Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Emergency Physicians Group (NPI 1659366649)

Field	Value
Entity Type	Organization
Organization	Emergency Physicians Group
Address	101 Sivley Rd Sw
City	Huntsville
State	AL
ZIP	35801
Taxonomy	Emergency Medicine Physician
NPI Enumerated	September 15, 2005

Payer Source	Total Paid
Medicaid	$13.5M
Medicare	$0

Key Findings

This provider is effectively a single-payer operation on file: Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $13.5M, so all reported public-payer clinical billing in the dataset is Medicaid-based. That payer concentration makes Medicaid policy and rate changes likely to have an outsized impact on the provider’s top-line performance.

Revenue is extremely concentrated in three emergency department E/M codes: 99285, 99284, and 99283 together account for 99.2% of this provider's total Medicaid revenue. Individually these codes generate $6.7M (99285, 49.4%), $5.5M (99284, 40.4%), and $1.3M (99283, 9.3%), indicating that nearly all Medicaid dollars flow from ED evaluation-and-management encounters.

The code mix identifies a high-throughput emergency medicine operation focused on moderate- and high-acuity visits: 99285 has 94K claims at $71 avg paid/claim and 99284 has 91.1K claims at $60 avg paid/claim, while 99283 contributes 30K claims at $42 avg paid/claim. These volumes point to large ED patient throughput and a service-line oriented around urgent and emergent evaluation rather than outpatient primary care or procedural revenue.

Competitive standing in-state is strong for high-acuity ED services: 99285 ranks #2 of 193 providers in-state (99th percentile; notably above typical state volume for this code) and 99284 ranks #4 of 238 providers in-state (99th percentile; notably above typical state volume for this code). By contrast 99283 ranks #19 of 230 providers in-state (92th percentile; typical, unremarkable volume), so the provider is particularly dominant for higher-acuity ED encounters but more typical for lower-acuity urgent visits.

Critical-care and ancillary services appear as a small share of Medicaid revenue: 99291 (critical care) is present with 659 claims, $133 avg paid/claim and $87.6K revenue (0.6% of Medicaid revenue), while 93010 (ECG interpretation) has 8.6K claims, $3 avg paid/claim and $25.9K revenue (0.2%). These figures indicate that true critical-care billing and EKG interpretation are part of the clinical mix but are not major revenue drivers relative to the core ED E/M workflow.

The dataset shows a pattern of billed service lines that produce minimal or no recorded Medicaid payment in several secondary codes: for example, 99401 (6.2K claims) and 99053 (2.1K claims) both report $0 revenue on file, and G8783 has 813 claims with $0 revenue. This suggests administrative or reporting activity for preventive/overnight/documentation codes that currently do not contribute materially to Medicaid revenue and may reflect state-specific reimbursement policies or billing practices.

Given the provider’s tenure—NPI enumerated 2005-09-15 (~21 years ago)—the high volumes and concentration in ED E/M codes likely reflect a stable, established emergency medicine group with sustained Medicaid relationships. Payers assessing utilization or entering contract discussions can treat this as a long-standing ED-focused practice rather than a newly enumerated or transient billing entity.

For payers and network planners, the business implication is clear: utilization management, reimbursement strategy, and capacity planning should concentrate on high-acuity ED E/M encounters (99285 and 99284), since those two codes alone account for a majority of Medicaid dollars and the provider ranks at or near the top of in-state volume for those codes. Any policy or rate changes affecting ED E/M reimbursement will disproportionately affect this provider’s Medicaid revenue profile.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	94,000	$70	$6.7M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	91,070	$60	$5.5M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	30,030	$40	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	660	$130	$87.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	8,640	$1	$25.9K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	10	$30	$460
99053	The provider renders overnight services at a 24 hour facility.	2,120	$0	$0
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	6,210	$0	$0
G8783	Normal blood pressure reading documented, follow-up not required	810	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Emergency Physicians Group — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	4	240	4,820	$60	$807.6K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2	190	1,480	$100	$730.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	19	230	5,160	$40	$474.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	17	60	270	$110	$94.3K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	5	120	770	$10	$27.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	25	170	890	$10	$25.2K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	29	30	50	$20	$2.4K
99053	The provider renders overnight services at a 24 hour facility.	7	20	1,060	$1	$80
G8783	Normal blood pressure reading documented, follow-up not required	8	40	90	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Physicians Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hh Physician Care	AL	Internal Medicine Physician	$0	$2.7M
Leon W. Lewis M.d., P.C.	AL	Obstetrics & Gynecology Physician	$0	$2.6M
Health Care Authority Of The City Of Huntsville	AL	Maternal & Fetal Medicine Physician	$0	$967.3K
Shanon Smith	NE	Diagnostic Radiology Physician	$275.5K	$0
Michael Cosgrove	AL	Pain Medicine (Anesthesiology) Physician	$228.3K	$0
Anjaneyulu Alapati	AL	Neurology Physician	$221.5K	$0
Ronald Collins	AL	Pain Medicine (Anesthesiology) Physician	$175.7K	$0
Tobin Fisher	AL	Family Medicine Physician	$173.7K	$0
Thomas Kraus	AL	Pain Medicine (Anesthesiology) Physician	$166.5K	$0
Daniel Burnes	AL	Family Medicine Physician	$162.1K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Physicians Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Valley Neonatology, Inc	AL	Neonatal-Perinatal Medicine Physician	$0	$22.2M
The Health Care Authority Of The City Of Huntsville	AL	General Acute Care Hospital	$0	$17.8M
Happi Health	AL	Federally Qualified Health Center (FQHC)	$0	$17.6M
Healthgroup Of Alabama	AL	Contractor	$0	$13.4M
The Valley Foundation	AL	Multi-Specialty Clinic/Center	$0	$11.3M
David White	AL	Neurology Physician	$7M	$0
The Children's Hospital Of Alabama	AL	Pediatric Pulmonology Physician	$0	$5.6M
Huntsville Pediatric Associates, LLC	AL	Pediatrics Physician	$0	$4.8M
Dental Associates Of Huntsville, LLC	AL	General Practice Dentistry	$0	$4.7M
Health Group Of Alabama	AL	Contractor	$0	$4.1M

Emergency Physicians Group — Billing Profile & Reimbursement Data

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Emergency Physicians Group — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References