Is UNIVERSITY EMERGENCY MEDICAL SERVICES INC. flagged for Medicaid fraud?

UNIVERSITY EMERGENCY MEDICAL SERVICES INC. (NPI: 1972540482) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does UNIVERSITY EMERGENCY MEDICAL SERVICES INC. bill Medicaid?

UNIVERSITY EMERGENCY MEDICAL SERVICES INC. 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 BUFFALO, NY.

What is NPI 1972540482?

NPI 1972540482 is the National Provider Identifier for UNIVERSITY EMERGENCY MEDICAL SERVICES INC.. They are a Emergency Medicine provider based in BUFFALO, NY. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

UNIVERSITY EMERGENCY MEDICAL SERVICES INC.

Emergency Medicine·BUFFALO, NY·NPI: 1972540482Share

Compared to Emergency Medicine Peers

Total spending distribution among 11 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.2M is at the 50th percentile among 11 Emergency Medicine providers.

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

Total Paid

$20.2M

$20,158,218

Total Claims

351K

Beneficiaries

348K

1.0 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018

$1.4M

+43%

2019

$1.9M

+39%

2020

$2.7M

+33%

2021

$3.6M

-5%

2022

$3.4M

+31%

2023

$4.5M

-40%

2024

$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 51% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$10.2M

104K claims

$97.95

$85.65

1.1×

Normal range

99285Normal range

Emergency dept visit, high/urgent complexity

$10.2M

104K claims · 50.7%

Your Cost: $97.95/claim|Median: $85.65

1.1× median

99284Emergency dept visit, high complexitySee all providers →

$7.9M

116K claims

$68.66

$69.51

1.0×

Normal range

99284Normal range

Emergency dept visit, high complexity

$7.9M

116K claims · 39.4%

Your Cost: $68.66/claim|Median: $69.51

1.0× median

99283Emergency dept visit, moderate complexitySee all providers →

$1.8M

46K claims

$38.15

$42.48

0.9×

Normal range

99283Normal range

Emergency dept visit, moderate complexity

$1.8M

46K claims · 8.7%

Your Cost: $38.15/claim|Median: $42.48

0.9× median

93010Electrocardiogram, interpretation and report onlySee all providers →

$145K

21K claims

$6.79

$5.60

1.2×

Normal range

93010Normal range

Electrocardiogram, interpretation and report only

$145K

21K claims · 0.7%

Your Cost: $6.79/claim|Median: $5.60

1.2× median

99282Emergency dept visit, low complexitySee all providers →

$67K

2,589 claims

$25.77

$37.72

0.7×

Normal range

99282Normal range

Emergency dept visit, low complexity

$67K

2,589 claims · 0.3%

Your Cost: $25.77/claim|Median: $37.72

0.7× median

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

$19K

164 claims

$118.08

$101.24

1.2×

Normal range

99291Normal range

Critical care, first 30-74 minutes

$19K

164 claims · 0.1%

Your Cost: $118.08/claim|Median: $101.24

1.2× median

99053 See all providers →

$1K

46K claims

$0.02

$0.38

0.1×

Normal range

99053Normal range

$1K

46K claims · 0.0%

Your Cost: $0.02/claim|Median: $0.38

0.1× median

36000 See all providers →

$297

66 claims

$4.51

$6.65

0.7×

Normal range

36000Normal range

$297

66 claims · 0.0%

Your Cost: $4.51/claim|Median: $6.65

0.7× median

99281Emergency dept visit, minimal complexitySee all providers →

$120

12 claims

$10.02

$52.03

0.2×

Normal range

99281Normal range

Emergency dept visit, minimal complexity

$120

12 claims · 0.0%

Your Cost: $10.02/claim|Median: $52.03

0.2× median

G8952 See all providers →

6,486 claims

$0.00

$0.03

—

Normal range

G8952Normal range

6,486 claims · 0.0%

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

G8783 See all providers →

3,825 claims

$0.00

$0.04

—

Normal range

G8783Normal range

3,825 claims · 0.0%

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

G9744 See all providers →

3,735 claims

$0.00

$0.09

—

Normal range

G9744Normal range

3,735 claims · 0.0%

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

G9745 See all providers →

66 claims

$0.00

$0.09

—

Normal range

G9745Normal range

66 claims · 0.0%

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

G8950 See all providers →

235 claims

$0.00

$0.05

—

Normal range

G8950Normal range

235 claims · 0.0%

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

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