Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Gastonia Physician Services, PLLC

Gastonia Physician Services, PLLC was paid $15.73M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99284, emergency room visit (serious) — 48% of everything it billed.

33Billing provider infoGASTONIA PHYSICIAN SERVICES, PLLC
GASTONIA, NC 28054
33aNPI1316367691assigned 04/24/2014
28Total paid$15.73M
24GClaims246,151
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in North Carolina

Rank by total paid#6 of 196
Median peer was paid$120K
This provider vs. median131×

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.

Entity ProliferationAuthorized official LARSEN, KIM controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201841,274$2.09M
201936,608$1.93M
202023,501$1.54M
202133,332$2.31M
202237,354$2.70M
202338,625$2.56M
2024incomplete35,457$2.59M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 48% 98,894 80,871 $7.57M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 41% 71,212 56,685 $6.41M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 8.7% 31,253 26,526 $1.37M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.5% 2,255 1,746 $229K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 42,448 29,818 $156K
99406 <1% 73 52 $163.86
99053 0% 16 14 $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 officialLARSEN, KIM (DIRECTOR OF CREDENTIALING)
Same official

Other billing entities under LARSEN, KIM

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.