Is PROGRESSIVE MEDICAL ASSOCIATES PLLC flagged for Medicaid fraud?

PROGRESSIVE MEDICAL ASSOCIATES PLLC (NPI: 1548218613) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does PROGRESSIVE MEDICAL ASSOCIATES PLLC bill Medicaid?

PROGRESSIVE MEDICAL ASSOCIATES PLLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Emergency Medicine provider. Located in MESA, AZ.

What is NPI 1548218613?

NPI 1548218613 is the National Provider Identifier for PROGRESSIVE MEDICAL ASSOCIATES PLLC. They are a Emergency Medicine provider based in MESA, AZ. This NPI is registered with the CMS NPI Registry.

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PROGRESSIVE MEDICAL ASSOCIATES PLLC

Emergency Medicine·MESA, AZ·NPI: 1548218613Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.3M is at the 50th percentile among 11 Emergency Medicine providers.

Active Billing Period:2018-01→2023-07(67 months)

Billing appears to have stoppedLast active: 2023-07

Total Paid

$30.3M

$30,269,229

Total Claims

403K

Beneficiaries

382K

1.1 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018

$5.1M

-4%

2019

$4.9M

-31%

2020

$3.4M

+68%

2021

$5.6M

+25%

2022

$7.0M

-40%

2023

$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 49% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$14.8M

129K claims

$114.92

$85.65

1.3×

Normal range

99285Normal range

Emergency dept visit, high/urgent complexity

$14.8M

129K claims · 48.8%

Your Cost: $114.92/claim|Median: $85.65

1.3× median

99284Emergency dept visit, high complexitySee all providers →

$11.0M

128K claims

$85.73

$69.51

1.2×

Normal range

99284Normal range

Emergency dept visit, high complexity

$11.0M

128K claims · 36.4%

Your Cost: $85.73/claim|Median: $69.51

1.2× median

99283Emergency dept visit, moderate complexitySee all providers →

$3.9M

77K claims

$50.06

$42.48

1.2×

Normal range

99283Normal range

Emergency dept visit, moderate complexity

$3.9M

77K claims · 12.8%

Your Cost: $50.06/claim|Median: $42.48

1.2× median

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

$458K

3,068 claims

$149.34

$101.24

1.5×

Top 25%

99291Top 25%

Critical care, first 30-74 minutes

$458K

3,068 claims · 1.5%

Your Cost: $149.34/claim|Median: $101.24

1.5× median

93010Electrocardiogram, interpretation and report onlySee all providers →

$125K

23K claims

$5.44

$5.60

1.0×

Normal range

93010Normal range

Electrocardiogram, interpretation and report only

$125K

23K claims · 0.4%

Your Cost: $5.44/claim|Median: $5.60

1.0× median

99053 See all providers →

$21K

27K claims

$0.80

$0.38

2.1×

Normal range

99053Normal range

$21K

27K claims · 0.1%

Your Cost: $0.80/claim|Median: $0.38

2.1× median

99292 See all providers →

$4K

27 claims

$142.30

$57.64

2.5×

Top 10%

99292Top 10%

$4K

27 claims · 0.0%

Your Cost: $142.30/claim|Median: $57.64

2.5× median

99282Emergency dept visit, low complexitySee all providers →

$2K

51 claims

$31.39

$37.72

0.8×

Normal range

99282Normal range

Emergency dept visit, low complexity

$2K

51 claims · 0.0%

Your Cost: $31.39/claim|Median: $37.72

0.8× median

G8952 See all providers →

6,371 claims

$0.00

$0.03

0.0×

Normal range

G8952Normal range

6,371 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03

0.0× median

G8783 See all providers →

3,607 claims

$0.00

$0.04

0.0×

Normal range

G8783Normal range

3,607 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04

0.0× median

G9744 See all providers →

4,436 claims

$0.00

$0.09

0.0×

Normal range

G9744Normal range

4,436 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09

0.0× median

4120F See all providers →

12 claims

$0.00

$2.21

—

Normal range

4120FNormal range

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.21

G9530 See all providers →

13 claims

$0.00

$1.66

—

Normal range

G9530Normal range

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.66

G8708 See all providers →

397 claims

$0.00

$0.03

—

Normal range

G8708Normal range

397 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03

G8709 See all providers →

14 claims

$0.00

$0.02

—

Normal range

G8709Normal range

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02

3210F See all providers →

147 claims

$0.00

$0.02

—

Normal range

3210FNormal range

147 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02

G8711 See all providers →

84 claims

$0.00

$0.03

—

Normal range

G8711Normal range

84 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03

G9745 See all providers →

830 claims

$0.00

$0.09

—

Normal range

G9745Normal range

830 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09

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