MARK G. STAVROS, M. D.
NPI 1336103241, individual, Pascagoula, MS, Emergency Medicine
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MARK G. STAVROS, M. D. |
| Type | Individual |
| Status | Active |
| NPI issued | April 17, 2006, last updated July 15, 2013 |
| Practice location | 2809 DENNY AVE, Pascagoula, MS 39581-5301, 228-809-5000 |
| Specialties | Emergency Medicine (207P00000X, primary, license ME71124 FL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| H2010 | Comprehensive medication services per 15 min | $23.1M | 76% | $109 | $230 (top 5% from $884) | 31st percentile | |
| H0020 | Medicaid service code | $4.1M | 13% | $23 | $214 (top 5% from $529) | 9th percentile | |
| J0574 | Medicaid service code | $2.2M | 7% | $414 | $47 (top 5% from $632) | 86th percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $536K | 2% | $53 | $45 (top 5% from $110) | 61st percentile | |
| J0573 | Medicaid service code | $305K | 1% | $145 | $124 (top 5% from $451) | 54th percentile | |
| J0572 | Medicaid service code | $127K | 0% | $109 | $43 (top 5% from $282) | 66th percentile | |
| 99283 | Emergency department visit with low level of medical decision making | $59K | 0% | $81 | $60 (top 5% from $193) | 63rd percentile | |
| 80305 | Testing for presence of drug, read by direct observation | $49K | 0% | $8.77 | $9.23 (top 5% from $22) | 46th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 23 | 23 | $3K | $2K | $174 | 11.9x | 6.9x (90th percentile 11.7x) |
| 99284 | Emergency department visit with moderate level of medical decision making | 25 | 25 | $2K | $1K | $121 | 11.6x | 6.7x (90th percentile 11.3x) |
| 99283 | Emergency department visit with low level of medical decision making | 15 | 15 | $791 | $848 | $71 | 12.0x | 5.8x (90th percentile 10.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
52 providers in MS carry an indicator in the public record, with $66.7M at stake between them. The most common is more hours than a day holds, on 31 of them, followed by part of a provider network on 11. 7 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | MILESTONE COMMUNITY DEVELOPMENT CENTER Greenville, MS, ranked 31 | $415K |
|
| 1 | BRANTLEY NICHOLS Ruleville, MS, ranked 99 | $299K |
|
| 1 | CHRISTA STAPLES Columbia, MS, ranked 222 | $28K |
|
| 1 | BENJAMIN SANFORD Starkville, MS, ranked 320 | $5K |
|
| 1 | MARION LUND Oxford, MS, ranked 399 | $923 |
|
| 1 | FOOT DOCTOR, PLLC Oxford, MS, ranked 400 | $923 |
|
| 1 | MEDIHEALTH MEDICAL SOLUTIONS LLC Amory, MS, ranked 512 | $0 |
|
| 2 | JOHN WILKAITIS Jackson, MS, ranked 697 | $1.6M |
|
Recent enforcement in MS
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.