Physician
4M Emergency Systems LLC
4M Emergency Systems LLC was paid $6.02M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99285, emergency room visit (most serious) — 44% of everything it billed.
33Billing provider info4M EMERGENCY SYSTEMS LLC
WARREN, OH 44484
WARREN, OH 44484
33aNPI1932152584assigned 05/17/2006
33bProvider typeEmergency Medicine Physician
28Total paid$6.02M
24GClaims204,922
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Ohio
Rank by total paid#16 of 368
Median peer was paid$13K
This provider vs. median467×
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 BAGNOLI, DOMINIC controls 20+ related entities in our dataset. Read more
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 | 19,665 | $815K | |
| 2019 | 35,018 | $972K | |
| 2020 | 37,799 | $877K | |
| 2021 | 48,855 | $902K | |
| 2022 | 32,567 | $855K | |
| 2023 | 17,541 | $886K | |
| 2024incomplete | 13,477 | $716K |
Box 24 · Service lines
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 | 44% | 39,336 | 36,619 | $2.66M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 32% | 39,125 | 36,724 | $1.94M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 9.7% | 19,342 | 18,090 | $584K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.0% | 4,515 | 4,319 | $239K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 5,153 | 4,961 | $170K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.9% | 21,211 | 19,386 | $113K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.7% | 1,390 | 1,329 | $104K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 1,194 | 1,147 | $84K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 1,766 | 1,710 | $81K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 702 | 654 | $43K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 32 | 32 | $475.86 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 20,892 | 19,702 | $0.00 |
13 more codes
| G8708 | Patient not prescribed antibiotic | 0% | 150 | $0.00 |
| G8710 | Patient prescribed antibiotic | 0% | 58 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 24 | $0.00 |
| G9286 | Antibiotic regimen prescribed within 10 days after onset of symptoms | 0% | 101 | $0.00 |
| 1036F | 0% | 380 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 121 | $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% | 13 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 6,637 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 28,183 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 12,460 | $0.00 |
| 99053 | 0% | 1,995 | $0.00 | |
| 4120F | 0% | 52 | $0.00 | |
| 4004F | 0% | 90 | $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 officialBAGNOLI, DOMINIC (PROVIDER ENROLLMENT OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.