Epmg Southwest Michigan PLLC
Epmg Southwest Michigan PLLC was paid $11.92M by Medicaid between Jul 2019 and Dec 2024, across 27 billing codes. Its largest line is 99284, emergency room visit (serious) — 34% of everything it billed.
SAINT JOSEPH, MI 49085
Next to other Emergency Medicine Physician providers in Michigan
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 | |
|---|---|---|---|
| 2019 | 24,207 | $1.04M | |
| 2020 | 34,186 | $1.78M | |
| 2021 | 35,109 | $2.24M | |
| 2022 | 43,710 | $2.38M | |
| 2023 | 43,911 | $2.42M | |
| 2024incomplete | 30,684 | $2.07M |
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 | 34% | 68,559 | 61,165 | $4.03M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 30% | 53,136 | 44,957 | $3.53M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 25% | 48,823 | 45,118 | $3.01M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.3% | 3,249 | 3,125 | $397K |
| 99236 | Prolong inpt eval add15 m | 1.8% | 1,768 | 1,677 | $214K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.6% | 3,407 | 3,230 | $190K |
| 99220 | 1.1% | 1,346 | 1,276 | $129K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 16,755 | 13,991 | $73K |
| 99223 | Prolong inpt eval add15 m | <1% | 569 | 529 | $59K |
| 99217 | <1% | 1,158 | 1,101 | $44K | |
| 12001 | <1% | 1,653 | 1,624 | $42K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 643 | 607 | $36K |
15 more codes
| 10061 | <1% | 391 | $32K | |
| 12002 | <1% | 710 | $24K | |
| 12011 | <1% | 754 | $24K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,245 | $21K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 362 | $18K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 761 | $12K |
| 99218 | <1% | 128 | $6K | |
| 99235 | <1% | 59 | $6K | |
| 10060 | <1% | 99 | $5K | |
| 29125 | <1% | 145 | $3K | |
| 29515 | <1% | 70 | $2K | |
| 93308 | <1% | 93 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 17 | $1K |
| 76882 | <1% | 67 | $741.93 | |
| 99053 | <1% | 5,840 | $138.87 |
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.