Physician
Edinburg Emergency Medicine Associates PA
Edinburg Emergency Medicine Associates PA was paid $11.01M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 52% of everything it billed.
33Billing provider infoEDINBURG EMERGENCY MEDICINE ASSOCIATES PA
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1942467113assigned 05/16/2008
33bProvider typePediatric Emergency Medicine (Emergency Medicine) Physician
28Total paid$11.01M
24GClaims170,330
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Emergency Medicine (Emergency Medicine) Physician providers in Texas
Rank by total paid#2 of 10
Median peer was paid$328K
This provider vs. median34×
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.
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 | 2,710 | $46K | |
| 2019 | 3,002 | $65K | |
| 2020 | 10,287 | $506K | |
| 2021 | 41,911 | $2.44M | |
| 2022 | 61,222 | $3.81M | |
| 2023 | 32,482 | $2.59M | |
| 2024incomplete | 18,716 | $1.55M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 52% | 78,479 | 73,683 | $5.73M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 28% | 39,427 | 37,695 | $3.05M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 17% | 40,552 | 40,040 | $1.90M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.6% | 1,591 | 1,552 | $290K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 10,267 | 9,516 | $37K |
| 69210 | <1% | 14 | 14 | $243.71 |
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 officialRAMIREZ, CARLOS (OWNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Gulf Coast Emergency Physicians, PLLC | Alice, TX | $1.83M |
| Canyon Springs Emergency Medicine Associates, PA | Alamo, TX | $1.44M |
| Navarro Emergency Physicians PLLC | Corsicana, TX | $1.28M |
| Oak Creek Emergency Medicine Associates, PA | Mcallen, TX | $872K |
| Mcallen Emergency Medicine Associates PA | Mcallen, TX | $750K |
| Shavano Emergency Medicine Associates, PA | Edinburg, TX | $415K |
| Carlos Ramirez, M.D. a Professional Medical Corporation | Monterey, CA | $14K |
| Jefferson Physician Services, PLLC | Beaumont, TX | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.