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

Capital Emergency Physicians PLLC

Capital Emergency Physicians PLLC was paid $1.44M by Medicaid between Jan 2018 and Jul 2023, across 5 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.

33Billing provider infoCAPITAL EMERGENCY PHYSICIANS PLLC
FLOWOOD, MS 39232
33aNPI1528405230assigned 06/04/2013
28Total paid$1.44M
24GClaims32,517
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Emergency Medicine Physician providers in Mississippi

Rank by total paid#14 of 68
Median peer was paid$147K
This provider vs. median9.8×

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 GRIMES, JAMES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20189,908$441K
20198,226$351K
20204,271$171K
20213,974$202K
20224,463$199K
20231,675$79K
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 43% 11,426 9,350 $628K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 38% 16,574 13,833 $541K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 19% 4,290 3,551 $272K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 103 85 $2K
G9744 Patient not eligible due to active diagnosis of hypertension 0% 124 113 $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 officialGRIMES, JAMES (CFO)
Same official

Other billing entities under GRIMES, JAMES

Full network →

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