Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Emergency Medicine Services of Va, LLC

Emergency Medicine Services of Va, LLC was paid $1.87M by Medicaid between Apr 2023 and Dec 2024, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 65% of everything it billed.

33Billing provider infoEMERGENCY MEDICINE SERVICES OF VA, LLC
FREDERICKSBURG, VA 22408
33aNPI1992402069assigned 02/09/2023
28Total paid$1.87M
24GClaims28,316
24DCodes billed5
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Virginia

Rank by total paid#13 of 447
Median peer was paid$6K
This provider vs. median329×

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 DEROUEN, VYVYAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
202313,928$749K
2024incomplete14,388$1.12M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 65% 17,762 16,530 $1.22M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 27% 5,250 4,913 $497K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.4% 3,981 3,648 $158K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 272 214 $836.36
99053 <1% 1,051 907 $42.60

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 officialDEROUEN, VYVYAN (PRESIDENT)
Same official

Other billing entities under DEROUEN, VYVYAN

Full network →

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