Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Lansing › NPI 1265976971
NP / PA

Degara App, PLLC

Degara App, PLLC was paid $35.82M by Medicaid between Jan 2018 and Jul 2023, across 27 billing codes. Its largest line is 99285, emergency room visit (most serious) — 33% of everything it billed.

33Billing provider infoDEGARA APP, PLLC
LANSING, MI 48910
33aNPI1265976971assigned 12/14/2016
33bProvider typePhysician Assistant
28Total paid$35.82M
24GClaims640,098
24DCodes billed27
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Physician Assistant providers in Michigan

Rank by total paid#1 of 80
Median peer was paid$36K
This provider vs. median1,000×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GRIMES, JAMES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201898,200$5.22M
2019143,372$7.78M
2020114,772$6.39M
2021116,472$6.75M
2022105,374$6.11M
202361,908$3.56M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 33% 167,215 149,406 $11.98M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 33% 200,139 184,985 $11.73M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 24% 170,205 158,237 $8.52M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5.6% 18,153 17,329 $2.02M
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.3% 8,910 8,649 $467K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 48,381 43,013 $195K
10061 <1% 2,027 1,963 $193K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 2,625 2,480 $148K
12001 <1% 4,909 4,841 $122K
31500 <1% 1,259 1,237 $90K
12002 <1% 2,651 2,607 $86K
12011 <1% 2,729 2,684 $84K
15 more codes
99292 <1% 852 $56K
10060 <1% 1,042 $56K
64400 <1% 867 $21K
29125 <1% 849 $14K
12013 <1% 324 $10K
99406 <1% 1,549 $10K
36556 <1% 167 $7K
29515 <1% 87 $2K
93042 <1% 572 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 39 $635.46
21310 <1% 28 $418.09
71045 Radiologic examination, chest; single view <1% 61 $231.85
99152 <1% 12 $84.49
99053 <1% 4,420 $14.00
36410 <1% 26 $2.04

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.

From NPPES

Who's on the registration

Authorized officialGRIMES, JAMES (CFO)
Same official

Other billing entities under GRIMES, JAMES

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.