Physician
South Mississippi Emergency Physicians PA
South Mississippi Emergency Physicians PA was paid $3.21M by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is 99285, emergency room visit (most serious) — 57% of everything it billed.
33Billing provider infoSOUTH MISSISSIPPI EMERGENCY PHYSICIANS PA
HATTIESBURG, MS 39401
HATTIESBURG, MS 39401
33aNPI1265478077assigned 06/21/2006
33bProvider typeEmergency Medicine Physician
28Total paid$3.21M
24GClaims80,162
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Emergency Medicine Physician providers in Mississippi
Rank by total paid#9 of 68
Median peer was paid$147K
This provider vs. median22×
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 | 38,801 | $1.43M | |
| 2019 | 33,626 | $1.45M | |
| 2020 | 7,735 | $333K |
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 | 57% | 32,759 | 27,188 | $1.82M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 30% | 21,268 | 16,002 | $949K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 14,681 | 11,943 | $404K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.0% | 530 | 436 | $32K |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 177 | 128 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 10,627 | 10,045 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 120 | 92 | $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 officialNELSON, JOHN (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Advance Pain Management of Oklahoma PC | Oklahoma City, OK | $2.26M |
| HCM Med Transport | Lancaster, CA | $1.09M |
| Annandale Care Center | Annandale, MN | $916K |
| Professional Pathology Associates | Biloxi, MS | $611K |
| Highland Emergency Physicians, PA | Picayune, MS | $482K |
| J S Nelson P C | Spearfish, SD | $77K |
| Nelson Family Dental, PLLC | Austin, MN | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.