Medicaid Provider Spending

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

CONGRESS EMERGENCY GROUP LLC

NPI: 1912316944 · LAFAYETTE, LA 70506 · Physician Assistant · NPI assigned 08/04/2014

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

Authorized official FALK, LISHA controls 20+ related entities in our dataset. Read more

$11.41M
Total Medicaid Paid
172,821
Total Claims
161,985
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALK, LISHA (VP OF CONTRACTING)
NPI Enumeration Date08/04/2014

Related Entities

Other providers sharing the same authorized official: FALK, LISHA

ProviderCityStateTotal Paid
BELLE CHASSE EMERGENCY GROUP LLC NEW ORLEANS LA $20.02M
SOUTHERN MEDICAL PARTNERS, LLC HAZARD KY $15.59M
FOUCHER EMERGENCY GROUP LLC NEW ORLEANS LA $15.03M
KENNER EMERGENCY GROUP LLC KENNER LA $12.10M
INDEPENDENCE EMERGENCY GROUP LLC METAIRIE LA $11.45M
COOLIDGE EMERGENCY GROUP LLC LAFAYETTE LA $11.05M
RED STICK EMERGENCY GROUP LLC BATON ROUGE LA $10.27M
MAIN STREET EMERGENCY GROUP LLC NEW IBERIA LA $9.31M
UNITED EMERGENCY SERVICES OF MISSISSIPPI COLUMBUS MS $7.79M
CALCASIEU EMERGENCY GROUP LLC LAKE CHARLES LA $7.42M
ED PHYSICIANS OF WEST LOUISIANA, LLC WEST MONROE LA $7.33M
ST MARY EMERGENCY GROUP LLC MORGAN CITY LA $6.46M
BECKLEY EMERGENCY PHYSICIANS LLC BECKLEY WV $6.13M
UNITED EMERGENCY SERVICES, INC. BOONEVILLE MS $5.78M
WILLIAMSON EMERGENCY PHYSICIANS LLC SOUTH WILLIAMSON KY $5.21M
AMBASSADOR EMERGENCY GROUP LLC LAFAYETTE LA $4.98M
ST. JOHN EMERGENCY GROUP LLC LA PLACE LA $4.97M
DUVAL EMERGENCY GROUP LLC NORTH MIAMI BEACH FL $4.92M
WEBSTER EMERGENCY GROUP LLC MINDEN LA $4.72M
ABBEVILLE EMERGENCY GROUP LLC ABBEVILLE LA $4.54M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,562 $1.95M
2019 30,668 $1.87M
2020 21,998 $1.43M
2021 23,596 $1.55M
2022 23,456 $1.49M
2023 24,366 $1.72M
2024 18,175 $1.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 58,399 54,125 $5.36M
99284 Emergency department visit for the evaluation and management, high severity 67,667 63,396 $4.25M
99283 Emergency department visit for the evaluation and management, moderate severity 44,274 42,235 $1.51M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,481 2,229 $292K