Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › LOUISBURG › GEM CAPITAL PHYSICIANS, PLLC

GEM CAPITAL PHYSICIANS, PLLC

NPI: 1225524598 · LOUISBURG, NC 27549 · Emergency Medicine Physician · NPI assigned 07/10/2018

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LARSEN, KIM controls 20+ related entities in our dataset. Read more

$1.42M
Total Medicaid Paid
22,215
Total Claims
17,471
Beneficiaries
4
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARSEN, KIM (DIRECTOR OF CREDENTIALING)
NPI Enumeration Date07/10/2018

Related Entities

Other providers sharing the same authorized official: LARSEN, KIM

ProviderCityStateTotal Paid
THE CAROLINAS EMERGENCY GROUP, PLLC DUNN NC $20.49M
GASTONIA PHYSICIAN SERVICES, PLLC GASTONIA NC $15.73M
SANTA ANA PHYSICIANS GROUP, PC INDIO CA $12.38M
ETOWAH EMERGENCY PHYSICIANS, LLC CEDARTOWN GA $10.77M
NORTH CAROLINA EMERGENCY PHYSICIANS, PLLC LAURINBURG NC $10.60M
ROBESON EMERGENCY PHYSICIANS, PLLC LUMBERTON NC $9.80M
CENTRAL GEORGIA EMERGENCY GROUP, LLC MACON GA $8.75M
DES MOINES RIVER PHYSICIANS, LLC DES MOINES IA $8.16M
KINSTON PHYSICIANS GROUP, PLLC KINSTON NC $8.05M
PASSAIC RIVER PHYSICIANS, LLC PATERSON NJ $6.70M
TENNESSEE EMERGENCY PHYSICIANS, PLLC MEMPHIS TN $6.27M
GEORGIA EMERGENCY GROUP, LLC GRIFFIN GA $6.27M
HOUSTON COUNTY EMERGENCY GROUP, LLC WARNER ROBINS GA $5.30M
BULL CITY PHYSICIANS, PLLC HENDERSON NC $4.65M
PENSACOLA EMERGENCY PHYSICIANS, LLC PENSACOLA FL $4.59M
WESTERN CAROLINA EMERGENCY PHYSICIANS, PLLC ALBEMARLE NC $4.24M
BRUNSWICK PHYSICIAN PARTNERS, PLLC BOLIVIA NC $4.21M
TENNESSEE RIVER PHYSICIANS, PLLC CHATTANOOGA TN $3.87M
PIEDMONT TRIAD PHYSICIANS, PLLC THOMASVILLE NC $3.84M
SANTA YNEZ RIVER PHYSICIANS, PC LOMPOC CA $3.79M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 603 $26K
2019 4,365 $194K
2020 2,705 $163K
2021 2,965 $189K
2022 3,403 $246K
2023 4,253 $303K
2024 3,921 $303K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 12,781 10,166 $960K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,918 2,288 $239K
99283 Emergency department visit for the evaluation and management, moderate severity 5,852 4,533 $223K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 664 484 $2K