Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

APP OF SOUTH CAROLINA ED PLLC

NPI: 1457878084 · HARTSVILLE, SC 29550 · Emergency Medicine Physician · NPI assigned 08/24/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$11.00M
Total Medicaid Paid
181,896
Total Claims
152,914
Beneficiaries
8
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (CFO)
NPI Enumeration Date08/24/2017

Related Entities

Other providers sharing the same authorized official: GRIMES, JAMES

ProviderCityStateTotal 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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 64,119 $3.59M
2019 54,129 $3.37M
2020 24,602 $1.63M
2021 14,854 $949K
2022 17,437 $1.03M
2023 6,755 $420K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 68,013 59,426 $5.10M
99283 Emergency department visit for the evaluation and management, moderate severity 73,175 64,151 $2.94M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 35,924 25,533 $2.91M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 245 175 $32K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,950 3,074 $15K
99282 Emergency department visit for the evaluation and management, low to moderate severity 105 97 $3K
93042 389 364 $2K
99053 95 94 $0.00