NEVVI Medicare utilization intelligence

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Group profile

GEM CAPITAL PHYSICIANS PLLC

EMERGENCY MEDICINE · LOUISBURG, NC · 20 providers · hospital-affiliated · (252) 438-4143

Provider volumes for 99285 — Emergency department visit with high level of medical decision making · CY2024

20
Clinicians · 2024
5
Codes billed · 2024
2
Billing states
Group analytics

In CY2024, the group billed 5 distinct codes across 2 states to Medicare Part B — 519 attributed, disclosed services.

20 clinicians billed under the group: 20 physicians.

This group's attributed Medicare payments across all codes were $premium in CY2024.

The full figure is part of the market analytics platform — built, not launched yet. Notify me at launch →

'Physician' follows Medicare's definition, which includes doctors of medicine, osteopathy, podiatry, optometry, dental medicine, and chiropractic. 'Advanced-practice clinicians' are nurse practitioners, physician assistants, and similar practitioners; 'other clinicians' covers psychologists, therapists, social workers, audiologists, and dietitians. Facility and supplier enrollments — laboratories, ambulance services, imaging suppliers, and the like — are not counted as clinicians here.

Group snapshot

In CY2024, the group's attributed volume on 99285 was 253 services across 2 billing states.

Medicare Part B FFS · CY2024 · as published by CMS
Per-provider volumes — services, beneficiary-episodes, and average Medicare payment — are part of the market analytics platform — built, not launched yet. Notify me at launch →
NPIProviderCredentialsTypeCitySt 99285 services Beneficiary-episodesAvg Medicare payment
1093794778 Quigley, Brian M.D. Emergency Medicine RaleighNC premium premiumpremium
1033288303 Leavell, Ellen M.D. Emergency Medicine SomersetNJ premium premiumpremium
1598103350 Benson, Richard · member of 3 groups M.D. Emergency Medicine ChicagoIL premium premiumpremium
1073509618 Cupo, William · member of 7 groups MD Emergency Medicine OrlandoFL premium premiumpremium
1649412321 Kan, Justin · member of 6 groups MD Emergency Medicine Cedar CrestNM premium premiumpremium
1275552440 Khosrowpour, Saied · member of 3 groups M.D. Emergency Medicine AmericusGA premium premiumpremium
1518156181 Ly, Nick · member of 3 groups DO Emergency Medicine Winston SalemNC premium premiumpremium
1205925237 Mednick, Brandon · member of 6 groups MD Emergency Medicine ClearwaterFL premium premiumpremium
1023084886 Naji, Yousef · member of 3 groups M.D. Internal Medicine GreenvilleNC premium premiumpremium
1043446081 Nataraj, Anand · member of 2 groups M.D. Emergency Medicine LawrenceMA premium premiumpremium
1699174904 Patel, Nisarg · member of 3 groups M.D. Emergency Medicine MemphisTN premium premiumpremium
1730543406 Peltier, David · member of 3 groups D.O. Emergency Medicine HendersonNC premium premiumpremium
1336253814 Platts-Mills, Timothy · member of 2 groups M.D. Emergency Medicine Chapel HillNC premium premiumpremium
1316137912 Rovira Figueroa, Helen · member of 2 groups M.D. Emergency Medicine CarolinaPR premium premiumpremium
1477896827 Sarmiento, Diana · member of 2 groups M.D Emergency Medicine LouisburgNC premium premiumpremium
1518051986 Service, Verston · member of 5 groups MD Emergency Medicine BarnwellSC premium premiumpremium
1336454727 Sridaran, Rita · member of 3 groups MD Emergency Medicine PittsburghPA premium premiumpremium
1659832335 Whitenton, John · member of 2 groups Family Practice NorfolkVA premium premiumpremium
1750814000 Wurst, Benjamin · member of 5 groups D.O. Emergency Medicine Fort BraggNC premium premiumpremium

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.