Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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App of Kentucky Ed, PLLC

App of Kentucky Ed, PLLC was paid $7.03M by Medicaid between Jan 2018 and Jul 2023, across 6 billing codes. Its largest line is 99285, emergency room visit (most serious) — 49% of everything it billed.

33Billing provider infoAPP OF KENTUCKY ED, PLLC
PRINCETON, KY 42445
33aNPI1497157341assigned 09/23/2014
33bProvider typeNurse Practitioner
28Total paid$7.03M
24GClaims164,738
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Nurse Practitioner providers in Kentucky

Rank by total paid#6 of 260
Median peer was paid$89K
This provider vs. median79×

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$100K$200K2018201920202021202220232024
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
201823,109$723K
201924,301$1.10M
202027,624$1.32M
202134,592$1.46M
202236,173$1.60M
202318,939$838K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 49% 52,445 45,715 $3.46M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 32% 51,147 43,770 $2.27M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 40,792 34,198 $1.18M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.4% 19,990 16,955 $99K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 202 171 $17K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 162 145 $3K

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.