Is EMERGENCY PROFESSIONAL SERVICES PC flagged for Medicaid fraud?

EMERGENCY PROFESSIONAL SERVICES PC (NPI: 1902936164) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does EMERGENCY PROFESSIONAL SERVICES PC bill Medicaid?

EMERGENCY PROFESSIONAL SERVICES PC 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 SAN TAN VALLEY, AZ.

What is NPI 1902936164?

NPI 1902936164 is the National Provider Identifier for EMERGENCY PROFESSIONAL SERVICES PC. They are a Emergency Medicine provider based in SAN TAN VALLEY, AZ. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

EMERGENCY PROFESSIONAL SERVICES PC

Emergency Medicine·SAN TAN VALLEY, AZ·NPI: 1902936164Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.5M is at the 50th percentile among 11 Emergency Medicine providers.

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

Total Paid

$30.5M

$30,503,762

Total Claims

505K

Beneficiaries

468K

1.1 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018

$6.5M

+10%

2019

$7.2M

-17%

2020

$5.9M

+23%

2021

$7.3M

-76%

2022

$1.7M

-33%

2023

$1.2M

-36%

2024

$745K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 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

137K claims

$107.81

$85.65

1.3×

Normal range

99285Normal range

Emergency dept visit, high/urgent complexity

$14.8M

137K claims · 48.5%

Your Cost: $107.81/claim|Median: $85.65

1.3× median

99284Emergency dept visit, high complexitySee all providers →

$12.5M

158K claims

$78.85

$69.51

1.1×

Normal range

99284Normal range

Emergency dept visit, high complexity

$12.5M

158K claims · 41.0%

Your Cost: $78.85/claim|Median: $69.51

1.1× median

99283Emergency dept visit, moderate complexitySee all providers →

$2.6M

60K claims

$43.36

$42.48

1.0×

Normal range

99283Normal range

Emergency dept visit, moderate complexity

$2.6M

60K claims · 8.5%

Your Cost: $43.36/claim|Median: $42.48

1.0× median

93010Electrocardiogram, interpretation and report onlySee all providers →

$383K

71K claims

$5.42

$5.60

1.0×

Normal range

93010Normal range

Electrocardiogram, interpretation and report only

$383K

71K claims · 1.3%

Your Cost: $5.42/claim|Median: $5.60

1.0× median

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

$174K

1,411 claims

$123.04

$101.24

1.2×

Normal range

99291Normal range

Critical care, first 30-74 minutes

$174K

1,411 claims · 0.6%

Your Cost: $123.04/claim|Median: $101.24

1.2× median

99053 See all providers →

$45K

56K claims

$0.82

$0.38

2.1×

Normal range

99053Normal range

$45K

56K claims · 0.1%

Your Cost: $0.82/claim|Median: $0.38

2.1× median

99282Emergency dept visit, low complexitySee all providers →

$18K

568 claims

$31.66

$37.72

0.8×

Normal range

99282Normal range

Emergency dept visit, low complexity

$18K

568 claims · 0.1%

Your Cost: $31.66/claim|Median: $37.72

0.8× median

99292 See all providers →

$2K

27 claims

$79.41

$57.64

1.4×

Normal range

99292Normal range

$2K

27 claims · 0.0%

Your Cost: $79.41/claim|Median: $57.64

1.4× median

99281Emergency dept visit, minimal complexitySee all providers →

$366

26 claims

$14.07

$52.03

0.3×

Normal range

99281Normal range

Emergency dept visit, minimal complexity

$366

26 claims · 0.0%

Your Cost: $14.07/claim|Median: $52.03

0.3× median

93042 See all providers →

$206

47 claims

$4.38

$2.53

1.7×

Normal range

93042Normal range

$206

47 claims · 0.0%

Your Cost: $4.38/claim|Median: $2.53

1.7× median

G8950 See all providers →

13K claims

$0.00

$0.05

0.0×

Normal range

G8950Normal range

13K claims · 0.0%

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

0.0× median

G8783 See all providers →

1,476 claims

$0.00

$0.04

0.0×

Normal range

G8783Normal range

1,476 claims · 0.0%

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

0.0× median

99406 See all providers →

65 claims

$0.00

$6.53

—

Normal range

99406Normal range

65 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.53

G9530 See all providers →

15 claims

$0.00

$1.66

—

Normal range

G9530Normal range

15 claims · 0.0%

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

G9744 See all providers →

6,519 claims

$0.00

$0.09

—

Normal range

G9744Normal range

6,519 claims · 0.0%

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

G8806 See all providers →

17 claims

$0.00

$0.65

—

Normal range

G8806Normal range

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.65

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