Gem Capital Physicians, PLLC
Gem Capital Physicians, PLLC was paid $1.42M by Medicaid between Oct 2018 and Dec 2024, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 67% of everything it billed.
LOUISBURG, NC 27549
Next to other Emergency Medicine Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 603 | $26K | |
| 2019 | 4,365 | $194K | |
| 2020 | 2,705 | $163K | |
| 2021 | 2,965 | $189K | |
| 2022 | 3,403 | $246K | |
| 2023 | 4,253 | $303K | |
| 2024incomplete | 3,921 | $303K |
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 | 67% | 12,781 | 10,166 | $960K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 17% | 2,918 | 2,288 | $239K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 5,852 | 4,533 | $223K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 664 | 484 | $2K |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.