Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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App of East Tennessee HM PLLC

App of East Tennessee HM PLLC was paid $111K by Medicaid between May 2020 and Jul 2023, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 94% of everything it billed.

33Billing provider infoAPP OF EAST TENNESSEE HM PLLC
BRENTWOOD, TN 37027
33aNPI1518503655assigned 11/25/2019
33bProvider typeNurse Practitioner
28Total paid$111K
24GClaims2,848
24DCodes billed4
24AFirst – last monthMay 2020 – Jul 2023
Compared with peers

Next to other Nurse Practitioner providers in Tennessee

Rank by total paid#46 of 212
Median peer was paid$17K
This provider vs. median6.6×

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$10K$20K2018201920202021202220232024
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
2020284$6K
20211,305$62K
2022880$26K
2023379$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 94% 2,368 680 $105K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.2% 259 79 $5K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 141 39 $859.51
99292 <1% 80 14 $672.93

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.