Medicaid Provider Spending

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

WOODLAND'S EMERGENCY PHYSICIANS, PLLC

NPI: 1467989871 · SHENANDOAH, TX 77385 · Emergency Medicine Physician · NPI assigned 05/16/2017

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

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

$2.11M
Total Medicaid Paid
34,834
Total Claims
33,227
Beneficiaries
5
Codes Billed
2018-05
First Month
2023-07
Last Month

Provider Details

Authorized OfficialGRIMES, JAMES (CFO)
NPI Enumeration Date05/16/2017

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
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
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 50 $524.92
2019 369 $8K
2020 920 $43K
2021 10,319 $694K
2022 14,787 $856K
2023 8,389 $503K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 14,171 13,429 $1.03M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,501 10,078 $770K
99283 Emergency department visit for the evaluation and management, moderate severity 5,452 5,257 $291K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,684 4,439 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 26 24 $3K