Professional Emergency Physician Associates, LLC
Professional Emergency Physician Associates, LLC was paid $28.47M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99285, emergency room visit (most serious) — 66% of everything it billed.
BATON ROUGE, LA 70808
Next to other Emergency Medicine Physician providers in Louisiana
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 56,584 | $3.91M |
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 | 66% | 206,752 | 193,323 | $18.67M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 28% | 115,531 | 109,561 | $8.06M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 4.4% | 32,395 | 31,132 | $1.25M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 2,590 | 2,376 | $268K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 61,248 | 54,173 | $213K |
| 99223 | Prolong inpt eval add15 m | <1% | 133 | 123 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 59 | 56 | $2K |
| 99220 | <1% | 31 | 30 | $2K | |
| 99225 | <1% | 29 | 29 | $602.38 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 24 | 22 | $535.58 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | 12 | $526.69 |
| 99217 | <1% | 673 | 631 | $7.18 |
3 more codes
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.