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Southeastern Emergency Physicians LLC

Emergency Medicine, Pediatric Emergency Medicine·Maysville, KY·NPI: 1356379382Share
Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$208.9M

$208,943,380

Total Claims

4.2M

Beneficiaries

3.7M

1.1 claims/patient

Avg Cost/Claim

$50

#423 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Southeastern Emergency Physicians LLC is a Emergency Medicine, Pediatric Emergency Medicine provider based in Maysville, KY. From the 2018–2024 period, this provider received $208.9M in Medicaid payments across 4.2M claims.

Why This Matters

This provider received $208.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 26,117 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 20% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$33.8M
-7%
2019
$31.6M
-27%
2020
$22.9M
+21%
2021
$27.7M
+15%
2022
$31.9M
+7%
2023
$34.0M
-20%
2024
$27.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 43% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$90.7M

1.3M claims · 43.4%

Your Cost: $68.93/claim|Median: $85.65
0.8× median
99284Normal range

Emergency dept visit, high complexity

$84.5M

1.4M claims · 40.4%

Your Cost: $58.40/claim|Median: $69.51
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$30.2M

752K claims · 14.4%

Your Cost: $40.11/claim|Median: $42.48
0.9× median
93010Normal range

Electrocardiogram, interpretation and report only

$1.6M

337K claims · 0.7%

Your Cost: $4.63/claim|Median: $5.60
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$827K

10K claims · 0.4%

Your Cost: $79.56/claim|Median: $101.24
0.8× median
99223Top 25%

Initial hospital care, per day, high complexity

$297K

2,434 claims · 0.1%

Your Cost: $121.85/claim|Median: $67.32
1.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$283K

4,460 claims · 0.1%

Your Cost: $63.44/claim|Median: $35.30
1.8× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$271K

3,908 claims · 0.1%

Your Cost: $69.34/claim|Median: $43.85
1.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$140K

3,135 claims · 0.1%

Your Cost: $44.64/claim|Median: $23.99
1.9× median
71046Normal range

Chest X-ray, 2 views

$49K

12K claims · 0.0%

Your Cost: $4.16/claim|Median: $8.92
0.5× median
99220Top 25%

$34K

271 claims · 0.0%

Your Cost: $124.86/claim|Median: $73.56
1.7× median
99282Normal range

Emergency dept visit, low complexity

$31K

1,340 claims · 0.0%

Your Cost: $22.88/claim|Median: $37.72
0.6× median
71045Normal range

Chest X-ray, single view

$31K

8,771 claims · 0.0%

Your Cost: $3.49/claim|Median: $4.93
0.7× median
74019Normal range

$29K

6,076 claims · 0.0%

Your Cost: $4.71/claim|Median: $9.82
0.5× median
99217Top 25%

$26K

478 claims · 0.0%

Your Cost: $53.86/claim|Median: $31.89
1.7× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$24K

121 claims · 0.0%

Your Cost: $196.29/claim|Median: $307.98
0.6× median
99053Normal range

$22K

290K claims · 0.0%

Your Cost: $0.07/claim|Median: $0.38
0.2× median
71047Normal range

$2K

228 claims · 0.0%

Your Cost: $7.86/claim|Median: $9.62
0.8× median
99406Normal range

$1K

171 claims · 0.0%

Your Cost: $8.07/claim|Median: $6.53
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$1K

17 claims · 0.0%

Your Cost: $59.17/claim|Median: $37.22
1.6× median
12001Normal range

$153

35 claims · 0.0%

Your Cost: $4.37/claim|Median: $64.99
0.1× median
12002Normal range

$37

14 claims · 0.0%

Your Cost: $2.66/claim|Median: $68.89
0.0× median

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