Medicaid Provider Spending

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

KERN BONE AND JOINT SPECIALISTS A MEDICAL GROUP INC

NPI: 1174636708 · BAKERSFIELD, CA 93311 · Orthopaedic Surgery Physician · NPI assigned 08/17/2006

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

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

$118K
Total Medicaid Paid
1,147
Total Claims
1,118
Beneficiaries
7
Codes Billed
2018-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (PRESIDENT)
NPI Enumeration Date08/17/2006

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 TENNESSEE ED, PLLC MARYVILLE TN $30.13M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42 $5K
2019 37 $3K
2020 109 $10K
2021 231 $23K
2022 176 $19K
2023 186 $20K
2024 366 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 784 759 $75K
99244 Office or other outpatient consultation, moderate to high complexity 66 66 $14K
99243 86 86 $14K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 74 74 $7K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54 52 $7K
20610 16 16 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 67 65 $519.45