Nems PLLC

Nems PLLC was paid $6.12M by Medicaid between Mar 2019 and Dec 2024, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 60% of everything it billed.

33Billing provider infoNEMS PLLC
MERIDEN, CT 06451

33aNPI1114482882assigned 02/06/2019

33bProvider typeEmergency Medicine Physician

28Total paid$6.12M

24GClaims108,803

24DCodes billed9

24AFirst – last monthMar 2019 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Connecticut

Rank by total paid#7 of 92

Median peer was paid$10K

This provider vs. median612×

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
2019	17,802	$872K
2020	14,758	$848K
2021	19,525	$1.09M
2022	21,933	$1.12M
2023	19,161	$1.14M
2024incomplete	15,624	$1.05M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	60%	50,329	47,729	$3.64M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	30%	36,286	34,353	$1.84M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	9.6%	21,573	19,924	$584K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	464	449	$40K
99223	Prolong inpt eval add15 m	<1%	80	74	$6K
99236	Prolong inpt eval add15 m	<1%	25	25	$4K
99235		<1%	13	12	$1K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	17	12	$54.91
99406		<1%	16	16	$14.08

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 officialSHANGOLD, GREGORY (PRESIDENT)