Emergency Professional Services PC
Emergency Professional Services PC was paid $30.50M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99285, emergency room visit (most serious) — 49% of everything it billed.
SAN TAN VALLEY, AZ 85140
Next to other Emergency Medicine Physician providers in Arizona
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 146,830 | $6.52M | |
| 2019 | 130,488 | $7.15M | |
| 2020 | 101,388 | $5.92M | |
| 2021 | 92,897 | $7.27M | |
| 2022 | 15,000 | $1.75M | |
| 2023 | 11,229 | $1.16M | |
| 2024incomplete | 7,475 | $745K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 49% | 137,275 | 128,139 | $14.80M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 41% | 158,491 | 149,232 | $12.50M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.5% | 59,604 | 56,966 | $2.58M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.3% | 70,664 | 61,793 | $383K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 1,411 | 1,264 | $174K |
| 99053 | <1% | 55,631 | 49,730 | $45K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 568 | 562 | $18K |
| 99292 | <1% | 27 | 27 | $2K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 26 | 26 | $365.74 |
| 93042 | <1% | 47 | 47 | $205.65 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | <1% | 13,471 | 12,436 | $0.04 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 1,476 | 1,370 | $0.01 |
4 more codes
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 6,519 | $0.00 |
| G8806 | Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented | 0% | 17 | $0.00 |
| 99406 | 0% | 65 | $0.00 | |
| G9530 | Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | 0% | 15 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.