Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

EMERGENCY MEDICINE SPECIALISTS, S.C.

Emergency Medicine·MILWAUKEE, WI·NPI: 1568413524Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.1M is at the 50th percentile among 11 Emergency Medicine providers.

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

Total Paid

$35.1M

$35,131,697

Total Claims

1.2M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$5.0M
-7%
2019
$4.6M
-38%
2020
$2.8M
+23%
2021
$3.5M
+56%
2022
$5.4M
+18%
2023
$6.4M
+14%
2024
$7.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 51% of total spending.

99284Normal range

Emergency dept visit, high complexity

$18.0M

379K claims · 51.3%

Your Cost: $47.54/claim|Median: $69.51
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$8.1M

188K claims · 23.0%

Your Cost: $42.93/claim|Median: $85.65
0.5× median
99283Normal range

Emergency dept visit, moderate complexity

$3.4M

112K claims · 9.6%

Your Cost: $30.14/claim|Median: $42.48
0.7× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$2.7M

51K claims · 7.7%

Your Cost: $53.40/claim|Median: $53.41
1.0× median
99291Normal range

Critical care, first 30-74 minutes

$1.0M

18K claims · 2.9%

Your Cost: $56.22/claim|Median: $101.24
0.6× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$796K

8,746 claims · 2.3%

Your Cost: $90.98/claim|Median: $84.03
1.1× median
93010Normal range

Electrocardiogram, interpretation and report only

$643K

111K claims · 1.8%

Your Cost: $5.77/claim|Median: $5.60
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$220K

5,980 claims · 0.6%

Your Cost: $36.83/claim|Median: $37.81
1.0× median
H0049Normal range

$175K

8,887 claims · 0.5%

Your Cost: $19.66/claim|Median: $9.27
2.1× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$60K

904 claims · 0.2%

Your Cost: $66.55/claim|Median: $57.85
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$11K

209 claims · 0.0%

Your Cost: $53.13/claim|Median: $74.09
0.7× median
99236Normal range

Observation care same day admit and discharge

$10K

92 claims · 0.0%

Your Cost: $112.15/claim|Median: $128.23
0.9× median
93308Normal range

$6K

301 claims · 0.0%

Your Cost: $19.05/claim|Median: $20.08
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$3K

75 claims · 0.0%

Your Cost: $44.86/claim|Median: $67.32
0.7× median
99053Normal range

$2K

164K claims · 0.0%

Your Cost: $0.01/claim|Median: $0.38
0.0× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$2K

76 claims · 0.0%

Your Cost: $26.32/claim|Median: $36.13
0.7× median
97597Normal range

$2K

94 claims · 0.0%

Your Cost: $16.28/claim|Median: $21.22
0.8× median
99282Normal range

Emergency dept visit, low complexity

$759

32 claims · 0.0%

Your Cost: $23.71/claim|Median: $37.72
0.6× median
99292Normal range

$489

19 claims · 0.0%

Your Cost: $25.75/claim|Median: $57.64
0.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$342

17 claims · 0.0%

Your Cost: $20.10/claim|Median: $37.22
0.5× median
99217Normal range

$332

14 claims · 0.0%

Your Cost: $23.71/claim|Median: $31.89
0.7× median
93042Top 25%

$73

14 claims · 0.0%

Your Cost: $5.21/claim|Median: $2.53
2.1× median
S9088Normal range

Services provided in an urgent care center

$39

5,136 claims · 0.0%

Your Cost: $0.01/claim|Median: $28.22
0.0× median
G8709Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G8785Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.19
99406Normal range

$0

456 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.53
1036FNormal range

$0

2,180 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.01
G8708Normal range

$0

1,468 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
G8952Normal range

$0

472 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.03
G8950Normal range

$0

29K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.05
G8783Normal range

$0

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.04
G9744Normal range

$0

17K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.09
4004FNormal range

$0

458 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.02
G8427Normal range

$0

71K claims · 0.0%

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

Other Top Providers in Wisconsin

View all →

Exact Sciences Laboratories LLC

Clinical Medical Laboratory

$276.5M

Children's Hospital of Wisconsin, Inc.

Dentist, Pediatric Dentistry

$262.2M

County of Milwaukee

Community/Behavioral Health

$234.1M

Dane County Department of Human Services

Community/Behavioral Health

$186.9M

Aurora Health Care Metro, Inc.

Internal Medicine, Hematology & Oncology

$182.0M

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

← All providersAll providers in Wisconsin →How we detect fraud →