Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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App of East Tennessee Ed PLLC

App of East Tennessee Ed PLLC was paid $2.26M by Medicaid between Sep 2019 and Jul 2023, across 4 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.

33Billing provider infoAPP OF EAST TENNESSEE ED PLLC
POWELL, TN 37849
33aNPI1326695537assigned 08/22/2019
33bProvider typePhysician Assistant
28Total paid$2.26M
24GClaims52,022
24DCodes billed4
24AFirst – last monthSep 2019 – Jul 2023
Compared with peers

Next to other Physician Assistant providers in Tennessee

Rank by total paid#13 of 200
Median peer was paid$36K
This provider vs. median62×

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$50K$100K2018201920202021202220232024
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
20192,716$84K
20205,806$269K
202118,527$831K
202216,599$722K
20238,374$356K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 43% 19,180 16,899 $968K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 41% 15,430 13,541 $926K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 16% 10,494 9,451 $351K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 6,918 5,988 $18K

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.