Southwestern Michigan Emergency Services, PC

Southwestern Michigan Emergency Services, PC was paid $26.55M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99284, emergency room visit (serious) — 35% of everything it billed.

33Billing provider infoSOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC
KALAMAZOO, MI 49007

33aNPI1013021310assigned 08/17/2006

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$26.55M

24GClaims498,029

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Michigan

Rank by total paid#4 of 26

Median peer was paid$234K

This provider vs. median113×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	73,604	$3.47M
2019	71,597	$3.41M
2020	59,979	$3.23M
2021	64,888	$3.67M
2022	74,451	$4.02M
2023	81,111	$4.44M
2024incomplete	72,399	$4.31M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	35%	156,961	143,803	$9.18M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	32%	119,575	104,948	$8.49M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	24%	113,041	104,609	$6.34M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	5.9%	12,728	12,194	$1.57M
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.0%	63,623	56,312	$270K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	2,770	2,623	$140K
10061		<1%	1,373	1,350	$124K
12001		<1%	3,644	3,622	$94K
12011		<1%	2,352	2,339	$76K
12002		<1%	2,169	2,161	$74K
31500		<1%	812	805	$65K
10060		<1%	1,166	1,149	$55K

14 more codes

64400		<1%	1,468	$32K
99292		<1%	403	$29K
12013		<1%	161	$6K
26600		<1%	25	$3K
99217		<1%	63	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	18	$1K
99156		<1%	38	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	19	$975.27
28470		<1%	12	$936.49
99053		<1%	15,444	$537.40
99152		<1%	12	$71.30
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	126	$0.00
G9744	Patient not eligible due to active diagnosis of hypertension	0%	14	$0.00
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	0%	12	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDEMOSS, JAMES (PRESIDENT)