $7.30M
4M MONROE MEDICAL SERVICES PLLC ADRIAN MI $6.44M
MVES BOARDMAN LLC YOUNGSTOWN OH $5.99M
MVES AUSTINTOWN LLC AUSTINTOWN OH $3.29M
ISLAND MEDICAL ALABAMA LLC CULLMAN AL $3.05M
JMH EMERGENCY PHYSICIANS RANSON WV $2.60M
ALTEON HEALTH NEW JERSEY PC HOLMDEL NJ $1.48M
MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC. LAGUNA BEACH CA $881K
ALTEON HEALTH INDIANA LLC FRANKFORT IN $756K
ISLAND MEDICAL HOSPITALIST LEA LLC HOBBS NM $128K
ALTEON HEALTH NEW JERSEY HM PC HOLMDEL NJ $99K
UTAH REGIONAL HOSPITALISTS LLC IDAHO FALLS ID $10K
USACS OBSERVATION MEDICINE SERVICES OF COLORADO, INC GOLDEN CO $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,539 $311K
2019 12,153 $322K
2020 13,912 $243K
2021 19,556 $309K
2022 14,328 $327K
2023 7,709 $379K
2024 6,984 $362K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 34,509 32,805 $1.14M
99284 Emergency department visit for the evaluation and management, high severity 20,161 19,235 $1.12M
99282 Emergency department visit for the evaluation and management, low to moderate severity 14 13 $259.35
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,783 10,444 $0.00
4120F 102 92 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 4,462 4,208 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 3,685 3,444 $0.00
3210F 39 34 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 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 463 418 $0.00
G8710 Patient prescribed antibiotic 240 236 $0.00
G8708 Patient not prescribed antibiotic 636 634 $0.00
G9286 Antibiotic regimen prescribed within 10 days after onset of symptoms 284 279 $0.00
G8711 Prescribed antibiotic on or within 3 days after the episode date 37 33 $0.00