Is SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC flagged for Medicaid fraud?

SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC (NPI: 1437105277) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

What is NPI 1437105277?

NPI 1437105277 is the National Provider Identifier for SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC. They are a Emergency Medicine provider based in ALTON, IL. This NPI is registered with the CMS NPI Registry.

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SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC

Emergency Medicine·ALTON, IL·NPI: 1437105277Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.6M is at the 50th percentile among 11 Emergency Medicine providers.

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

Total Paid

$26.6M

$26,643,076

Total Claims

420K

Beneficiaries

389K

1.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018

$2.6M

+8%

2019

$2.8M

-12%

2020

$2.4M

+66%

2021

$4.0M

+37%

2022

$5.5M

+9%

2023

$6.0M

-46%

2024

$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 39% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

99284Emergency dept visit, high complexitySee all providers →

$10.5M

145K claims

$72.41

$69.51

1.0×

Normal range

99284Normal range

Emergency dept visit, high complexity

$10.5M

145K claims · 39.5%

Your Cost: $72.41/claim|Median: $69.51

1.0× median

99285Emergency dept visit, high/urgent complexitySee all providers →

$10.4M

114K claims

$91.44

$85.65

1.1×

Normal range

99285Normal range

Emergency dept visit, high/urgent complexity

$10.4M

114K claims · 39.0%

Your Cost: $91.44/claim|Median: $85.65

1.1× median

99283Emergency dept visit, moderate complexitySee all providers →

$5.3M

121K claims

$44.05

$42.48

1.0×

Normal range

99283Normal range

Emergency dept visit, moderate complexity

$5.3M

121K claims · 20.0%

Your Cost: $44.05/claim|Median: $42.48

1.0× median

99291Critical care, first 30-74 minutesSee all providers →

$245K

1,790 claims

$136.63

$101.24

1.3×

Top 25%

99291Top 25%

Critical care, first 30-74 minutes

$245K

1,790 claims · 0.9%

Your Cost: $136.63/claim|Median: $101.24

1.3× median

99053 See all providers →

$105K

27K claims

$3.91

$0.38

10.3×

Normal range

99053Normal range

$105K

27K claims · 0.4%

Your Cost: $3.91/claim|Median: $0.38

10.3× median

93010Electrocardiogram, interpretation and report onlySee all providers →

$43K

12K claims

$3.77

$5.60

0.7×

Normal range

93010Normal range

Electrocardiogram, interpretation and report only

$43K

12K claims · 0.2%

Your Cost: $3.77/claim|Median: $5.60

0.7× median

99282Emergency dept visit, low complexitySee all providers →

$9K

305 claims

$28.86

$37.72

0.8×

Normal range

99282Normal range

Emergency dept visit, low complexity

$9K

305 claims · 0.0%

Your Cost: $28.86/claim|Median: $37.72

0.8× median

99281Emergency dept visit, minimal complexitySee all providers →

$629

43 claims

$14.63

$52.03

0.3×

Normal range

99281Normal range

Emergency dept visit, minimal complexity

$629

43 claims · 0.0%

Your Cost: $14.63/claim|Median: $52.03

0.3× median

71045Chest X-ray, single viewSee all providers →

$189

66 claims

$2.86

$4.93

0.6×

Normal range

71045Normal range

Chest X-ray, single view

$189

66 claims · 0.0%

Your Cost: $2.86/claim|Median: $4.93

0.6× median

99406 See all providers →

$164

15 claims

$10.92

$6.53

1.7×

Top 25%

99406Top 25%

$164

15 claims · 0.0%

Your Cost: $10.92/claim|Median: $6.53

1.7× median

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