Is MEDICAL ASSOCIATES flagged for Medicaid fraud?

MEDICAL ASSOCIATES (NPI: 1710932736) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does MEDICAL ASSOCIATES bill Medicaid?

MEDICAL ASSOCIATES 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 INDIANAPOLIS, IN.

What is NPI 1710932736?

NPI 1710932736 is the National Provider Identifier for MEDICAL ASSOCIATES. They are a Emergency Medicine provider based in INDIANAPOLIS, IN. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

MEDICAL ASSOCIATES

Emergency Medicine·INDIANAPOLIS, IN·NPI: 1710932736Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.9M is at the 50th percentile among 11 Emergency Medicine providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$49.9M

$49,891,219

Total Claims

1.0M

Beneficiaries

907K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018

$3.0M

+114%

2019

$6.5M

-0%

2020

$6.4M

+28%

2021

$8.3M

+7%

2022

$8.8M

+7%

2023

$9.4M

-21%

2024

$7.5M

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 50% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$24.7M

295K claims

$83.71

$85.65

1.0×

Normal range

99285Normal range

Emergency dept visit, high/urgent complexity

$24.7M

295K claims · 49.6%

Your Cost: $83.71/claim|Median: $85.65

1.0× median

99284Emergency dept visit, high complexitySee all providers →

$18.6M

311K claims

$59.68

$69.51

0.9×

Normal range

99284Normal range

Emergency dept visit, high complexity

$18.6M

311K claims · 37.3%

Your Cost: $59.68/claim|Median: $69.51

0.9× median

99283Emergency dept visit, moderate complexitySee all providers →

$5.4M

156K claims

$35.02

$42.48

0.8×

Normal range

99283Normal range

Emergency dept visit, moderate complexity

$5.4M

156K claims · 10.9%

Your Cost: $35.02/claim|Median: $42.48

0.8× median

93010Electrocardiogram, interpretation and report onlySee all providers →

$880K

201K claims

$4.38

$5.60

0.8×

Normal range

93010Normal range

Electrocardiogram, interpretation and report only

$880K

201K claims · 1.8%

Your Cost: $4.38/claim|Median: $5.60

0.8× median

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

$176K

1,979 claims

$89.18

$101.24

0.9×

Normal range

99291Normal range

Critical care, first 30-74 minutes

$176K

1,979 claims · 0.4%

Your Cost: $89.18/claim|Median: $101.24

0.9× median

99282Emergency dept visit, low complexitySee all providers →

$66K

3,885 claims

$16.90

$37.72

0.4×

Normal range

99282Normal range

Emergency dept visit, low complexity

$66K

3,885 claims · 0.1%

Your Cost: $16.90/claim|Median: $37.72

0.4× median

12011 See all providers →

$2K

250 claims

$7.06

$67.02

0.1×

Normal range

12011Normal range

$2K

250 claims · 0.0%

Your Cost: $7.06/claim|Median: $67.02

0.1× median

12001 See all providers →

$1K

494 claims

$2.82

$64.99

0.0×

Normal range

12001Normal range

$1K

494 claims · 0.0%

Your Cost: $2.82/claim|Median: $64.99

0.0× median

10060Incision and drainage of abscess, simpleSee all providers →

$1K

497 claims

$2.31

$75.72

0.0×

Normal range

10060Normal range

Incision and drainage of abscess, simple

$1K

497 claims · 0.0%

Your Cost: $2.31/claim|Median: $75.72

0.0× median

12002 See all providers →

$874

280 claims

$3.12

$68.89

0.0×

Normal range

12002Normal range

$874

280 claims · 0.0%

Your Cost: $3.12/claim|Median: $68.89

0.0× median

10061 See all providers →

$463

222 claims

$2.09

$101.03

0.0×

Normal range

10061Normal range

$463

222 claims · 0.0%

Your Cost: $2.09/claim|Median: $101.03

0.0× median

99053 See all providers →

25K claims

$0.00

$0.38

0.0×

Normal range

99053Normal range

25K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38

0.0× median

G8952 See all providers →

118 claims

$0.00

$0.03

—

Normal range

G8952Normal range

118 claims · 0.0%

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

G8950 See all providers →

545 claims

$0.00

$0.05

—

Normal range

G8950Normal range

545 claims · 0.0%

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

29125 See all providers →

15 claims

$0.00

$28.04

—

Normal range

29125Normal range

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.04

G9744 See all providers →

4,746 claims

$0.00

$0.09

—

Normal range

G9744Normal range

4,746 claims · 0.0%

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

31500 See all providers →

13 claims

$0.00

$62.71

—

Normal range

31500Normal range

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $62.71

G8783 See all providers →

364 claims

$0.00

$0.04

—

Normal range

G8783Normal range

364 claims · 0.0%

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

Other Top Providers in Indiana

View all →

Bowen Health INC

Psychiatric Hospital

$509.3M

Centerstone of Indiana, Inc.

Community/Behavioral Health

$318.9M

A.w. Holdings LLC

Psychologist Intellectual & Developmental Disabil

$260.2M

Meridian Services

Community/Behavioral Health

$245.2M

The Health and Hospital Corporation of Marion County

Psychiatric Unit

$231.5M

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 providers All providers in Indiana →How we detect fraud →