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Emergency Coverage, LLC

Emergency Medicine·Newport, TN·NPI: 1427005008Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $121.6M is at the 75th percentile among 11 Emergency Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$121.6M

$121,636,680

Total Claims

2.4M

Beneficiaries

2.1M

1.1 claims/patient

Avg Cost/Claim

$51

#982 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Emergency Coverage, LLC is a Emergency Medicine provider based in Newport, TN. From the 2018–2024 period, this provider received $121.6M in Medicaid payments across 2.4M claims.

Why This Matters

This provider received $121.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,204 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 70% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$10.6M
+72%
2019
$18.4M
-21%
2020
$14.5M
+27%
2021
$18.5M
+8%
2022
$19.9M
+8%
2023
$21.6M
-16%
2024
$18.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 44% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$54.1M

662K claims · 44.5%

Your Cost: $81.63/claim|Median: $85.65
0.9× median
99284Normal range

Emergency dept visit, high complexity

$47.2M

770K claims · 38.8%

Your Cost: $61.27/claim|Median: $69.51
0.9× median
99283Normal range

Emergency dept visit, moderate complexity

$18.0M

489K claims · 14.8%

Your Cost: $36.81/claim|Median: $42.48
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$1.1M

11K claims · 0.9%

Your Cost: $97.53/claim|Median: $101.24
1.0× median
93010Normal range

Electrocardiogram, interpretation and report only

$426K

117K claims · 0.3%

Your Cost: $3.63/claim|Median: $5.60
0.7× median
99053Normal range

$276K

309K claims · 0.2%

Your Cost: $0.89/claim|Median: $0.38
2.4× median
99282Normal range

Emergency dept visit, low complexity

$141K

6K claims · 0.1%

Your Cost: $23.28/claim|Median: $37.72
0.6× median
10061Normal range

$126K

1K claims · 0.1%

Your Cost: $107.14/claim|Median: $101.03
1.1× median
12001Normal range

$72K

2K claims · 0.1%

Your Cost: $31.37/claim|Median: $64.99
0.5× median
10060Normal range

Incision and drainage of abscess, simple

$69K

1K claims · 0.1%

Your Cost: $66.28/claim|Median: $75.72
0.9× median
12011Normal range

$67K

2K claims · 0.1%

Your Cost: $39.38/claim|Median: $67.02
0.6× median
31500Normal range

$45K

654 claims · 0.0%

Your Cost: $68.84/claim|Median: $62.71
1.1× median
12002Normal range

$42K

1K claims · 0.0%

Your Cost: $41.53/claim|Median: $68.89
0.6× median
99281Normal range

Emergency dept visit, minimal complexity

$15K

1K claims · 0.0%

Your Cost: $13.17/claim|Median: $52.03
0.3× median
99217Normal range

$8K

233 claims · 0.0%

Your Cost: $35.16/claim|Median: $31.89
1.1× median
29125Normal range

$7K

256 claims · 0.0%

Your Cost: $27.25/claim|Median: $28.04
1.0× median
99407Normal range

$3K

427 claims · 0.0%

Your Cost: $7.87/claim|Median: $13.29
0.6× median
99292Normal range

$2K

38 claims · 0.0%

Your Cost: $60.19/claim|Median: $57.64
1.0× median
29105Normal range

$2K

53 claims · 0.0%

Your Cost: $32.89/claim|Median: $36.99
0.9× median
29515Normal range

$1K

42 claims · 0.0%

Your Cost: $35.34/claim|Median: $33.24
1.1× median
99406Normal range

$1K

230 claims · 0.0%

Your Cost: $5.09/claim|Median: $6.53
0.8× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$919

17 claims · 0.0%

Your Cost: $54.03/claim|Median: $37.22
1.4× median
36556Normal range

$498

20 claims · 0.0%

Your Cost: $24.91/claim|Median: $43.51
0.6× median
71045Normal range

Chest X-ray, single view

$119

134 claims · 0.0%

Your Cost: $0.89/claim|Median: $4.93
0.2× median
82272Normal range

$11

50 claims · 0.0%

Your Cost: $0.23/claim|Median: $1.77
0.1× median

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