Marcum, Gregory

Marcum, Gregory was paid $23K by Medicaid between Aug 2018 and Jan 2020, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 59% of everything it billed.

33Billing provider infoMARCUM, GREGORY
KINGSPORT, TN 37660

33aNPI1992749600assigned 06/15/2006

33bProvider typeEmergency Medicine Physician

28Total paid$23K

24GClaims526

24DCodes billed3

24AFirst – last monthAug 2018 – Jan 2020

Compared with peers

Next to other Emergency Medicine Physician providers in Tennessee

Rank by total paid#218 of 332

Median peer was paid$56K

This provider vs. median0.4×

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	218	$9K
2019	286	$13K
2020	22	$1K

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	59%	252	172	$14K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	24%	133	92	$5K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	18%	141	102	$4K

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.