NP / PA
Progressive Medical Associates PLLC
Progressive Medical Associates PLLC was paid $30.27M by Medicaid between Jan 2018 and Jul 2023, across 18 billing codes. Its largest line is 99285, emergency room visit (most serious) — 49% of everything it billed.
33Billing provider infoPROGRESSIVE MEDICAL ASSOCIATES PLLC
MESA, AZ 85202
MESA, AZ 85202
33aNPI1548218613assigned 05/04/2006
33bProvider typePhysician Assistant
28Total paid$30.27M
24GClaims403,027
24DCodes billed18
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Physician Assistant providers in Arizona
Rank by total paid#1 of 78
Median peer was paid$8K
This provider vs. median3,835×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 100,860 | $5.09M | |
| 2019 | 84,438 | $4.89M | |
| 2020 | 37,418 | $3.36M | |
| 2021 | 60,276 | $5.64M | |
| 2022 | 76,527 | $7.04M | |
| 2023 | 43,508 | $4.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 49% | 128,555 | 122,538 | $14.77M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 36% | 128,466 | 123,610 | $11.01M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 77,357 | 75,111 | $3.87M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.5% | 3,068 | 2,962 | $458K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 22,954 | 19,635 | $125K |
| 99053 | <1% | 26,638 | 23,890 | $21K | |
| 99292 | <1% | 27 | 25 | $4K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 51 | 51 | $2K |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | <1% | 6,371 | 5,886 | $0.04 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 3,607 | 3,343 | $0.01 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 4,436 | 4,034 | $0.01 |
| 3210F | 0% | 147 | 131 | $0.00 |
6 more codes
| 4120F | 0% | 12 | $0.00 | |
| G8709 | Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) | 0% | 14 | $0.00 |
| G8711 | Prescribed antibiotic on or within 3 days after the episode date | 0% | 84 | $0.00 |
| G8708 | Patient not prescribed antibiotic | 0% | 397 | $0.00 |
| G9745 | Documented reason for not screening or recommending a follow-up for high blood pressure | 0% | 830 | $0.00 |
| G9530 | Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | 0% | 13 | $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)
| Provider | Location | Paid |
|---|---|---|
| App of New Mexico Ed PLLC | Albuquerque, NM | $41.89M |
| Degara App, PLLC | Lansing, MI | $35.82M |
| 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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.