CEDRA EMERGENCY PHYSICIANS LLC

NPI: 1942500749 · SEDRO WOOLLEY, WA 98284 · Emergency Medicine Physician · NPI assigned 10/26/2010

$512K

Total Medicaid Paid

10,581

Total Claims

10,254

Beneficiaries

Codes Billed

2018-01

First Month

2019-09

Last Month

Provider Details

Authorized Official	MITCHELL, CHARLES (PRESIDENT)
NPI Enumeration Date	10/26/2010

Other providers sharing the same authorized official: MITCHELL, CHARLES

Provider	City	State	Total Paid
GRACEFUL TOUCH	LAS VEGAS	NV	$2.60M
STANISLAUS COUNTY MEDICAL SERVICES A MEDICAL CORPORATION	TURLOCK	CA	$1.49M
RAINBOW SHOWER INPATIENT SERVICES LLC	EWA BEACH	HI	$785K
ENT MEDICAL CENTER	BATON ROUGE	LA	$210K
WARTHAN CREEK EMERGENCY PHYSICIANS, A MEDICAL CORPORATION	COALINGA	CA	$109K
STONY GORGE MEDICAL SERVICES A MEDICAL CORPORATION	WILLOWS	CA	$38K
EXCEL-A-CARE EMERGENCY PHYSICIANS, A MEDICAL CORPORATION	GRIDLEY	CA	$18K
KAPIOLANI RADIOLOGY SERVICES LLC	WAILUKU	HI	$12K
BRENTWOOD SKIN CLINIC PLLC	NASHVILLE	TN	$2K

Year	Claims	Total Paid
2018	6,004	$296K
2019	4,577	$216K

Code	Description	Claims	Beneficiaries	Total Paid
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	3,395	3,251	$261K
99283	Emergency department visit for the evaluation and management, moderate severity	4,041	3,924	$129K
99284	Emergency department visit for the evaluation and management, high severity	1,986	1,937	$116K
99053		839	829	$5K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	320	313	$1K