Northeast Emergency Medicine Specialists, LLC

Northeast Emergency Medicine Specialists, LLC was paid $11.44M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 99285, emergency room visit (most serious) — 54% of everything it billed.

33Billing provider infoNORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
WILLIMANTIC, CT 06226

33aNPI1982889598assigned 01/02/2008

33bProvider typeEmergency Medicine Physician

28Total paid$11.44M

24GClaims233,987

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Connecticut

Rank by total paid#3 of 92

Median peer was paid$10K

This provider vs. median1,145×

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	36,334	$1.12M
2019	26,854	$1.20M
2020	18,351	$880K
2021	25,681	$1.27M
2022	27,184	$1.34M
2023	43,706	$2.63M
2024incomplete	55,877	$3.00M

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	54%	89,001	79,144	$6.23M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	35%	81,055	72,041	$3.98M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	9.8%	40,831	36,101	$1.12M
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	20,283	17,799	$64K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	309	265	$23K
99236	Prolong inpt eval add15 m	<1%	101	97	$12K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	271	247	$5K
99223	Prolong inpt eval add15 m	<1%	68	56	$3K
99406		<1%	1,132	772	$3K
99235		<1%	12	12	$709.03
93042		<1%	67	66	$236.13
99053		<1%	13	13	$77.00

2 more codes

G9744	Patient not eligible due to active diagnosis of hypertension	0%	826	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	18	$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 officialWINCHESTER, EUGENE (MANAGER)