Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Kenosha Emergency Physicians, LLC

Kenosha Emergency Physicians, LLC was paid $623K by Medicaid between Jan 2018 and Aug 2023, across 7 billing codes. Its largest line is 99285, emergency room visit (most serious) — 38% of everything it billed.

33Billing provider infoKENOSHA EMERGENCY PHYSICIANS, LLC
PLEASANT PRAIRIE, WI 53158
33aNPI1942259726assigned 05/09/2006
33bProvider typePhysician Assistant
28Total paid$623K
24GClaims22,633
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers

Next to other Physician Assistant providers in Wisconsin

Rank by total paid#9 of 147
Median peer was paid$2K
This provider vs. median382×

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 VAUGHN, KAREN controls 20+ 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
20184,174$118K
20194,033$87K
20202,230$49K
20212,930$72K
20224,316$128K
20234,950$169K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 38% 7,234 6,372 $234K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 32% 6,510 5,745 $201K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 30% 8,552 7,578 $188K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 14 14 $1K
99053 0% 298 278 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 13 13 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 12 12 $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 officialVAUGHN, KAREN (OFFICER)
Same official

Other billing entities under VAUGHN, KAREN

Full network →

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