Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

APP OF TENNESSEE ED, PLLC

NPI: 1003230236 · MARYVILLE, TN 37804 · Physical Therapy Assistant · NPI assigned 02/07/2014

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GRIMES, JAMES controls 20+ related entities in our dataset. Read more

$30.13M
Total Medicaid Paid
643,698
Total Claims
561,061
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (CFO)
NPI Enumeration Date02/07/2014

Related Entities

Other providers sharing the same authorized official: GRIMES, JAMES

ProviderCityStateTotal Paid
APP OF NEW MEXICO ED PLLC ALBUQUERQUE NM $41.89M
DEGARA APP, PLLC LANSING MI $35.82M
PROGRESSIVE MEDICAL ASSOCIATES PLLC MESA AZ $30.27M
APP OF INDIANA ED, PLLC BRENTWOOD TN $26.14M
APP OF MISSISSIPPI ED, LLC JACKSON MS $17.00M
APP OF SOUTH CAROLINA ED PLLC HARTSVILLE SC $11.00M
KALAMAZOO EMERGENCY ASSOCIATES, PLC KALAMAZOO MI $9.76M
APP OF ALABAMA ED PLLC RUSSELLVILLE AL $9.22M
APP OF KENTUCKY ED, PLLC PRINCETON KY $7.03M
ACUTE CARE SPECIALISTS LONGVIEW TX $5.94M
TRUEPARTNERS COMANCHE EMERGENCY SPECIALISTS PLLC LAWTON OK $3.74M
TRUEPARTNERS MANATEE EMERGENCY SPECIALISTS PLLC BRADENTON FL $3.16M
APP OF FLORIDA ED, LLC MILTON FL $2.96M
APP OF TENNESSEE HM, PLLC SHELBYVILLE TN $2.84M
EMERGENCY SPECIALISTS OF WELLINGTON LLC WELLINGTON FL $2.61M
APP OF EAST TENNESSEE ED PLLC POWELL TN $2.26M
SAN JACINTO EMERGENCY PHYSICIANS PLLC BAYTOWN TX $2.17M
WOODLAND'S EMERGENCY PHYSICIANS, PLLC SHENANDOAH TX $2.11M
TOWN SQUARE EMERGENCY ASSOCIATES PLLC AMARILLO TX $1.97M
CAPITAL EMERGENCY PHYSICIANS PLLC FLOWOOD MS $1.44M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71,272 $3.03M
2019 100,650 $4.90M
2020 119,951 $5.43M
2021 164,461 $7.83M
2022 122,220 $5.76M
2023 65,144 $3.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 207,318 177,677 $12.44M
99284 Emergency department visit for the evaluation and management, high severity 223,386 197,538 $11.76M
99283 Emergency department visit for the evaluation and management, moderate severity 158,241 142,290 $5.46M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,829 4,734 $342K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 45,906 36,422 $112K
99406 1,603 1,258 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity 136 123 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor 57 42 $807.84
99053 1,222 977 $0.00