PA ($22.65M) CO ($9.30M) NY ($4.57M) AZ ($860K) IL ($450K) MI ($358K) MA ($208K) TN ($83K) MO ($74K) WI ($67K) AL ($34K) ME ($17K) OH ($16K) NJ ($467.85) CA ($0.00)
| Code | Description | Total Paid |
|---|---|---|
| 99284 | Emergency department visit for the evaluation and management, high severity | $17.87M |
| 99285 | Emergency department visit for the evaluation and management, high severity with immediate threat to life | $10.87M |
| 99283 | Emergency department visit for the evaluation and management, moderate severity | $2.89M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $2.69M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | $855K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | $622K |
| 99233 | Prolong inpt eval add15 m | $478K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | $451K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | $288K |
| 99220 | $190K |
| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC | HARRISBURG, PA | 182,670 | $14.24M |
| 2 | TOWER HEALTH MEDICAL GROUP | WEST READING, PA | 115,081 | $7.99M |
| 3 | EMERGENCY MEDICAL SPECIALISTS, PC | COLORADO SPRINGS, CO | 94,994 | $7.61M |
| 4 | URBAN FAMILY PRACTICE PC | BUFFALO, NY | 272,323 | $4.47M |
| 5 | TCA PLC | PHOENIX, AZ | 8,184 | $860K |
| 6 | EMERGENCY MEDICAL SPECIALISTS, PC | COLORADO SPRINGS, CO | 10,142 | $762K |
| 7 | EMERGENCY MEDICAL SPECIALISTS, PC | FOUNTAIN, CO | 7,814 | $594K |
| 8 | MICHIGAN EMERGENCY SERVICES | DETROIT, MI | 6,968 | $358K |
| 9 | EMERGENCY MEDICAL SPECIALISTS, PC | WOODLAND PARK, CO | 3,399 | $266K |
| 10 | CERETTO, VINCENT | PITTSBURGH, PA | 1,939 | $188K |
| 11 | BUSH, BRIAN | BOSTON, MA | 2,171 | $185K |
| 12 | KIM, THERESA | CHICAGO, IL | 2,407 | $148K |
| 13 | ST. LUKE'S PHYSICIAN GROUP, INC. | BETHLEHEM, PA | 2,238 | $120K |
| 14 | LU, JENNY | CHICAGO, IL | 2,474 | $111K |
| 15 | DIAB, MAZEN | TINLEY PARK, IL | 2,926 | $88K |
| 16 | WILLIAMS, SARALYN | NASHVILLE, TN | 857 | $83K |
| 17 | CAMILLERI, CHRISTOPHER | BURR RIDGE, IL | 1,777 | $79K |
| 18 | BERG, SARAH | SAINT LOUIS, MO | 1,399 | $71K |
| 19 | EMERGENCY MEDICAL SPECIALISTS, PC | COLORADO SPRINGS, CO | 850 | $68K |
| 20 | HARCHELROAD JR., FRED | PITTSBURGH, PA | 1,028 | $67K |
| 21 | TRAN, THANH | MILWAUKEE, WI | 1,647 | $59K |
| 22 | SHIVELY, RACHEL | MANHASSET, NY | 1,293 | $44K |
| 23 | MOORE, PHILIP | LEMOYNE, PA | 2,130 | $41K |
| 24 | PREMIER URGENT CARE INC. | HARVEST, AL | 1,786 | $34K |
| 25 | FOX, CAROLYN | CHICAGO, IL | 274 | $23K |
| 26 | MALLEY, CARIN | PORTLAND, ME | 329 | $17K |
| 27 | HERNANDEZ, STEPHANIE | NEW YORK, NY | 770 | $16K |
| 28 | ALTUS DIRECT HEALTHCARE LLC | HILLIARD, OH | 663 | $16K |
| 29 | HERBERT-COHEN, DANIEL | NEW YORK, NY | 449 | $15K |
| 30 | LUGASSY, DANIEL | NEW YORK, NY | 222 | $9K |
| 31 | OLMEDO, RUBEN | NEW YORK, NY | 324 | $8K |
| 32 | COOGAN, MICHAEL | JANESVILLE, WI | 155 | $8K |
| 33 | BURNS, MICHELE | BOSTON, MA | 68 | $7K |
| 34 | RIGATTI, MARC | WORCESTER, MA | 71 | $6K |
| 35 | NGUYEN, VINCENT | NEW YORK, NY | 103 | $4K |
| 36 | SUD, PAYAL | PLAINVIEW, NY | 83 | $4K |
| 37 | BERMAN, ADAM | NEW HYDE PARK, NY | 94 | $3K |
| 38 | VEARRIER, DAVID | PHILADELPHIA, PA | 60 | $3K |
| 39 | BURNS, MICHAEL | BOSTON, MA | 26 | $2K |
| 40 | CHURCH, RICHARD | WORCESTER, MA | 25 | $2K |
| 41 | CHRISTIAN, MICHAEL | KANSAS CITY, MO | 27 | $2K |
| 42 | LEE, VINCENT | VALLEY STREAM, NY | 51 | $2K |
| 43 | PERRONE, JEANMARIE | PHILADELPHIA, PA | 13 | $1K |
| 44 | BRADLEY, EVAN | WORCESTER, MA | 13 | $1K |
| 45 | ALGREN, DOUGLAS | KANSAS CITY, MO | 14 | $1K |
| 46 | GRAHAM, POWELL | WORCESTER, MA | 12 | $1K |
| 47 | MAMDOUHI, KEVAN | BURLINGTON, MA | 12 | $1K |
| 48 | TANG, KATHERINE | BOSTON, MA | 12 | $1K |
| 49 | KEILHAUER, FRANZ | JANESVILLE, WI | 18 | $480.30 |
| 50 | FALKOWITZ, DARIA | HACKENSACK, NJ | 30 | $467.85 |
| 51 | BIRD, STEVEN | WORCESTER, MA | 12 | $362.56 |
| 52 | ERSHAD, MUHAMMED | DETROIT, MI | 12 | $268.76 |
| 53 | BANIA, THEODORE | NEW YORK, NY | 15 | $265.87 |
| 54 | MOSTAFA, AHMED MAMDOUH TAHA | CHESTER, PA | 44 | $97.41 |
| 55 | DARRACQ, MICHAEL | FRESNO, CA | 62 | $0.00 |