Medicare spending analysis for Emergency Medicine providers
Emergency Medicine accounts for $21.7B in Medicare payments across 435.9K providers.
The specialty's average markup of 7.1x is above the overall Medicare average of 3.77x.
This high markup suggests significant gaps between what providers charge and what Medicare pays.
AI-generated analysis based on Medicare payment data.
Providers in this specialty flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $2.2B | 27.5M | 39.6K | — |
| 2015 | $2.3B | 28.4M | 40.6K | +2.9% |
| 2016 | $2.3B | 28.3M | 41.7K | +0.5% |
| 2017 | $2.4B | 27.9M | 42.9K | +1.2% |
| 2018 | $2.3B | 27.0M | 43.6K | -4.3% |
| 2019 | $2.2B | 26.3M | 44.5K | -0.8% |
| 2020 | $1.9B | 21.0M | 44.6K | -13.9% |
| 2021 | $2.1B | 22.1M | 45.1K | +8.8% |
| 2022 | $2.1B | 26.4M | 46.1K | -0.5% |
| 2023 | $1.9B | 21.8M | 47.2K | -9.5% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Leslie Denton | NV | $7.0M | 225.4K | $30.87 |
| 2 | Joel Waldrop | SC | $2.4M | 41.2K | $57.18 |
| 3 | Ronald Dean | MT | $2.3M | 163.2K | $14.12 |
| 4 | Andrew Donato | SC | $2.3M | 33.4K | $68.33 |
| 5 | Vladimir Skorokhod | CA | $2.1M | 25.5K | $84.28 |
| 6 | Omar Gonzalez | TX | $2.0M | 4.1K | $495.01 |
| 7 | Mark Mitchell | FL | $1.9M | 153.7K | $12.04 |
| 8 | Sherman Washington | CA | $1.7M | 3.1K | $547.11 |
| 9 | Michael Glassinger | LA | $1.5M | 125.3K | $12.12 |
| 10 | Timothy Bumann | TX | $1.5M | 9.8K | $149.05 |
| 11 | Katan Patel | TX | $1.3M | 24.1K | $53.60 |
| 12 | Vincent Bennett | CA | $1.2M | 23.0K | $52.09 |
| 13 | Sean Stewart | MD | $1.2M | 4.4K | $265.25 |
| 14 | Adrian Harewood | PA | $967.8K | 9.1K | $106.36 |
| 15 | Douglas Cochrane | CA | $961.8K | 10.0K | $96.31 |
| 16 | Christine Holland | TX | $932.6K | 19.6K | $47.51 |
| 17 | Eddie Fernandez | MD | $882.3K | 4.2K | $209.33 |
| 18 | Maxwell Jen | CA | $869.2K | 10.3K | $84.49 |
| 19 | Keith Nichols | VA | $826.1K | 3.0K | $274.54 |
| 20 | Jillian Smith | NJ | $771.7K | 11.0K | $69.94 |
| 21 | Jose Avila | FL | $770.7K | 13.4K | $57.32 |
| 22 | Terry Hermance | OK | $768.1K | 11.2K | $68.80 |
| 23 | Nima Rabbani | CA | $732.0K | 8.2K | $88.76 |
| 24 | Daniel Mcmanus | SC | $713.5K | 186.4K | $3.83 |
| 25 | Alfred Jump | MD | $709.3K | 3.3K | $213.79 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | $994.4M | 7.1M | $139.73 |
| 99284 | Emergency department visit with moderate level of medical decision making | $315.3M | 3.4M | $91.98 |
| 99291 | Critical care, first 30-74 minutes | $273.2M | 1.6M | $173.28 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $37.6M | 421.8K | $89.10 |
| 99283 | Emergency department visit with low level of medical decision making | $32.2M | 607.5K | $52.94 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $29.1M | 462.0K | $62.97 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $19.8M | 140.8K | $140.59 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $18.0M | 2.9M | $6.27 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $11.5M | 97.3K | $118.17 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | $9.6M | 123.3K | $77.64 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $8.1M | 86.8K | $92.91 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $6.8M | 110.4K | $61.50 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | $6.0M | 513.5K | $11.76 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $4.6M | 35.0K | $130.05 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $4.5M | 57.9K | $77.22 |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | $3.4M | 65.1K | $52.71 |
| J3241 | Injection, teprotumumab-trbw, 10 mg | $3.4M | 13.1K | $256.19 |
| 99239 | Hospital discharge day management, more than 30 minutes | $3.0M | 33.4K | $89.25 |
| 99292 | Critical care, each additional 30 minutes | $3.0M | 33.4K | $88.54 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | $2.8M | 57.8K | $49.28 |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.