Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

App of South Carolina Ed PLLC

App of South Carolina Ed PLLC was paid $11.00M by Medicaid between Jan 2018 and Jul 2023, across 8 billing codes. Its largest line is 99284, emergency room visit (serious) — 46% of everything it billed.

33Billing provider infoAPP OF SOUTH CAROLINA ED PLLC
HARTSVILLE, SC 29550
33aNPI1457878084assigned 08/24/2017
28Total paid$11.00M
24GClaims181,896
24DCodes billed8
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Emergency Medicine Physician providers in South Carolina

Rank by total paid#3 of 263
Median peer was paid$3K
This provider vs. median3,629×

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$200K$400K2018201920202021202220232024
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
201864,119$3.59M
201954,129$3.37M
202024,602$1.63M
202114,854$949K
202217,437$1.03M
20236,755$420K
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 46% 68,013 59,426 $5.10M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 27% 73,175 64,151 $2.94M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 26% 35,924 25,533 $2.91M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 245 175 $32K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 3,950 3,074 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 105 97 $3K
93042 <1% 389 364 $2K
99053 0% 95 94 $0.00

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

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