Physician
Capital Emergency Physicians Madison PLLC
Capital Emergency Physicians Madison PLLC was paid $1.33M by Medicaid between Jan 2018 and Jul 2021, across 6 billing codes. Its largest line is 99284, emergency room visit (serious) — 48% of everything it billed.
33Billing provider infoCAPITAL EMERGENCY PHYSICIANS MADISON PLLC
CANTON, MS 39046
CANTON, MS 39046
33aNPI1194176644assigned 06/27/2016
33bProvider typeEmergency Medicine Physician
28Total paid$1.33M
24GClaims28,164
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Emergency Medicine Physician providers in Mississippi
Rank by total paid#15 of 68
Median peer was paid$147K
This provider vs. median9.0×
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 | 10,641 | $521K | |
| 2019 | 9,752 | $434K | |
| 2020 | 4,891 | $220K | |
| 2021 | 2,880 | $151K |
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 | 48% | 10,975 | 9,015 | $630K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 38% | 14,046 | 12,348 | $505K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 14% | 2,720 | 2,316 | $191K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 14 | 12 | $431.22 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 68 | 52 | $7.89 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 341 | 320 | $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 officialSOMERBY, CHAD (VP OPERATIONS)
| Provider | Location | Paid |
|---|---|---|
| App of Kansas Ed, PLLC | Kansas City, KS | $858K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.