APP OF TENNESSEE HM, PLLC

NPI: 1396160768 · SHELBYVILLE, TN 37160 · Emergency Medicine Physician · NPI assigned 02/21/2014

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$2.84M

Total Medicaid Paid

199,110

Total Claims

76,866

Beneficiaries

Codes Billed

2018-01

First Month

2023-07

Last Month

Provider Details

Authorized Official	GRIMES, JAMES (CFO)
NPI Enumeration Date	02/21/2014

Other providers sharing the same authorized official: GRIMES, JAMES

Provider	City	State	Total 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
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
99233	Prolong inpt eval add15 m	72,311	22,562	$926K
99232	Subsequent hospital care, per day, moderate complexity	79,817	24,073	$811K
99223	Prolong inpt eval add15 m	14,366	10,669	$443K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	7,684	2,251	$279K
99239	Hospital discharge day management, more than 30 minutes	16,612	11,370	$246K
99222	Initial hospital care, per day, moderate complexity	2,736	2,085	$58K
99220		1,846	1,334	$44K
99238	Hospital discharge day management, 30 minutes or less	2,894	2,046	$29K
99219		168	122	$2K
99221		163	110	$2K
99217		221	141	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	152	44	$759.90
99225		71	29	$437.88
99497		15	15	$260.83
99406		54	15	$190.01