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EMERGENCY MEDICINE ASSOCIATES P.A., P.C.

Emergency Medicine·FALLS CHURCH, VA·NPI: 1134117393Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $85.9M is at the 50th percentile among 11 Emergency Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$85.9M

$85,872,673

Total Claims

1.8M

Beneficiaries

1.5M

1.2 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$6.4M
+96%
2019
$12.6M
+0%
2020
$12.6M
-5%
2021
$12.0M
+5%
2022
$12.6M
+9%
2023
$13.8M
+15%
2024
$15.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 40% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$34.5M

354K claims · 40.2%

Your Cost: $97.31/claim|Median: $85.65
1.1× median
99284Normal range

Emergency dept visit, high complexity

$34.5M

511K claims · 40.1%

Your Cost: $67.49/claim|Median: $69.51
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$6.2M

162K claims · 7.2%

Your Cost: $38.16/claim|Median: $42.48
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$3.7M

94K claims · 4.3%

Your Cost: $39.10/claim|Median: $35.30
1.1× median
99291Normal range

Critical care, first 30-74 minutes

$2.6M

27K claims · 3.0%

Your Cost: $96.64/claim|Median: $101.24
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$1.2M

18K claims · 1.4%

Your Cost: $67.47/claim|Median: $67.32
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$659K

18K claims · 0.8%

Your Cost: $37.62/claim|Median: $43.85
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$584K

22K claims · 0.7%

Your Cost: $26.88/claim|Median: $23.99
1.1× median
G8427Top 25%

$333K

172K claims · 0.4%

Your Cost: $1.94/claim|Median: $0.02
96.9× median
99220Normal range

$251K

4,319 claims · 0.3%

Your Cost: $58.20/claim|Median: $73.56
0.8× median
G9744Top 25%

$159K

101K claims · 0.2%

Your Cost: $1.57/claim|Median: $0.09
17.4× median
1123FTop 25%

$155K

13K claims · 0.2%

Your Cost: $12.13/claim|Median: $0.49
24.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$129K

20K claims · 0.1%

Your Cost: $6.50/claim|Median: $5.60
1.2× median
99292Normal range

$109K

1,941 claims · 0.1%

Your Cost: $55.93/claim|Median: $57.64
1.0× median
99221Normal range

Initial hospital care, straightforward/low

$92K

2,757 claims · 0.1%

Your Cost: $33.50/claim|Median: $39.96
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$89K

1,766 claims · 0.1%

Your Cost: $50.56/claim|Median: $51.25
1.0× median
10061Normal range

$84K

733 claims · 0.1%

Your Cost: $114.47/claim|Median: $101.03
1.1× median
99217Normal range

$72K

3,203 claims · 0.1%

Your Cost: $22.55/claim|Median: $31.89
0.7× median
G8952Normal range

$58K

68K claims · 0.1%

Your Cost: $0.85/claim|Median: $0.03
28.2× median
G8428Top 25%

$53K

20K claims · 0.1%

Your Cost: $2.64/claim|Median: $0.12
22.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$47K

1,809 claims · 0.1%

Your Cost: $25.99/claim|Median: $37.22
0.7× median
99282Normal range

Emergency dept visit, low complexity

$45K

1,639 claims · 0.1%

Your Cost: $27.35/claim|Median: $37.72
0.7× median
99226Normal range

$40K

1,605 claims · 0.0%

Your Cost: $24.68/claim|Median: $34.09
0.7× median
G8950Top 25%

$39K

66K claims · 0.0%

Your Cost: $0.59/claim|Median: $0.05
11.9× median
12001Normal range

$33K

1,032 claims · 0.0%

Your Cost: $31.72/claim|Median: $64.99
0.5× median
99053Normal range

$28K

40K claims · 0.0%

Your Cost: $0.70/claim|Median: $0.38
1.8× median
12011Normal range

$27K

649 claims · 0.0%

Your Cost: $41.84/claim|Median: $67.02
0.6× median
G8783Top 25%

$27K

28K claims · 0.0%

Your Cost: $0.96/claim|Median: $0.04
23.9× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$22K

798 claims · 0.0%

Your Cost: $28.14/claim|Median: $16.77
1.7× median
10060Normal range

Incision and drainage of abscess, simple

$20K

300 claims · 0.0%

Your Cost: $65.83/claim|Median: $75.72
0.9× median
31500Normal range

$17K

406 claims · 0.0%

Your Cost: $42.05/claim|Median: $62.71
0.7× median
3046FTop 1%

$16K

1,125 claims · 0.0%

Your Cost: $14.57/claim|Median: $0.58
25.1× median
99406Normal range

$15K

3,234 claims · 0.0%

Your Cost: $4.71/claim|Median: $6.53
0.7× median
99219Normal range

$15K

381 claims · 0.0%

Your Cost: $39.02/claim|Median: $63.35
0.6× median
1124FNormal range

$14K

2,342 claims · 0.0%

Your Cost: $5.94/claim|Median: $2.37
2.5× median
12002Normal range

$10K

240 claims · 0.0%

Your Cost: $43.26/claim|Median: $68.89
0.6× median
99281Normal range

Emergency dept visit, minimal complexity

$10K

657 claims · 0.0%

Your Cost: $14.54/claim|Median: $52.03
0.3× median
99218Normal range

$9K

506 claims · 0.0%

Your Cost: $18.19/claim|Median: $51.50
0.4× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$7K

119 claims · 0.0%

Your Cost: $57.63/claim|Median: $62.48
0.9× median
G0180Top 5%

$6K

183 claims · 0.0%

Your Cost: $33.34/claim|Median: $8.31
4.0× median
93042Normal range

$4K

991 claims · 0.0%

Your Cost: $4.32/claim|Median: $2.53
1.7× median
36556Normal range

$3K

159 claims · 0.0%

Your Cost: $19.74/claim|Median: $43.51
0.5× median
6030FTop 25%

$2K

72 claims · 0.0%

Your Cost: $32.13/claim|Median: $20.33
1.6× median
G8602Top 1%

$2K

90 claims · 0.0%

Your Cost: $18.64/claim|Median: $18.64
1.0× median
99225Top 25%

$1K

35 claims · 0.0%

Your Cost: $36.90/claim|Median: $20.96
1.8× median
G9530Top 1%

$1K

777 claims · 0.0%

Your Cost: $1.66/claim|Median: $1.66
1.0× median
99464Normal range

$1K

29 claims · 0.0%

Your Cost: $43.08/claim|Median: $59.94
0.7× median
G8785Top 25%

$995

384 claims · 0.0%

Your Cost: $2.59/claim|Median: $0.19
13.6× median
4124FNormal range

$782

257 claims · 0.0%

Your Cost: $3.04/claim|Median: $14.87
0.2× median
99497Normal range

$769

55 claims · 0.0%

Your Cost: $13.98/claim|Median: $10.99
1.3× median

Other Top Providers in Virginia

View all →

Virginia Commonwealth University Health System Authority

General Acute Care Hospital

$658.5M

Rector & Visitors of the University of Virginia

General Acute Care Hospital

$500.5M

Wall Residences LLC

Community Based Residential Treatment Facility In

$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

Similar Providers

Other top providers in Emergency Medicine

Presbyterian Healthcare Services

Albuquerque, NM

$345.5M

Mainehealth

Portland, ME

$142.7M

Emergency Coverage, LLC

Newport, TN

$121.6M

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