DEGARA APP, PLLC

NPI: 1265976971 · LANSING, MI 48910 · Physician Assistant · NPI assigned 12/14/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$35.82M

Total Medicaid Paid

640,098

Total Claims

587,901

Beneficiaries

Codes Billed

2018-01

First Month

2023-07

Last Month

Provider Details

Authorized Official	GRIMES, JAMES (CFO)
NPI Enumeration Date	12/14/2016

Other providers sharing the same authorized official: GRIMES, JAMES

Provider	City	State	Total Paid
APP OF NEW MEXICO ED PLLC	ALBUQUERQUE	NM	$41.89M
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
CAPITAL EMERGENCY PHYSICIANS PLLC	FLOWOOD	MS	$1.44M

Code	Description	Claims	Beneficiaries	Total Paid
99285	Emergency department visit for the evaluation and management, high severity with immediate threat to life	167,215	149,406	$11.98M
99284	Emergency department visit for the evaluation and management, high severity	200,139	184,985	$11.73M
99283	Emergency department visit for the evaluation and management, moderate severity	170,205	158,237	$8.52M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	18,153	17,329	$2.02M
99282	Emergency department visit for the evaluation and management, low to moderate severity	8,910	8,649	$467K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	48,381	43,013	$195K
10061		2,027	1,963	$193K
99281	Emergency department visit for the evaluation and management, self-limited or minor	2,625	2,480	$148K
12001		4,909	4,841	$122K
31500		1,259	1,237	$90K
12002		2,651	2,607	$86K
12011		2,729	2,684	$84K
99292		852	834	$56K
10060		1,042	1,029	$56K
64400		867	830	$21K
29125		849	836	$14K
12013		324	315	$10K
99406		1,549	1,496	$10K
36556		167	162	$7K
29515		87	86	$2K
93042		572	556	$2K
76705	Ultrasound, abdominal, real time with image documentation; limited	39	38	$635.46
21310		28	27	$418.09
71045	Radiologic examination, chest; single view	61	58	$231.85
99152		12	12	$84.49
99053		4,420	4,166	$14.00
36410		26	25	$2.04