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

James River Emergency Group, LLC

James River Emergency Group, LLC was paid $1.49M by Medicaid between Jan 2018 and Dec 2018, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 38% of everything it billed.

33Billing provider infoJAMES RIVER EMERGENCY GROUP, LLC
RICHMOND, VA 23225
33aNPI1912338302assigned 12/10/2013
28Total paid$1.49M
24GClaims25,078
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Emergency Medicine Physician providers in Virginia

Rank by total paid#15 of 447
Median peer was paid$6K
This provider vs. median262×

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

Paid by month

$0$100K$200K2018201920202021202220232024
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
201825,078$1.49M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 38% 7,387 6,278 $560K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 34% 7,072 6,529 $504K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 26% 9,499 8,948 $383K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.3% 375 333 $34K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 299 288 $8K
12011 <1% 27 24 $1K
12001 <1% 32 31 $1K
99053 <1% 189 154 $187.20
G8708 Patient not prescribed antibiotic 0% 198 183 $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 officialDURHAM, CHRISTOPHER (PRESIDENT)
Same official

Other billing entities under DURHAM, CHRISTOPHER

Full network →

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