Southeastern Emergency Physicians LLC

Emergency Medicine, Pediatric Emergency Medicine·Maysville, KY·NPI: 1356379382Share

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

Sharp billing drop in final month

Total Paid

$208.9M

$208,943,380

Total Claims

4.2M

Beneficiaries

3.7M

1.1 claims/patient

Avg Cost/Claim

$50

#423 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Southeastern Emergency Physicians LLC is a Emergency Medicine, Pediatric Emergency Medicine provider based in Maysville, KY. From the 2018–2024 period, this provider received $208.9M in Medicaid payments across 4.2M claims.

Why This Matters

This provider received $208.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 26,117 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 20% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018

$33.8M

-7%

2019

$31.6M

-27%

2020

$22.9M

+21%

2021

$27.7M

+15%

2022

$31.9M

+7%

2023

$34.0M

-20%

2024

$27.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 43% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$90.7M

1.3M claims

$68.93

$85.65

0.8×

Normal range

99285Normal range

Emergency dept visit, high/urgent complexity

$90.7M

1.3M claims · 43.4%

Your Cost: $68.93/claim|Median: $85.65

0.8× median

99284Emergency dept visit, high complexitySee all providers →

$84.5M

1.4M claims

$58.40

$69.51

0.8×

Normal range

99284Normal range

Emergency dept visit, high complexity

$84.5M

1.4M claims · 40.4%

Your Cost: $58.40/claim|Median: $69.51

0.8× median

99283Emergency dept visit, moderate complexitySee all providers →

$30.2M

752K claims

$40.11

$42.48

0.9×

Normal range

99283Normal range

Emergency dept visit, moderate complexity

$30.2M

752K claims · 14.4%

Your Cost: $40.11/claim|Median: $42.48

0.9× median

93010Electrocardiogram, interpretation and report onlySee all providers →

$1.6M

337K claims

$4.63

$5.60

0.8×

Normal range

93010Normal range

Electrocardiogram, interpretation and report only

$1.6M

337K claims · 0.7%

Your Cost: $4.63/claim|Median: $5.60

0.8× median

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

$827K

10K claims

$79.56

$101.24

0.8×

Normal range

99291Normal range

Critical care, first 30-74 minutes

$827K

10K claims · 0.4%

Your Cost: $79.56/claim|Median: $101.24

0.8× median

99223Initial hospital care, per day, high complexitySee all providers →

$297K

2K claims

$121.85

$67.32

1.8×

Top 25%

99223Top 25%

Initial hospital care, per day, high complexity

$297K

2K claims · 0.1%

Your Cost: $121.85/claim|Median: $67.32

1.8× median

99233Subsequent hospital care, per day, high complexitySee all providers →

$283K

4K claims

$63.44

$35.30

1.8×

Top 25%

99233Top 25%

Subsequent hospital care, per day, high complexity

$283K

4K claims · 0.1%

Your Cost: $63.44/claim|Median: $35.30

1.8× median

99239Hospital discharge day management, more than 30 minutesSee all providers →

$271K

4K claims

$69.34

$43.85

1.6×

Top 25%

99239Top 25%

Hospital discharge day management, more than 30 minutes

$271K

4K claims · 0.1%

Your Cost: $69.34/claim|Median: $43.85

1.6× median

99232Subsequent hospital care, per day, moderate complexitySee all providers →

$140K

3K claims

$44.64

$23.99

1.9×

Top 25%

99232Top 25%

Subsequent hospital care, per day, moderate complexity

$140K

3K claims · 0.1%

Your Cost: $44.64/claim|Median: $23.99

1.9× median

71046Chest X-ray, 2 viewsSee all providers →

$49K

12K claims

$4.16

$8.92

0.5×

Normal range

71046Normal range

Chest X-ray, 2 views

$49K

12K claims · 0.0%

Your Cost: $4.16/claim|Median: $8.92

0.5× median

99220 See all providers →

$34K

271 claims

$124.86

$73.56

1.7×

Top 25%

99220Top 25%

$34K

271 claims · 0.0%

Your Cost: $124.86/claim|Median: $73.56

1.7× median

99282Emergency dept visit, low complexitySee all providers →

$31K

1K claims

$22.88

$37.72

0.6×

Normal range

99282Normal range

Emergency dept visit, low complexity

$31K

1K claims · 0.0%

Your Cost: $22.88/claim|Median: $37.72

0.6× median

71045Chest X-ray, single viewSee all providers →

$31K

9K claims

$3.49

$4.93

0.7×

Normal range

71045Normal range

Chest X-ray, single view

$31K

9K claims · 0.0%

Your Cost: $3.49/claim|Median: $4.93

0.7× median

74019 See all providers →

$29K

6K claims

$4.71

$9.82

0.5×

Normal range

74019Normal range

$29K

6K claims · 0.0%

Your Cost: $4.71/claim|Median: $9.82

0.5× median

99217 See all providers →

$26K

478 claims

$53.86

$31.89

1.7×

Top 25%

99217Top 25%

$26K

478 claims · 0.0%

Your Cost: $53.86/claim|Median: $31.89

1.7× median

99472Subsequent pediatric critical care, per day, age 2-5See all providers →

$24K

121 claims

$196.29

$307.98

0.6×

Normal range

99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$24K

121 claims · 0.0%

Your Cost: $196.29/claim|Median: $307.98

0.6× median

99053 See all providers →

$22K

290K claims

$0.07

$0.38

0.2×

Normal range

99053Normal range

$22K

290K claims · 0.0%

Your Cost: $0.07/claim|Median: $0.38

0.2× median

71047 See all providers →

$2K

228 claims

$7.86

$9.62

0.8×

Normal range

71047Normal range

$2K

228 claims · 0.0%

Your Cost: $7.86/claim|Median: $9.62

0.8× median

99406 See all providers →

$1K

171 claims

$8.07

$6.53

1.2×

Normal range

99406Normal range

$1K

171 claims · 0.0%

Your Cost: $8.07/claim|Median: $6.53

1.2× median

99238Hospital discharge day management, 30 minutes or lessSee all providers →

$1K

17 claims

$59.17

$37.22

1.6×

Top 25%

99238Top 25%

Hospital discharge day management, 30 minutes or less

$1K

17 claims · 0.0%

Your Cost: $59.17/claim|Median: $37.22

1.6× median

12001 See all providers →

$153

35 claims

$4.37

$64.99

0.1×

Normal range

12001Normal range

$153

35 claims · 0.0%

Your Cost: $4.37/claim|Median: $64.99

0.1× median

12002 See all providers →

$37

14 claims

$2.66

$68.89

0.0×

Normal range

12002Normal range

$37

14 claims · 0.0%

Your Cost: $2.66/claim|Median: $68.89

0.0× median

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