Grand River Emergency Medical Group PLC

Grand River Emergency Medical Group PLC was paid $12.82M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.

33Billing provider infoGRAND RIVER EMERGENCY MEDICAL GROUP PLC
GRAND RAPIDS, MI 49503

33aNPI1114929353assigned 06/01/2005

33bProvider typeEmergency Medicine Physician

28Total paid$12.82M

24GClaims271,725

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Emergency Medicine Physician providers in Michigan

Rank by total paid#9 of 248

Median peer was paid$57K

This provider vs. median227×

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	43,063	$1.66M
2019	42,598	$1.58M
2020	36,807	$1.64M
2021	39,639	$1.92M
2022	42,581	$2.05M
2023	38,059	$2.13M
2024incomplete	28,978	$1.84M

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	44%	97,557	79,959	$5.62M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	27%	49,896	44,632	$3.40M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	15%	39,245	34,909	$1.96M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	8.9%	10,171	9,558	$1.14M
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.2%	3,321	2,980	$152K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.2%	35,912	29,916	$151K
99223	Prolong inpt eval add15 m	<1%	852	824	$83K
99220		<1%	852	827	$82K
99236	Prolong inpt eval add15 m	<1%	711	696	$80K
99217		<1%	1,058	1,024	$40K
12001		<1%	1,150	1,128	$28K
10061		<1%	244	232	$16K

18 more codes

99238	Hospital discharge day management, 30 minutes or less	<1%	294	$13K
12011		<1%	410	$12K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	178	$11K
99218		<1%	207	$11K
99406		<1%	1,004	$7K
12002		<1%	170	$6K
10060		<1%	119	$5K
99234		<1%	68	$5K
64400		<1%	109	$4K
71046	Radiologic examination, chest; 2 views	<1%	242	$2K
31500		<1%	13	$806.30
93042		<1%	327	$780.18
99053		<1%	26,605	$63.20
71045	Radiologic examination, chest; single view	<1%	12	$51.50
G9744	Patient not eligible due to active diagnosis of hypertension	0%	507	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	69	$0.00
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	0%	221	$0.00
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	0%	201	$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 officialFIGURSKI, MARK (PRESIDENT OF GROUP)