Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROFESSIONAL EMERGENCY PHYSICIAN ASSOCIATES, LLC

NPI: 1992758247 · BATON ROUGE, LA 70808 · Emergency Medicine Physician · NPI assigned 05/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MCINTYRE, BRETT controls 18+ related entities in our dataset. Read more

$28.47M
Total Medicaid Paid
437,202
Total Claims
407,617
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCINTYRE, BRETT (CFO)
NPI Enumeration Date05/18/2006

Related Entities

Other providers sharing the same authorized official: MCINTYRE, BRETT

ProviderCityStateTotal Paid
PROFESSIONAL EMERGENCY MEDICINE MANAGEMENT -- LAKE CHARLES LLC LAKE CHARLES LA $10.78M
ST TAMMANY EMERGENCY PHYSICIANS GROUP LLC COVINGTON LA $9.25M
THIBODAUX EMERGENCY PHYSICIANS GROUP LLC THIBODAUX LA $7.76M
ASCENSION EMERGENCY PHYSICIANS LLC GONZALES LA $7.67M
W4P LLC SPRING HILL FL $7.48M
C & M MEDICAL SERVICES, INC. METAIRIE LA $7.13M
CALCASIEU CAMERON EMERGENCY PHYSICIAN GROUP LLC SULPHUR LA $4.90M
RIVERSIDE EMERGENCY PHYSICIAN PARTNERS LLC FRANKLINTON LA $4.06M
EAST BATON ROUGE EMERGENCY PHYSICIANS GROUP, LLC ZACHARY LA $3.62M
OKLAHOMA EMERGENCY PARTNERS LLC MCALESTER OK $784K
CONCORDIA EMERGENCY PHYSICIANS GROUP LLC FERRIDAY LA $385K
INTEGRATED EMERGENCY MEDICINE SPECIALISTS LLC NAPLES FL $165K
VITAL EMERGENCY PARTNERS PA DALLAS TX $151K
CALCASIEU CAMERON HOSPITAL MEDICINE GROUP LLC SULPHUR LA $111K
INTEGRATED EMERGENCY MEDICINE SPECIALISTS LLC NAPLES FL $67K
INTEGRATED EMERGENCY MEDICINE SPECIALISTS LLC NAPLES FL $52K
W4P LLC BROOKSVILLE FL $11K
W4P LLC CRYSTAL RIVER FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 84,829 $4.25M
2019 63,888 $4.13M
2020 51,717 $3.66M
2021 54,609 $4.01M
2022 56,263 $3.84M
2023 69,312 $4.67M
2024 56,584 $3.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 206,752 193,323 $18.67M
99284 Emergency department visit for the evaluation and management, high severity 115,531 109,561 $8.06M
99283 Emergency department visit for the evaluation and management, moderate severity 32,395 31,132 $1.25M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,590 2,376 $268K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 61,248 54,173 $213K
99223 Prolong inpt eval add15 m 133 123 $8K
99238 Hospital discharge day management, 30 minutes or less 59 56 $2K
99220 31 30 $2K
99225 29 29 $602.38
99282 Emergency department visit for the evaluation and management, low to moderate severity 24 22 $535.58
99239 Hospital discharge day management, more than 30 minutes 14 12 $526.69
99217 673 631 $7.18
99053 14,150 13,031 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 3,558 3,105 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 15 13 $0.00