Is CENTER FOR EMERGENCY MEDICINE OF WESTERN PENNSYLVANIA flagged for Medicaid fraud?

CENTER FOR EMERGENCY MEDICINE OF WESTERN PENNSYLVANIA (NPI: 1700831401) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

What is NPI 1700831401?

NPI 1700831401 is the National Provider Identifier for CENTER FOR EMERGENCY MEDICINE OF WESTERN PENNSYLVANIA. They are a Ambulance, Air Transport provider based in WEST MIFFLIN, PA. This NPI is registered with the CMS NPI Registry.

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CENTER FOR EMERGENCY MEDICINE OF WESTERN PENNSYLVANIA

Ambulance, Air Transport·WEST MIFFLIN, PA·NPI: 1700831401Share

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

Total Paid

$47.8M

$47,751,910

Total Claims

32K

Beneficiaries

30K

1.1 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2018

$1.3M

+103%

2019

$2.6M

+59%

2020

$4.2M

+142%

2021

$10.1M

-5%

2022

$9.6M

-11%

2023

$8.6M

+31%

2024

$11.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (A0431 (Ambulance service, conventional air, transport, one way)) accounts for 79% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

A0431Ambulance service, conventional air, transport, one waySee all providers →

$37.9M

13K claims

$2,897.15

$1,650.68

1.8×

Top 10%

A0431Top 10%

Ambulance service, conventional air, transport, one way

$37.9M

13K claims · 79.3%

Your Cost: $2,897.15/claim|Median: $1,650.68

1.8× median

A0436ALS mileage, per mile, level 2See all providers →

$8.4M

12K claims

$715.85

$705.08

1.0×

Normal range

A0436Normal range

ALS mileage, per mile, level 2

$8.4M

12K claims · 17.6%

Your Cost: $715.85/claim|Median: $705.08

1.0× median

A0434Ambulance, specialty care transportSee all providers →

$1.2M

3,524 claims

$340.96

$252.36

1.4×

Normal range

A0434Normal range

Ambulance, specialty care transport

$1.2M

3,524 claims · 2.5%

Your Cost: $340.96/claim|Median: $252.36

1.4× median

A0425Ground mileage, per statute mileSee all providers →

$133K

2,555 claims

$52.06

$23.36

2.2×

Top 25%

A0425Top 25%

Ground mileage, per statute mile

$133K

2,555 claims · 0.3%

Your Cost: $52.06/claim|Median: $23.36

2.2× median

A0427Ambulance, ALS emergency transport Level 1See all providers →

$90K

626 claims

$143.32

$164.22

0.9×

Normal range

A0427Normal range

Ambulance, ALS emergency transport Level 1

$90K

626 claims · 0.2%

Your Cost: $143.32/claim|Median: $164.22

0.9× median

A0426Ambulance service, ALS, non-emergency transport, level 1See all providers →

$49K

172 claims

$285.74

$104.69

2.7×

Top 10%

A0426Top 10%

Ambulance service, ALS, non-emergency transport, level 1

$49K

172 claims · 0.1%

Your Cost: $285.74/claim|Median: $104.69

2.7× median

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