Is TRAVIS COUNTY EMERGENCY PHYSICIANS PA flagged for Medicaid fraud?

TRAVIS COUNTY EMERGENCY PHYSICIANS PA (NPI: 1962440933) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does TRAVIS COUNTY EMERGENCY PHYSICIANS PA bill Medicaid?

TRAVIS COUNTY EMERGENCY PHYSICIANS PA 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 AUSTIN, TX.

What is NPI 1962440933?

NPI 1962440933 is the National Provider Identifier for TRAVIS COUNTY EMERGENCY PHYSICIANS PA. They are a Emergency Medicine provider based in AUSTIN, TX. This NPI is registered with the CMS NPI Registry.

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TRAVIS COUNTY EMERGENCY PHYSICIANS PA

Emergency Medicine·AUSTIN, TX·NPI: 1962440933Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.1M is at the 50th percentile among 11 Emergency Medicine providers.

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

Total Paid

$47.1M

$47,094,396

Total Claims

780K

Beneficiaries

742K

1.1 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018

$185K

+127%

2019

$420K

+239%

2020

$1.4M

+583%

2021

$9.7M

+21%

2022

$11.7M

+17%

2023

$13.7M

-28%

2024

$9.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 55% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

99284Emergency dept visit, high complexitySee all providers →

$25.7M

349K claims

$73.63

$69.51

1.1×

Normal range

99284Normal range

Emergency dept visit, high complexity

$25.7M

349K claims · 54.6%

Your Cost: $73.63/claim|Median: $69.51

1.1× median

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

$10.1M

138K claims

$73.56

$85.65

0.9×

Normal range

99285Normal range

Emergency dept visit, high/urgent complexity

$10.1M

138K claims · 21.5%

Your Cost: $73.56/claim|Median: $85.65

0.9× median

99283Emergency dept visit, moderate complexitySee all providers →

$9.4M

204K claims

$46.09

$42.48

1.1×

Normal range

99283Normal range

Emergency dept visit, moderate complexity

$9.4M

204K claims · 19.9%

Your Cost: $46.09/claim|Median: $42.48

1.1× median

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

$1.6M

14K claims

$115.36

$101.24

1.1×

Normal range

99291Normal range

Critical care, first 30-74 minutes

$1.6M

14K claims · 3.4%

Your Cost: $115.36/claim|Median: $101.24

1.1× median

93010Electrocardiogram, interpretation and report onlySee all providers →

$232K

74K claims

$3.12

$5.60

0.6×

Normal range

93010Normal range

Electrocardiogram, interpretation and report only

$232K

74K claims · 0.5%

Your Cost: $3.12/claim|Median: $5.60

0.6× median

99292 See all providers →

$7K

96 claims

$77.70

$57.64

1.3×

Normal range

99292Normal range

$7K

96 claims · 0.0%

Your Cost: $77.70/claim|Median: $57.64

1.3× median

99281Emergency dept visit, minimal complexitySee all providers →

$4K

230 claims

$17.50

$52.03

0.3×

Normal range

99281Normal range

Emergency dept visit, minimal complexity

$4K

230 claims · 0.0%

Your Cost: $17.50/claim|Median: $52.03

0.3× median

99282Emergency dept visit, low complexitySee all providers →

$3K

90 claims

$35.94

$37.72

1.0×

Normal range

99282Normal range

Emergency dept visit, low complexity

$3K

90 claims · 0.0%

Your Cost: $35.94/claim|Median: $37.72

1.0× median

12001 See all providers →

$430

13 claims

$33.07

$64.99

0.5×

Normal range

12001Normal range

$430

13 claims · 0.0%

Your Cost: $33.07/claim|Median: $64.99

0.5× median

71045Chest X-ray, single viewSee all providers →

$372

365 claims

$1.02

$4.93

0.2×

Normal range

71045Normal range

Chest X-ray, single view

$372

365 claims · 0.0%

Your Cost: $1.02/claim|Median: $4.93

0.2× median

99406 See all providers →

$11

30 claims

$0.37

$6.53

0.1×

Normal range

99406Normal range

$11

30 claims · 0.0%

Your Cost: $0.37/claim|Median: $6.53

0.1× median

99053 See all providers →

360 claims

$0.00

$0.38

—

Normal range

99053Normal range

360 claims · 0.0%

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

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